[ the problem ] rational consumers in an irrational system

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[ Defined Contribution ] Employee receives fixed amount of money to buy health care coverage

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Page 1: [ The Problem ] Rational Consumers in an Irrational System
Page 2: [ The Problem ] Rational Consumers in an Irrational System

[ [ The ProblemThe Problem ] ]

Rational Consumersin an

Irrational System

Page 3: [ The Problem ] Rational Consumers in an Irrational System

[ [ Defined ContributionDefined Contribution ] ]

Employee receivesfixed amount of money to buy

health care coverage

Page 4: [ The Problem ] Rational Consumers in an Irrational System

[ [ Vivius Value Proposition Vivius Value Proposition ]]

The Right Benefits

The Right Providers

The Right Price

Choice and Control for Each Family Member

Page 5: [ The Problem ] Rational Consumers in an Irrational System

[ [ Physician Defines Fees Physician Defines Fees ]]

Page 6: [ The Problem ] Rational Consumers in an Irrational System

[ [ Vivius Calculates Premium Vivius Calculates Premium ]]

Page 7: [ The Problem ] Rational Consumers in an Irrational System

[ [ Six Steps to Enroll Six Steps to Enroll ]]1. Pick your copayment levels2. Pick the family member3. Select a doctor who will help make the

network selections 4. State your preferences5. Review the panel 6. Make changes to benefits or network

Page 8: [ The Problem ] Rational Consumers in an Irrational System

[[ Consumer and Doctor Define Network Consumer and Doctor Define Network ]]

Page 9: [ The Problem ] Rational Consumers in an Irrational System

[[ Consumer Defines Payroll Deduction Consumer Defines Payroll Deduction ]]

= $55/month

Page 10: [ The Problem ] Rational Consumers in an Irrational System

[[ Consumer Changes Doctor Consumer Changes Doctor ]]

= $50/month

Page 11: [ The Problem ] Rational Consumers in an Irrational System

[[ Consumer Changes Copayments Consumer Changes Copayments ]]

= $45/month

Hospital Inpatient Copayment changed from $300 to $500

Page 12: [ The Problem ] Rational Consumers in an Irrational System

Tier I: Co-Payment Benefits

Panel you createdPersonal Panel

Panel Created for YouExtended Network

Tier II: Deductible and Co-Insurance Benefits

Panel you didn’t selectPersonal providers not

selected

Out of area panel created for you

Out of Area Network

Page 13: [ The Problem ] Rational Consumers in an Irrational System

[ [ Spokane Results Spokane Results ]]

82% penetration against an HMO, PPO Only 16 of 500 enrollees needed phone support Rated 4.6/5.0 for ease of use

Page 14: [ The Problem ] Rational Consumers in an Irrational System

[ [ Denver Denver ]] Joint venture with MMA

Self funded, open access product Wholesale product to insurers

Available for January 1, 2003 business

Page 15: [ The Problem ] Rational Consumers in an Irrational System

[ [ The SolutionThe Solution ] ] True competition among providers Incentives for quality Individual values for selections Budgets encouraging price to value decisions Buy coverage not servicesAn open marketplace with rational purchasing

Page 16: [ The Problem ] Rational Consumers in an Irrational System

[ [ Vivius Value Proposition Vivius Value Proposition ]]

The Right Benefits

The Right Providers

The Right Price

Choice and Control for Each Family Member

Page 17: [ The Problem ] Rational Consumers in an Irrational System

Somebody has to do Somebody has to do something,something,it’s amazing it has to be it’s amazing it has to be us.us.

Jerry GarciaThe Grateful Dead