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St.LukesHealth and Private Health Insurance 2014-2020

presented by: CN DockrayChairman

St.LukesHealth26 July 2014

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Over 11.7 m Australian’s are covered by Private Health InsuranceIt’s a myth that Private Health Insurance is for the rich.Over 10 m Australians with Hospital cover,

5.6m have total annual income of $50k or less.3.4m or 30% have total annual incomes of $35k or less.

In the case of St.Luke’s, 79% of all policies are written with an FED component.

Basic Numbers

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Public (Medicare) 52%PHI 38%DVA 4%Self Insured 4%Workers Comp 1%Motor Vehicle third party 1%

The role played by PHI in Hospitalisations

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We at St.LukesHealth promise every man, woman and child, a relationship they can count on to help them stay healthy, get well and live better.

Our promise to our members

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Our 3 strategic imperatives (pillars)

STAY HEALTHY

Grow healthy members in desired age group

Engage with members to keep them healthy

LIVE BETTER WITH ILLNESS

GET WELL QUICK

Improve outcomes and reduce costs

Engage with members to avoid readmissions and to deliver member satisfaction

LIVE BETTER WITH ILLNESS

Avoid unnecessary events and admissions

Engage with members to avoid admissions and to deliver member satisfaction

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In respect of the “stay healthy” segment we will engage with our members ultimately via: Educational mailings Nurse line On-line health risk assessments On-line access to personal health records Reminder systems for screening examinations On-line self help tools Integrated wellness programmes Informing them about the cost benefits of staying healthy

We want to help and engage with our healthy members, whatever their age and station in life, to assist them “stay healthy”.

Stay Healthy

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In respect of the “get well quick” segment (i.e. those following an acute episode of care), we will ultimately engage with them via: Educational mailings Assisting pre-planning for hospitalisation Funding concurrent medical reviews if required Discharge planning from hospital Post acute transitional support services Home health Behavioural health management, e.g. psychological or CBT treatment following acute care Nurse line Informed financial information

We want to help our members “get well quickly” with their pre-admission planning and decision making, their discharge planning, their rehabilitation and recovery, so that they return quickly to our “stay healthy” membership segment

Get Well Quick

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With respect to the “live better with illness” segment (i.e. the vulnerable to high risk to chronically ill to the end of life members), we will ultimately engage with them via: Nurse line Health risk assessments Chronic disease management (My Health Guardian) Medication management Coordinated case management Behavioural health management Home health Informed financial information

We want to help this category of our members live as comfortably and independently as possible with as little unnecessary interaction with hospitals and the health care system as is possible.

Live Better With Illness

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Our business strategy is to: Encourage wellness and ill health prevention Be engaged in identifying and assisting our members close gaps in their clinical

care Emphasising and ensuring cooperatively with our members that they receive

the appropriate degree of care coordination and accountable care Educating our members about the high quality and highly efficient providers

of care Educating our members about the costs of their care

Our Business Strategy

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Our core values in adopting this new business strategy are: Respect – we value our members and treat them as we would like to be

treated ourselves Integrity – we hold ourselves to high ethical standards, doing what is right, not

just what is easy Collaboration – we will share information, knowledge and expertise

transparently with our members Initiative – we will consistently follow through on our commitments Accountability – we will hold ourselves responsible for our actions and be

accountable for the results of our actions

Our Core Values

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We at St.LukesHealth promise every man, woman and child, a relationship they can count on to help them stay healthy, get well and live better.

Our promise to our members