EX-99.1 2 dex991.htm HEALTH NET, INC. PRESENTATION SLIDES FOR CITI GLOBAL HEALTH CARE CONFERENCE Health Net, Inc. Presentation Slides for Citi Global Health Care Conference
Citi Global Health Care Conference
Citi Global Health Care Conference
May 22,
2008
Exhibit 99.1


2
Cautionary Statement
Cautionary Statement
All statements in this presentation, other than statements of historical information, including but
not limited to the guidance for future periods included herein and the assumptions underlying
such projections, 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, the guidance as to
expected future period results and 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, 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 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 filed with the SEC.
Readers are cautioned not to place undue reliance on these forward-looking statements. The
company undertakes no obligation to publicly revise its guidance, the assessment of the
underlying assumptions or 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 first quarter 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.


4
Investment Thesis
Investment Thesis
Strength from diverse business base
Stable commercial book
Medicare growth
TRICARE and Medicaid opportunities
Margin improvement opportunities
Changing commercial mix
Operations strategy
Share repurchases continue


5
Company Profile
Company Profile
National health benefits company serving commercial and government
(Medicare, Medicaid and TRICARE) customers
Provide health care benefits to approximately 6.6 million individuals
across the country
Offer mental health and pharmacy benefit management services to
approximately 10.3 million individuals
2007 revenues of $14.1 billion and net income of $416.1 million*
Year-over-year net income and EPS growth**
Northeast
region:
CT, NJ, NY
Western
region:
AZ, CA,
OR, WA
*Excludes the impact of $222.4 million after-tax charges incurred in 2007
**Excludes the impact of $222.4 million after-tax charges incurred in 2007 and $31.6 million in after-tax
charges incurred in 2006


6
Diverse Medical Membership Base
Diverse Medical Membership Base
Membership by Segment
(As of 3/31/08; in thousands)
Commercial
2,238
Medicare Advantage
276
Medicaid
829
Medicare PDP
522
TRICARE
2,895
Total
6,760
1Q08
Premium Revenue
Contribution
Commercial
52%
Medicare
24%
TRICARE
17%
Medicaid
7%


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Commercial New Sales
Commercial New Sales
40,000
60,000
80,000
100,000
120,000
140,000
3Q06
4Q06
1Q07
2Q07
3Q07
4Q07
1Q08
Targeted growth in the small and mid-size employer
group segments
Continue to diversify and refresh product portfolio
Leverage all distribution channels


8
Targeted Segment Growth
Targeted Segment Growth
0
100
200
300
400
500
600
700
800
900
1,000
1Q06
2Q06
3Q06
4Q06
1Q07
2Q07
3Q07
4Q07
1Q08
HNCA Commercial Membership:
Large Group vs. Mid, Small and IFP Segments
HNCA
Commercial
Membership
(As of 3/31/08)
Large
535,000
Mid-Market
413,000
Small
and IFP
468,000
Medicare
Supplement
35,000
ASO
6,000
Commercial
1,457,000
Mid, Small & IFP Segments
Large Group Segment


9
Medicare Growth
Medicare Growth
0
50
100
150
200
250
300
350
400
450
500
550
1Q06
2Q06
3Q06
4Q06
1Q07
2Q07
3Q07
4Q07
1Q08
Medicare PDP
Medicare Advantage
Medicare PFFS
445
485
491
499
564
584
604
615
798
Total Medicare
Membership
(in thousands)
2008 Outlook
+40-45%
Medicare PDP
+20-25%
Medicare
Advantage


10
Medicare Market Expansion Strategy
Medicare Market Expansion Strategy
Core States (CA, OR, AZ, NY, CT):  MAPD, PDP, PFFS (CA/CT/NY only)
Expansion States (TX, NM, HI, WA, MA, VA, NC, GA):  PDP, PFFS
PDP National Launch (all states): PDP-only states


11
Fully-insured Medicaid Opportunities
Fully-insured Medicaid Opportunities
Opportunities for growth through
geographic expansion and reform
$1.0 billion in annual revenue in 2007
829,000 members
Northeast:
New Jersey: 44,000 members in               
13 counties
California:
720,000 members
Medicaid in 10 counties
Healthy Families Program in 44 counties
State may expand Medicaid managed 
care program to 14 more counties
As of March 31, 2008


12
Strong Federal Services Position
Strong Federal Services Position
TRICARE (Department of Defense)
North contract
1.8 million at-risk-eligible beneficiaries
550,000 active duty
600,000 Medicare-eligible beneficiaries
U.S. Department of Veterans Affairs (VA)
Claims
repricing
Community-based outpatient clinics
National DRG Audit and Recovery Services
Proud to Serve America’s Veterans
As of March 31, 2008


13
Investment Thesis
Investment Thesis
Strength from diverse business base
Stable commercial book
Medicare growth
TRICARE and Medicaid opportunities
Margin improvement opportunities
Changing commercial mix
Operations strategy
Share repurchases continue


14
Changing Commercial Mix
Changing Commercial Mix
December 31, 2005
Membership
March 31, 2008
Membership
Large Group
Mid-market
Small Group/Individual
37%
35%
28%
Large Group
Mid-market
Small Group/Individual
48%
26%
26%
Note:  Represents HNCA membership mix only


15
Multiple systems
Inefficient ancillary systems
Enrollment and billing
Call centers
Aging technology
Reliant on manual processes and
workarounds
Multiple data warehouses
Inconsistent operational metrics
Redundant analytical functions
High cost locations
G&A Environment
G&A Environment
Result is higher G&A PMPM
than other key competitors
2006 Membership
Adjusted G&A PMPM*
National and Regional Players
*HNT Strategy Group Analysis
$20
$22
$25
$27
$15
$18
$21
$24
$27
$30
Low
Median
High
HNT


16
Investment for the Future
Investment for the Future
Additional labor
Consultants
Accelerated depreciation
Employee termination costs
Contract termination costs
Technology write-downs
IT systems migration
Outsourcing
IT systems migration
Outsourcing
Performance improvements and efficiencies
Year of Investment
2008
2008
$50 M in savings
2009
2009
$100 M in savings
2010
2010


17
Investment Thesis
Investment Thesis
Strength from diverse business base
Stable commercial book
Medicare growth
TRICARE and Medicaid opportunities
Margin improvement opportunities
Changing commercial mix
Operations strategy
Share repurchases continue


18
Share Repurchase Update
Share Repurchase Update
Announced additional $250 million in share
repurchase authority on October 30, 2007
Approximately $203 million in remaining authority
Repurchased approximately 33 million shares at an
average price of $35.18 since the inception of the
share repurchase program in May 2002
Repurchased 13 million shares                               
at an average price of $47.97                                  
since the company resumed                                      
its share repurchase program                                  
in November 2006
As of March 31, 2008


2008 Revised Outlook
2008 Revised Outlook
Year-end Membership
Commercial Risk: -3 to -4%
Medicaid: flat
Medicare Advantage:+20-25%
PDP:  +40-45%
Previously: flat to -1%
Consolidated Revenues
$15 -
$16 billion
Commercial Yields
~ 8.0%
Commercial Health Care          
Cost Trends*
~ 8.0%
(Includes prior period development               
booked in 1Q08)
Previously: 30 to 50 bps
lower than premium yield
Selling Cost Ratio
~ 2.8%
Government Contracts Ratio
~ 94.5%
G&A Expense Ratio*
~ 10%
Tax Rate*
~ 39.5%
Previously: 38.5%
Shares Outstanding
105.5 -
107 million
Previously: 108 -
110 million
EPS*
$3.45 -
$3.55
Previously: $4.14 -
$4.17
*Excludes the impact of litigation and operations strategy-related charges.
Guidance
Comment
19


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Stable networks
Solid commercial
franchises with
expanding margins
Growing and
diversified government
business
Excellent near-
and
long-term earnings
prospects
Medicare
TRICARE
Medicaid and the
uninsured
Low-cost products
Behavioral health
opportunities
Well-Positioned for Potential Change
Well-Positioned for Potential Change
Positioned for Growth
Positioned for Growth
Positioned to Respond to
Environmental Changes
Positioned to Respond to
Environmental Changes


21
Investment Thesis
Investment Thesis
Strength from diverse business base
Stable commercial book
Medicare growth
TRICARE and Medicaid opportunities
Margin improvement opportunities
Changing commercial mix
Operations strategy
Share repurchases continue


Citi Global Health Care Conference 
Citi Global Health Care Conference