Court decision to uphold the Affordable Care Act did little to clarify the future of health care reform and what it means for business. And once again, health care policy will be one of the key issues helping to decide this year’s presidential election. In late August, two of Minnesota’s most storied names in health care – HealthPartners and Park Nicollet – announced plans to combine their operations at the beginning of next year. Learn about the motivation behind one of the most significant local health care partnerships in decades. And, more importantly, hear how it relates to broader health care trends in our state and the important implications for Minnesota businesses and communities. Andrea Walsh, Executive Vice President and Chief Marketing Officer, HealthPartners,Inc.

1. MOVING MINNESOTA TOWARD BETTER,
MORE AFFORDABLE HEALTH CARE
Andrea Walsh
Executive Vice President / Chief Marketing Officer
HealthPartners
Sept. 25, 2012

2. Health
Experience Affordability

3. 1. History of strong collaboration
2. Better access, better coverage
3. Reforms and incentive in payment

4. $41,868
Health care expenses for U.S. families (2021)
2002-2021 (projected at present growth rate) $38,767
$35,895
$33,236
$19,393 $30,774
$28,496
(2011) $26,384
$24,430
$22,620
$9,235
$20,944
$18,074
$16,771
(2002) $14,500
$15,609
$13,382
$12,214
$11,192
$10,168
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
Source: 2011 Milliman Medical Index

5. Income: $59,858
$41,868
Health care expenses for U.S. families (2021)
2002-2021 (projected at present growth rate) $38,767
$35,895
$33,236
$19,393 $30,774
$28,496
Income: $42,093 (2011) $26,384
$24,430
$22,620
$9,235
$20,944
$18,074
$16,771
(2002) $14,500
$15,609
$13,382
$12,214
$11,192
$10,168
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
Source: 2011 Milliman Medical Index

6. Mortality (length of life): 50%
Health Outcomes
Morbidity (quality of life): 50%
Tobacco use
Health behaviors Diet & exercise
(30%) Alcohol use
Unsafe sex
Clinical care Access to care
(20%) Quality of care
Health Factors Education
Employment
Social & economic factors Income
(40%)
Family & social support
Community safety
Programs and Environmental quality
Physical environment
Policies
(10%) Built environment
County Health Rankings model © 2010 UWPHI

7. The four essentials of reform
1.Support healthy lifestyles.
2.Redesign care.
3.Reform the way we pay.
4.Drive everything with data.

8. Eating 5
Being Not fruits and Drinking
physically smoking vegetables alcohol in
active each day moderation

9. The Triple Aim in action
HealthPartners Delivery System
43%
Total Cost Index % patients with Optimal
Diabetes Control*
(compared to statewide average) * controlled blood sugar, BP and cholesterol (per ICSI guideline A1c
< 1 is better than network average changed from < 7 to < 8 in 1Q09 and BP control changed from <130/80
to <140/90 in 3Q10), AND daily aspirin use, AND non-tobacco user

11. Consumers in the Drivers Seat
Consumer-driven plans up
30% year on year The n
ew n
D
orm:
educ
Defin tibles
ed co
ntrib
Retai ution
l care
Lowe
r
care -cost
optio
Healt ns
h and
progr wellnes
amm s
ing

13. What the reformed market looks like
No data  Abundant, useful information
Unknown results  Transparent results
Little collaboration  Frequent collaboration
Treat disease  Prevent disease
Passive consumer  Powerful consumer

14. Health
Experience Affordability

15. MOVING MINNESOTA TOWARD BETTER,
MORE AFFORDABLE HEALTH CARE
Andrea Walsh
Executive Vice President / Chief Marketing Officer
HealthPartners
Sept. 25, 2012