EX-99.1 2 dex991.htm PRESENTATION SLIDES FOR UBS GLOBAL HEALTHCARE SERVICES CONFERENCE Presentation Slides for UBS Global Healthcare Services Conference
UBS Global Healthcare
UBS Global Healthcare
Services Conference
Services Conference
Jay Gellert
President &
Chief Executive Officer
February 9, 2009
Exhibit 99.1


2
Cautionary Statement
Cautionary Statement
All statements in this presentation, other than statements of historical information, may be
deemed to be forward-looking statements and as such are subject to a number of risks and
uncertainties. These statements are based on management’s analysis, judgment, belief and
expectation only as of the date of this presentation, and are subject to uncertainty and
changes in circumstances. Without limiting the foregoing, statements including the words
“believes,”
“anticipates,”
“plans,”
“expects,”
“may,”
“should,”
“could,”
“estimate,”
“intend”
and
other similar expressions are intended to identify forward-looking statements. Actual results
could differ materially due to, among other things, rising health care costs, negative prior
period claims reserve developments, additional investment portfolio impairment charges,
changes in the economy, volatility in the financial markets, trends in medical care ratios,
unexpected utilization patterns or unexpectedly severe or widespread illnesses, membership
declines, rate cuts affecting our Medicare or Medicaid business,
issues relating to provider
contracts, litigation costs, regulatory issues, operational issues, health care reform and general
business and market conditions. Additional factors that could cause actual results to differ
materially from those reflected in the forward-looking statements include, but are not limited
to, the risks discussed in the “Risk Factors”
section included within the company's most recent
Annual Report on Form 10-K and Quarterly Reports on Form 10-Q for the first, second and
third quarters of 2008 filed with the SEC. Audience participants
are cautioned not to place
undue reliance on these forward-looking statements. The company undertakes no obligation to
publicly revise any of its forward-looking statements to reflect events or circumstances that
arise after the date of this presentation.


3
Non-GAAP Measures
Non-GAAP Measures
This presentation includes quarterly and full year income
statement measurements that are not calculated and presented
in accordance with Generally Accepted Accounting Principles.
Audience participants should refer to the reconciliation table
available in the company’s fourth quarter and full year 2008
earnings press release, available on the company’s Web site at
www.healthnet.com,
which
reconciles
certain
non-GAAP
financial information to GAAP financial information.
Management believes that the non-GAAP financial information
discussed in this presentation is useful as it provides the
audience a basis to better understand the company’s results by
excluding items that are not indicative of our core operating
results for the periods presented.


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Investment Thesis
Investment Thesis
Significant value creation opportunities in
Northeast and Arizona
Commercial health plan performance positioned
to improve in California and Oregon
Medicare improvement in 2009
Confidence in TRICARE contract bid
Ongoing G&A savings
Tangible book value of $8.76 per share*
*As of December 31, 2008


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Northeast and Arizona: Scale Issues
Northeast and Arizona: Scale Issues
2009 combined revenues expected to be
between $3.7 billion to $3.8 billion
Currently operating at high G&A expense ratio
Higher health care unit costs compared
to competitors
Projected to operate on a breakeven basis
in 2009 due to Medicare improvements
Approximately $500 million of regulatory capital
and surplus in these entities to meet regulatory
requirements


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Commercial Business
Commercial Business
Solid commercial franchises in
California and Oregon
Sustained pricing discipline for
margin expansion
Health care cost management focus
on inpatient unit cost and utilization


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7
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California Business
California Business
37 million people
Membership concentrated around high population density areas
Highest managed care penetration in the U.S.
Slowing economy
California Market Dynamics
$7.4 billion health plan
#2 HMO market share in the state based
on membership with 2.2 million members
Dominant network HMO
Strong relationships with integrated
physician groups
Health Net’s Market Position
Source: Health Leaders, January 2008
2008 Health Plan Market Share
(All Lines of Business)
Network HMO


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California Commercial Strategy
California Commercial Strategy
Stabilize Membership
Stabilize Membership
Expand Margins
Expand Margins
Pricing discipline
Shift business mix to more
profitable segments
Focus on medical
management
Leverage network
advantage through
capitated medical groups
Inpatient utilization
management and
risk-sharing
Network contracting
Improve retention
Price stability
Account service
Selectively grow in cost-
competitive geographies
and segments
Leverage cost-effective
HMO offering
Offer a diverse HMO
portfolio


9
Medicare: A Plan for Profitable Growth
Medicare: A Plan for Profitable Growth
2009 Expectations
2009 Medicare bid
Improve gross margin through adjusted premiums and benefit
design and health care cost management initiatives
Expected MA MCR improvement of 150 basis points
Expected PDP MCR improvement of 500 basis points
Grow network-model MA plans and products in core markets
Reduce focus on Private Fee-for-Service
Position the business to be responsive to potential        
reimbursement changes
Membership
(as of 12/31/08)
Medicare Advantage
272,000
Private-Fee-for-Service
23,000
Medicare Part D
545,000


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Medicaid: A Consistent Performer
Medicaid: A Consistent Performer
Opportunities for growth through
geographic expansion and reform
812,000 members
New Jersey:
47,000 members in 14 counties
California:
765,000 members
Medicaid in 10 counties
Healthy Families Program in
44 counties
As of December 31, 2008


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Government & Specialty Services
Government & Specialty Services
TRICARE North Managed Care contract
Partnering with MHN to provide behavioral health services to
military beneficiaries
TRICARE reprocurement
Formal proposal discussions held in early December 2008
Final proposal revision submitted in early January
TRICARE Management Activity currently evaluating all resubmitted
bids
Current contract extended to March 31, 2010
Well-prepared for further extension or new contract transition which
could be as early as June 1, 2009
Opportunities for growth
TRICARE Overseas (submitted December 19, 2008)
Expansion of Military Family Life Counseling
Veterans Affairs support for PTSD and traumatic brain injury


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Achieving Operational Excellence
Achieving Operational Excellence
2009 to 2011
2009 to 2011
Harvesting Benefits
Harvesting Benefits
2008 to 2009
2008 to 2009
Year of Investment
Year of Investment
2007 to 2008
2007 to 2008
Recognize Opportunity
Recognize Opportunity
Multiple systems
Manual processes
and workarounds
System consolidation
planning
Sequencing of highest
benefit projects
Aging and inefficient
systems and technology
Application and
infrastructure outsourcing
Best-in-class outsourcing
partners to extend
capabilities
High cost locations
and functions
Consolidate processes,
management and footprint
Reduced headcount
Business process
outsourcing
Strategic sourcing
Multiple data warehouses
Inconsistent operational
metrics
Redundant analytical
functions
Consolidate operations
Consistent metrics and
analytics
Performance-focused
operations


Solid Balance Sheet
Total cash and investments of $2.2 billion with an average
credit quality of AA+
Investment portfolio with market value of $1.5 billion
Net unrealized losses of $12 million
(less than 1% of total cash and invested assets)
Total debt of $680 million
Excellent liquidity and financial strength
Current ratio of 1.6x
Working capital of $1.3 billion
Total debt-to-capital ratio of 27.9%
Tangible net equity of $909 million or $8.76 per share
As of December 31, 2008
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2009 and Beyond
2009 and Beyond
Value creation opportunities from Northeast and Arizona
Core assets are solid
Solid commercial franchises with strong market share
in California and Northwest
Opportunities for margin expansion
Government & Specialty Services division is a
stable performer with earnings visibility and
growth opportunities
Medicare provides earnings growth in 2009
2009 bid addresses issues in 2008
Positioned to respond to potential changes by
new administration