WellCare Health Plans, Inc. Corporate Overview

March 21, 2014

2 As of January 2014

WellCare Health Plans, Inc. Founded in 1985 in Tampa, Fla. •  Approximately 3.3 million members nationwide. •  176,000 contracted health care providers. •  67,000 contracted pharmacies.

Serving 1.8 million Medicaid members, including: •  Aged, Blind and Disabled (ABD). •  Children’s Health Insurance Program (CHIP). •  Family Health Plus (FHP). •  Supplemental Security Income (SSI). •  Temporary Assistance for Needy Families (TANF).

Serving more than 1.5 million Medicare members, including: •  340,000 Medicare Advantage members. •  1.2 million Prescription Drug Plan members. •  50,000 Medicare Supplement policyholders. Serving the full spectrum of member needs •  Dual-eligible populations (Medicare and Medicaid). •  Managed Long Term Care.

Spearheading efforts to sustain the social safety net •  The WellCare Community Foundation. •  Advocacy Programs. •  Creation of Public-Private Partnerships.

Significant contributor to the national economy •  A FORTUNE 500 company. •  Ranked #16 in the nation on the Barron’s 500. •  Approximately 5,700 associates nationwide. •  Offices in all states where the company provides

managed care.

Company Snapshot

Medicare Advantage & Medicare Part D PDP Medicare Part D PDP (49 states & D.C.) Medicare Supplement (39 states)

Medicaid, Medicare Advantage & Medicare Part D PDP

3 As of January 2014

Vision To be the leader in government-sponsored health care programs in partnership with the members, providers, governments and communities we serve. Mission •  Enhance our members' health and quality of life.

•  Partner with providers and governments to provide quality, cost-effective health care solutions.

•  Create a rewarding and enriching environment for our associates. Core Values •  Partnership

•  Integrity

•  Accountability

•  Teamwork

WellCare Health Plans, Inc.

4 As of January 2014

What We Do

•  Providing managed care services targeted to government-sponsored health care programs, focusing on Medicaid, Medicare and Prescription Drug Plans.

•  Serving a variety of people including families; children; and the aged, blind and disabled; includes a focus on low-income, dual-eligible populations.

•  Improving quality of care, increasing health care access and improving outcomes for members.

•  Relieving providers of administrative work and hassles.

•  Providing cost savings for government customers and taxpayers.

Reduce Cost and Improve Quality and Access for Government Health Programs by:

WellCare

Medicaid

Dual-Eligible

Members

Medicare Advantage

Prescription Drug Plans

Managed Long Term

Care

Medicare Supplement

5 As of January 2014

Medicaid Presence

•  Broad range of eligibility groups.

•  Capabilities to integrate medical, pharmacy and behavioral services.

•  Offers coordination with Medicare benefits.

1.8 million members across 9 states

6 As of January 2014

Medicaid Risk Adjustment

2013 Regions by Membership  

Georgia   552,100  

Florida♣   473,800  

Kentucky   291,300  

Illinois (still need to confirm)   144,900  

Missouri   106,200  

New York   100,500  

South Carolina*   49,800  

Hawaii*   38,400  

Ohio   -  

TOTAL   1,757,000  

♣Moving  to  risk-­‐adjustment  in  2014.  

*Market  not  currently  risk-­‐adjusted.  

7 As of Dec. 31, 2013

How it all Fits Together

•  Encounter  Repor@ng  &  Analy@cs      

• Medical  Record    Review  

•  Encounter  Opera@ons    

•  Claims    

Quality       Risk  Adjustment      

Rate  SeHng      

Encounters  SLA        

8 As of Dec. 31, 2013

•  ICD-10 Impacts to Encounters & Risk Adjustment models

•  Service level Agreements (SLA’s) and risk of sanctions

•  Leveraging Medicare Risk Adjustment processes in Medicaid?

•  Linking Encounters to Quality and revenue impacts in real time (Estimating the value of an Encounter)

•  Multiple models in use across existing states along with new states implementing various risk adjustment models or parts there of

•  Increasing complexity of product offerings and reconciliations with Medicare and Medicaid

•  Significant increase in data requests by CMS and the states (ie: All Payers claims database)

•  Buy it, Build it, or both?

A Look Ahead - 2014 and Beyond in Medicaid: