Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Tom Grote, CEBS President, North Capitol Market Aetna Virginia Chamber of Commerce Health Care Conference JUNE 6,2013 Engaging consumers to purchase value

Aetna Inc. What do people think about health care?... It’s no wonder members find it hard to engage Source: 55 Gen X and Gen Y participants surveyed and asked what they think of with health insurance.

Aetna Inc. Current situation for the average consumer of healthcare : Providers are not financially rewarded for delivering value Not knowledgeable about medical conditions Not aware of appropriate levels of care for medical conditions Lacks data about provider network and availability No easy access to actionable information Not empowered to make appropriate & cost effective healthcare decisions

Aetna Inc. Catalyst for change A system focused on transactions is not optimal for patients or payers Current challenges CostQualityThe patient experience How things work today Providers are paid for volume, not value Communication gaps lead to fragmentation of care Patients have to quarterback their own care Aetna Response Rewarding providers for improving clinical outcomes Using advanced technology to help providers work as a team Providing resources to support decision-making and help coordinate care

Aetna Inc. We Connect Providers and Patients with Powerful, Personal Technology MOBILE CONNECTIVITY CONSUMER ENGAGEMENT HEALTH INFORMATION EXCHANGE DISTRIBUTED APPLICATIONS CLINICAL DECISION SUPPORT & WORKFLOW MANAGEMENT HEALTH PLAN PRODUCTS AND SERVICES

Aetna Inc. Virginia Provider Collaborations

Aetna Inc. iTriage – connecting consumers to information and care on the go Healthcare’s leading mobile platform to empower people to make better healthcare decisions, and improve healthcare delivery With iTriage, healthcare is on the go with a consumer. The iTriage app provides a Symptom-to- Provider pathway, connecting patients who are actively looking for healthcare with providers who have the capability and capacity to deliver that care iTriage can even help a consumer book an appointment with a physician or pre-register with an Emergency Department iTriage is a top 5 free Healthcare and Fitness app with a 4+ (out of 5) user star rating in the Android Marketplace and iTunes App Store

Aetna Inc. Member Decision Support Educating members about conditions and where they can be treated. Steering members to the preferred level of care If a member selects Emergency Department for a condition that could be treated by a lower cost provider, that person is provided with additional information regarding cost and alternatives Steerage: Non-Urgent / Inappropriate Use of ER

Aetna Inc. We are committed to driving health care transparency Online cost tools help members to stop guessing and start knowing so that they can feel confident with the health care choices they make. These tools include: Member Payment Estimator Physician unit price tool Medical procedure by facility cost tool Price-A-Drug SM

Aetna Inc. The power of health in members’ hands Understanding what to do is the first step The power to choose wisely Average $170 Member savings for Members using Member Payment Estimator (MPE) * Real-time cost estimates based on the member’s health insurance and benefits plan Compares up to 10 in-network doctors, hospitals, or facilities at a time for over 550 services and procedures 96% of members have access * Offering important health information, however and wherever members need it, to help them make smart decisions MEMBER PAYMENT ESTIMATOR

Aetna Inc. The power of health in members’ hands Quick, confident action = smarter decisions The power to use the best care Savings of 3-19% using an Institute of Quality (IOQ) for bariatric, cardiac, and/or orthopedic care * Facility quality verified by IOQ designation * Average 17% savings per episode of care through Aexcel providers * Giving members tools to help them at each step in the path of life and providing easy access, when they need it INSTITUTES OF QUALITY

Aetna Inc. We engage members with the best tools and resources available. We meet them where they are and that leads to better health results. Successful engagement through equipping and encouraging members to put the power of health in their hands Empower members to : Understand what to do Act quickly with confidence Get help where they need it 12