Catamaran A NEW APPROACH TO PHARMACY BENEFITS PBM Skill and Scale National Presence 50+ Locations Client Retention 2 Employees 3,500+ Top 4 PBM based on Market Cap 25M PBM Lives 200M Scripts Annually 1 in 5 Rx Claims Processed on RxClaim® Client Client Satisfaction Satisfaction © Catamaran 2013. All Rights Reserved. May not be copied or distributed without authorization. Catamaran 50+ Locations Victoria HQ Toronto Catamaran Offices Specialty Facility Member Call Center Mail Order Facility San Juan 3 © Catamaran 2013. All Rights Reserved. May not be copied or distributed without authorization. Catamaran Differentiators ● Catamaran Certified Agents - provide unmatched member advocacy in a changing health care environment ● Medicare expertise – awarded a CMS 5-Star Rating in 2013 and 2014 ● BriovaRx –integrated, high-touch, locally delivered pharmacy provides access to specialty medications for PCUSA’s members ● Leading claims platform, RxCLAIM, provides the flexibility to code complex plan designs ● Innovative consumer technology enables PCUSA and your members to have access to robust consumer tools and data anytime, anywhere 4 © Catamaran 2013. All Rights Reserved. May not be copied or distributed without authorization. Catamaran Book of Business Trend 4% 3.2% 3% 2.6% 3% 2.2% Employer 2% 2% 1% Labor & Trust 1.0% Catamaran BOB 1% 0% Total Trend 5 Highly Managed © Catamaran 2014. All Rights Reserved. May not be copied or distributed without authorization. Trend Strategies ● Catamaran tailors the right mix of clinical interventions for clients based on their population, corporate values and priorities. » » » » » » » 6 Risk scoring and stratification Personalized intervention Prescriber education Exclusive specialty Formulary management Fraud, waste and abuse detection Personalized member communications © Catamaran 2014. All Rights Reserved. May not be copied or distributed without authorization. Analytic Insights & Clinical Reporting Package 7 © Catamaran 2014. All Rights Reserved. May not be copied or distributed without authorization. ● Dynamic dashboards with interactive drill-down ● Robust self-service and adhoc reporting tools ● Front-end Business Intelligence Application ● Clinical Program Outcomes Reporting ● Comprehensive quarterly plan reviews Support Model Executive Sponsor Dan Hardin Segment President Kelly Kettlewell SVP PBM Operations Scott Honken VP Clinical Consulting Brad Mantell Senior Director Heidi Williams Strategic Account Executive Kevin Krotine Account Executive Benefit Admin 8 Eligibility IT/Data James Song RPh Clinical Consultant Tressa Downing Client Services Manager Reporting & Analytics © Catamaran 2014. All Rights Reserved. May not be copied or distributed without authorization. Chris Myers VP Member Experience Rebecca Mechanic – VP Member Communications/Fulfillment Dina Gonzalez Client Services Manager Customer Care Home Delivery Specialty Catamaran’s Opportunity A Path to Differentiation $34B What this means: Equivalent to #90 on Fortune 500 list Bigger than: ● American Express ● Allstate ● News Corp 10 Most of the Market is Indifferent to Their Current PBM Services Provider 2013 Net Promoter Score – Employers 100% % of Respondents 32% 29% 27% 44% 17% 35% 59% 29% Promoter s Passives Detractor s 39% 35% 29% 24% Express Scripts (n=41) CVS Caremark (n=41) 0% Catamaran (n=257) Others (n=31) Competitive Pricing and Product Quality/Relevance Top the List for Selection of Their PBM Top Reasons for Selecting a PBM Competitive pricing 19% Quality and Relevance of Products 21% Strong customer service for plan members 45% 29% 16% 10% % Ranking #2 Flexibility 20% High quality service and delivery 14% Trust in PBM 7% 0% 5% % Ranking #1 3% 5% % of respondents 100% 12 Our Research Shows Significant Opportunities to Differentiate Cost is a primary decision driver, but once PBMs are within the same cost range, service closes the deal or creates loyalty Clients don’t buy products, they seek value In general, the market does not trust PBMs and as a result, they use price to drive their decisions It’s the experience a client has when working with their PBM that makes the difference 13 Today’s Market Dynamics Position Catamaran Perfectly to Fill the Void Efficiency 2014 Innovation Service 14 The Premise We can own the white space around service We streamline operations and improve engagement Critical for scalable growth 15 The Top Five: All About Making a Difference 16 Formulary Management PBM Operations Enterprise Workflow Self Service Improvements Internal Reporting 17 Transformations Improve Operational Excellence Increase Customer Retention Reduce Penalties Create Capacity in the Company Drive Employee Satisfaction and Engagement 18 Questions? 19
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