UnitedHealth
Annual Report 2014

Plain-text annual report

2014 Annual Review Table of Contents 02 Performance Highlights 04 UnitedHealth Group 06 UnitedHealthcare 08 Optum 10 Driving Health Care Forward 14 Living Up to Our Responsibilities 15 Our Culture and Mission 16 Our Leadership UnitedHealth Group | 2014 Annual Review UnitedHealth Group, one of the largest health care companies in America, is among the fastest growing and most diversified in the industry and a force for positive change in health care in the United States and worldwide. UnitedHealthcare, our health benefits platform, is providing practical innovations in health benefits plans to improve the health of individual consumers of care, while supporting the population health and financial goals for plan sponsors of every variety. Optum, our health services platform, is engaging consumers in making better decisions about their health and health care, and supporting care providers in improving the efficiency, effective delivery and affordability of care. UnitedHealth Group | 2014 Annual Review | 1 Performance Highlights Following a strong finish in 2014, UnitedHealth Group is moving into 2015, 2016 Nearly 400,000 physicians are now using Optum’s cloud-based Link service in their and beyond with better forward momentum, more growth opportunities and fewer practices with a goal to reach 600,000 by the end of 2015. headwinds than we have experienced in a number of years. Our 2014 performance was highlighted by diversified growth, continuing advances in service, innovation and enabling technology and strong operating and medical cost management. Today, UnitedHealth Group is positioned to better respond to the demands of our evolving health care system and help improve the lives of the people we are privileged to serve. Here are just a few examples: • UnitedHealthcare’s total value-based payments to physicians and hospitals tied directly to quality, better patient outcomes and lowering the overall cost of care have nearly tripled in the last three years to $37 billion and are expected to nearly double again to $65 billion by the end of 2018. We have more than 500 accountable care programs active today and expect to create as many as 250 new accountable care program relationships in 2015, fostering deeper, more collaborative approaches with • In 2014, we expanded in existing and new state Medicaid programs to serve the physicians and hospitals across the United States. health needs of 1 million additional underserved children, young families and • We continued to help improve the operating performance of Healthcare.gov and vulnerable people with complex medical conditions. Our footprint in the Medicaid a number of state health insurance exchanges for uninsured and underinsured market continues to grow, now reaching states where nearly 60 percent of the Americans. Medicaid community resides, serving people through more than 100 separate state programs. • In 2015, we are offering products in 23 state exchanges that are home to 54 percent of the U.S. exchange market population. This includes eight of the 10 • We provide millions of people with information and incentives to make better choices largest exchange market states, and 15 states where we also offer Medicaid plans. and manage their health costs, along with the help they need in finding the right care UnitedHealthcare benefit plans have been chosen by more than half a million at the right place. We are in the process of on-boarding 30 million people to Optum’s Americans already in 2015. new Rally consumer health platform and rapidly deploying across UnitedHealthcare’s businesses Advocate4Me – the single point of contact to address all of a member’s health care needs. And our app for mobile devices, Health4Me, brings more information and convenience to users than ever before, along with transparency in health care quality and costs and the ease of mobile payments to health care providers. • Our nurses are providing home visits – more than 1 million in 2014 – to help the elderly and people with chronic conditions monitor their health and build more consistent care regimens to get healthy and stay healthy. These advances illustrate our broad-based efforts to more effectively serve and to help enable a more efficient, more responsible and more modern health care system. For shareholders the results are clear: Revenues grew 7 percent in 2014 and are expected to rise 8 percent in 2015. Earnings per share are growing, and in June 2014 we raised our dividend by 34 percent to an annual rate of $1.50 per share. The more than 180,000 people of UnitedHealth Group, Optum and UnitedHealthcare remain dedicated to our values and our mission. Their hard work and consistent execution in 2014 have set the stage for continued growth in 2015 and beyond. We have • Our Optum business is now advancing the direct delivery of quality care to 2 million yet to reach the full potential of this enterprise and are constantly focused on further people through our own growing network of physician practices. During 2014, improving our performance. We have the opportunity of a lifetime for our combined we continued our efforts to help physicians deliver better health outcomes more efforts to positively impact the future of health care in the United States and worldwide. affordably, while simplifying their work so more time can be spent with patients. 2 | UnitedHealth Group | 2014 Annual Review Revenues grew 7 percent in 2014 and are expected to rise 8 percent in 2015. Performance Highlights Consolidated Financial Results Revenues $122.5B $130.5B 2013 2014 Earnings from Operations $9.6B $10.3B 2013 2014 Net Earnings Per Share $5.50 $5.70 2013 2014 34% DIVIDEND In 2014, we raised our dividend 34 percent. We repurchased $4 billion in UnitedHealth Group shares and return on equity once again exceeded 17 percent. UnitedHealth Group | 2014 Annual Review | 3 Innovative, practical solutions for today’s health care challenges For more than 30 years, UnitedHealth Group has pursued its mission to help people Both independently and working together, UnitedHealthcare and Optum offer a live healthier lives and make the health system work better for everyone. The people of patient-centered approach to care that helps enhance the performance of care this enterprise apply vast experience in clinical care management, unmatched data and providers, supports the physician/patient relationship and empowers people with the analysis and cutting-edge information technology to help resolve some of the biggest information, guidance and tools they need to make personal health decisions. These challenges facing health care today. unique capabilities and the diversity of our businesses position UnitedHealth Group for continuing growth in 2015 and beyond. As consumers begin to take greater responsibility for their health care decisions, physicians are asked to take on more financial risk for population health, care delivery shifts to a pay-for-performance model and governments respond to social demands for better health care for more people, UnitedHealth Group consistently offers innovative, practical solutions to improve health care quality, to make care simpler and easier to access and to help lower costs for more affordable care. Our company is comprised of two business platforms offering distinct, yet complementary capabilities. UnitedHealthcare offers a full spectrum of health benefits for every stage of life from newborns to senior citizens, for a wide variety of markets and benefit sponsors: employers of every size, public and private exchanges, state and federal government programs – like Medicare and Medicaid – and the U.S. military. Optum is a leader in health services, engaging health care consumers to be more active participants in making health care decisions, aligning care delivery to improve effectiveness and quality and modernizing the health system infrastructure itself to make it more efficient, connected and lower cost. 4 | UnitedHealth Group | 2014 Annual Review UnitedHealth Group is a leading force for positive change, consistently helping improve health care quality, access and affordability. Steady Growth UnitedHealth Group’s performance in 2014 was highlighted by diversified growth, strong operating and medical cost management, and continuing advances in service, innovation and enabling technology. UnitedHealthcare and Optum enter 2015 with momentum from a strong 2014 finish and more growth opportunities than ever. UnitedHealthcare 45M UnitedHealthcare has grown organically by more than 8 million people in the past five years and is expecting to grow to serve as many as 1 million or more people in 2015, continuing its record as the fastest growing health benefits company in the nation. INDIVIDUALS SERVED IN 2014 Optum Optum’s revenues grew by 25 percent, operating margins expanded to 6.9 percent and earnings grew by 32 percent in 2014. 63M INDIVIDUALS SERVED IN 2014 UnitedHealth Group | 2014 Annual Review | 5 Helping people live healthier lives UnitedHealthcare combines modern benefit design, strong consumer engagement, UnitedHealthcare Medicare & Retirement is dedicated to the health and well-being targeted clinical management and a modernized care delivery system to provide higher needs of people over the age of 50, serving nearly one in five U.S. seniors. This quality, more accessible and affordable care for more people. The company recognizes business is the market leader in Medicare Advantage plans, the largest provider of that there is no single solution, so this business is continually adapting and innovating to Medicare supplement plans and the nation’s leader in Medicare Part D prescription meet the diverse and changing needs of the consumers and customers it serves. Today, drug plans. UnitedHealthcare serves nearly 45 million people domestically and internationally through its market-facing businesses. UnitedHealthcare Community & State provides health care products and services for the economically disadvantaged and the medically underserved in 24 states and the District of Columbia, serving more than 5 million beneficiaries of Medicaid plans, the Children’s Health Insurance Program (CHIP), Special Needs Plans, integrated Medicare- Medicaid plans and other federal and state health care programs. UnitedHealthcare Employer & Individual offers a comprehensive array of consumer- oriented health benefit plans and services nationwide for large national employers, public sector employers, mid-sized employers, small businesses and individuals, currently serving the health benefits needs of nearly 26 million people. UnitedHealthcare Military & Veterans is proud to serve approximately 3 million active duty and retired members of the military and their families in the West Region of the Department of Defense's TRICARE program, supporting access to high quality, affordable, effective health care. UnitedHealthcare Global serves more than 4 million people with medical benefits, principally through Amil, the largest health care company in Brazil. In addition, this business offers a broad range of tools and techniques to improve the efficiency and quality of health care delivery systems in a variety of settings worldwide. 6 | UnitedHealth Group | 2014 Annual Review We customize advanced clinical programs, tailored networks and benefit solutions across our businesses for the diverse markets we serve. 850K PHYSICIANS 6K HOSPITALS UnitedHealthcare arranges for access to care through networks that include more than 850,000 physicians and other care professionals and approximately 6,100 hospitals and other facilities nationwide. Leading the Shift to Value-Based Care • More than 11 million people are now accessing care from providers compensated by UnitedHealthcare based on quality, better patient outcomes and lowering the overall cost of care. • UnitedHealthcare’s value-based payments have nearly tripled in the last three years to $37 billion and are expected to nearly double again to $65 billion by the end of 2018. • UnitedHealthcare has more than 500 accountable care programs active today and expects to create as many as 250 new accountable care programs in 2015. UnitedHealth Group | 2014 Annual Review | 7 Helping make the health system work better for everyone Optum’s health services businesses are leading positive change across the health Collaborative Care works with physicians serving patients at a local market level, system by engaging consumers more deeply in their health and health care; aligning improving the health of patient populations and the overall efficacy and efficiency of care delivery and clinical and pharmacy management; and modernizing the health their care. The Consumer Solutions Group serves people and organizations through system itself. Optum’s businesses have the privilege of serving virtually all participants its population health management services, health exchange capabilities and financial in health care: services products. • Those who pay for care. Optum serves approximately half the Fortune 500, and 300 OptumInsight is one of the largest health care information, technology, operational health plans and government agencies across 36 states and the District of Columbia. services and consulting companies in the world. This business provides technology and • Those who provide care. Optum works with more than 67,000 pharmacies, four out of five U.S. hospitals and nearly 88,000 physician practices and other health care facilities to support the best possible patient care and experiences. related services to major participants in the health care industry. The people who work in hospital systems, physician practices, commercial health plans, government agencies, life sciences companies and other health-related organizations depend on OptumInsight to help them reduce costs, meet compliance mandates, improve clinical performance, • Those who need care. Optum serves more than 63 million individuals who need the achieve efficiency and modernize core operating systems to meet the changing needs of right support, information, resources and products to achieve their health goals. the health system. OptumHealth simplifies and supports consumer health management and collaborative OptumRx has more than 20 years of experience and is one of the largest pharmacy care delivery through programs offered by employers, payers, government entities benefit managers in the United States. This business serves individuals by providing and, increasingly, directly with the care delivery system. OptumHealth helps people by nearly 600 million adjusted retail, home delivery and specialty drug prescriptions offering products and services focused on improving the quality of care delivery, patient annually and serves their plan sponsors by managing more than $40 billion per year in satisfaction and clinical outcomes, while lowering costs through two business groups. pharmaceutical spend. OptumRx serves more than 30 million Americans, providing a full spectrum of pharmacy services to improve health outcomes and reduce health care costs, all rooted in evidence-based clinical information and technological innovation. 8 | UnitedHealth Group | 2014 Annual Review 3.1 MILLION CONSUMER HEALTH CARE ACCOUNTS Optum Financial Services manages approximately 3.1 million consumer health care accounts, including investment accounts and retiree accounts. BEHAVIORAL HEALTH OptumHealth directs one of the largest behavioral health networks in the United States, including nearly 144,000 clinicians across nearly 8,700 locations. 144,000 CLINICIANS Nearly 47 million individuals – nearly 8 million of whom are Medicare and Medicaid beneficiaries – have access to Optum managed behavioral health services today. 8,700 LOCATIONS OPTUM LABS Optum Labs, the health care research and innovation center co-founded by Optum and Mayo Clinic, currently collaborates with 20 other health care leaders to drive advances that work to improve patient care and value for patients. AARP, Boston Scientific, Merck, Harvard Medical School and Johns Hopkins Bloomberg School of Public Health are among the organizations collaborating with Optum Labs. UnitedHealth Group | 2014 Annual Review | 9 Optum is leveraging investments made in simplifying operations, integrating solutions and developing client relationships across our core businesses to deliver double-digit revenue and earnings growth. Driving Health Care Forward UnitedHealth Group is driving practical innovation to build a simpler, more intelligent and cost- effective health care system for everyone and to help the people we serve live healthier lives. Better, more comprehensive information and services engage consumers in making smarter decisions about their health and care. Leveraging data with advanced technology better connects patients and their doctors and aligns the coordination and delivery of care to improve outcomes. Innovation is critical to solving the challenges facing health care today and in the future. UnitedHealth Group, Optum and UnitedHealthcare are committed to leading the search for innovative, transformative change. 10 | UnitedHealth Group | 2014 Annual Review Innovation is deeply embedded in our DNA; it's both discipline and vision, inspiring us to explore and test new ideas to advance health care and make it perform better for everyone we serve. Making health care simpler with myClaims Manager “The pace of my life is really busy. I work full time and I also compete in open water swimming,” says “The pace of my life is really busy. I work full time and I also compete in open water swimming,” says Melissa Kegler, a UnitedHealthcare benefits plan member from Seattle, Washington. “My favorite place to swim is Alki Beach on Puget Sound. Looking over the mountains and the backdrop of Seattle and the Space Needle, it’s absolutely beautiful. I love open water swimming. It’s my passion.” When Melissa suffered her first sports injury, she was unsure where to turn. Her application to swim the English Channel had been approved and she worried her dream could be destroyed if she didn’t immediately address her medical issue and its financial consequences. With the help of myuhc.com, UnitedHealthcare’s comprehensive consumer website, Melissa was able to find a physical therapist close to her home. But her Channel swim entailed extra expenses and her work schedule didn’t allow much time to track medical bills and payments she owed. The myuhc.com website again provided the help she needed through its myClaims Manager tool. Yasmine Winkler, chief marketing, product and innovation officer, UnitedHealthcare, explains: “myClaims Manager is a tool we launched to make it easy for people to look up their claims online, track them and pay their portion. Knowing that you can take care of something so easily gives you peace of mind.” UnitedHealthcare is the only national health plan to offer its plan participants payment capabilities integrated with claims and benefit information. Melissa says, “The myClaims Manager feature was really the saving grace to managing my finances. I can go online and know exactly what I’m going to pay and not be surprised by any copays or lab bills. I love the website. It makes me feel like Melissa and her swimming partners finish up an early morning workout on Puget Sound. UnitedHealthcare values me. They want to help me with my goals, my health, my success and my open water swimming.” myClaims Manager made it easy for Melissa Kegler to manage her medical bills so she could focus on her dream to swim the English Channel. UnitedHealth Group | 2014 Annual Review | 11 To watch a short video on this story, visit us at www.unitedhealthgroup.com/2014-annual The Link cloud-based administrative platform reduces manual processes and automates connections among providers, payers, government entities and others. Payers Employers Care Providers Link: The next generation cloud-based care provider experience “With a lot of competing priorities today, our biggest challenge is taking “With a lot of competing priorities today, our biggest challenge is taking waste out of the health care system,” says Mona Reims, director of Revenue Services for Orthopedics Northeast in Fort Wayne, Indiana, a clinic specializing in orthopedics and pain management. “With Link we are able to take out a lot of the administrative costs and apply those resources to patient care.” Link is a cloud-based administrative platform that enables care providers to process the daily transactions that underlie health care delivery – benefit eligibility and patient copays, claims, appeals and much more – in a way that is convenient for them and fits how they want to do business. Link’s cloud-based technology is designed to be simple, easily accessible, efficient, high quality and open to multiple payers, not just UnitedHealthcare. Mona and Orthopedics Northeast are early adopters of Link, reporting a savings of about 25 percent of their staff time on claims follow-up and appeals management with the system. “We are able to get a lot more eligibility data," says Mona. "For instance, we can tell if a patient has physical therapy benefits, what their maximum out-of-pocket is, whether or not they have eligibility for in-patient, out-patient or even mental health benefits. We’re not getting on the phone and then getting a fax and then getting online. Everything is in one place and one modality.” Government Agencies Consumers Developers me most about Link is that it is going to be the care provider self-service application for the future. We continue Jim Becker, executive vice president, Benefit Operations, UnitedHealthcare, says, “One of the things that excites to work closely with Link users – application developers, administrators, physicians and other health professionals – to make it even more responsive to their needs. The goal is to enable users to combine applications, data, analytics and services to their own specifications to improve patient and population health while improving efficiency and reducing costs. This is just the beginning, not an end-point.” Mona agrees, “One of the unique features of Link is that it provides a collaborative opportunity between care providers and health plans. By innovating together, we’re able to move the needle a whole lot faster, reducing the costs of health care.” 12 | UnitedHealth Group | 2014 Annual Review To watch a short video on this story, visit us at www.unitedhealthgroup.com/2014-annualRally: An interactive product that makes managing health easy and fun Rally combines technology, gaming and social media to help people find personalized ways to eat better, move more, become more informed and improve their health. Based on each consumer's self-reported and digitally captured data, Rally provides multiple layers of engagement through rewards, coaching, tools, communities and content that promote healthy lifestyle behaviors. Vanessa Weathers, a UnitedHealthcare member from New Hampshire, got to know Rally beginning with a simple survey that put her health in context by comparing her health risks with her chronological age. Vanessa was surprised how “young” she was. “Completing the health survey was easy and took no time at all,” she says. “I was excited to learn that my Rally Age was three years younger than I actually am.” Based on data from the survey, Rally offered Vanessa a selection of “Missions.” One she chose was walking several times a week to get more exercise. “I enjoy hiking because I can be outside, and it’s almost like it’s not exercise at all. It’s a great way to stay active and get your heart rate up, but it’s not as boring as walking on a treadmill.” Rally also offers communities of people who share their experiences. Vanessa says, “An issue I’ve struggled with is getting restful sleep. I found a community on Rally focused on sleep health. They share what’s worked for them and that way you learn new techniques.” Vanessa likes the incentives Rally awards her for healthier behaviors and how easy it is to use, especially Rally’s mobile app for people on the go. “I think Rally will help me create healthy routines and behaviors that are sustainable for the rest of my life and not just short-term fixes.” As a result of Rally’s intuitive interface and personalization capabilities, its consumer engagement rate is 10 times the industry standard. Grant Verstandig, founder and CEO of Rally Health, says, “If we can get consumers to use our product every day and change their behavior, decrease their risk of disease, help them manage how they eat and sleep and feel, we can really help people live healthier lives. The secret to making healthy changes is to do it in small, easy steps and we’ll be there every step of the way.” Vanessa Weathers says Rally, a personalized, interactive health and wellness platform, is helping her make choices that promote better health. UnitedHealth Group | 2014 Annual Review | 13 To watch a short video on this story, visit us at www.unitedhealthgroup.com/2014-annualLiving up to our responsibilities as a good corporate citizen and steward of better health care Everyone at UnitedHealth Group, Optum and UnitedHealthcare take very seriously our responsibilities to our shareholders, business associates, customers, consumers and the communities where we operate. We constantly strive to live up to the expectations people have for us as a health care company and the high standards of performance and behavior we have set for ourselves. We are honored to have been recognized for our continuing commitment to excellence. Outstanding Business Performance Journal’s list of the “25 Most Influential Companies UnitedHealth Group and its employees, was • UnitedHealth Group was the top ranking company for Veteran Hiring” in 2014. recognized with the Unsung Heroes award from the in the insurance and managed care sector on Fortune’s • UnitedHealth Group was named a 2015 Top 100 Philippines Department of Health in 2014. 2015 “World’s Most Admired Companies” list. This is the fifth straight year UnitedHealth Group ranked No.1 overall in its sector and the sixth consecutive year the company ranked No.1 in its sector for innovation. Military Friendly Employer and a 2015 Military • UnitedHealth Group received the Project Sunshine Spouse Friendly Employer by Victory Media, the Award for Corporate Philanthropic Leadership publisher of G.I. Jobs and Military Spouse magazines. in 2014. Project Sunshine provides free educational, • U.S. Veterans magazine named UnitedHealth Group recreational and social programs to children and families • Fortune magazine ranked UnitedHealth Group one of its Best of the Best companies for U.S. No. 14 in the 2014 rankings of the 500 largest U.S. veteran hiring in 2014. living with medical challenges. Protecting the Environment corporations based on 2013 revenues. • Fortune magazine ranked UnitedHealth Group No. 39 on its 2014 Global 500, a list of the world’s largest corporations based on 2013 revenues. • UnitedHealth Group was named to the Dow Jones Industrial Average, a blue chip group of 30 companies deemed industry leaders, in 2012. Supporting the Communities Where We Live and Work • UnitedHealth Group has been listed in the Dow Jones Sustainability World Index and Dow Jones North • UnitedHealth Group was recognized as one of America Index annually since 1999. America’s 50 most community-minded companies for 2014 in the Civic 50, and ranked first in the health care industry for the second consecutive year. • In 2014, UnitedHealth Group was again recognized as a leader among S&P 500 companies by the environmental nonprofit Carbon Disclosure Project • UnitedHealth Group received the 2014 Best Corporate (CDP). Within the health care industry category, Supporting Our Employees • UnitedHealth Group earned a top rating of Steward – Large Business award from the U.S. Chamber of Commerce Foundation’s Corporate 100 percent on the 2015 Corporate Equality Index Citizenship Center. from the Human Rights Campaign. • Points of Light recognized UnitedHealth Group with the • For the fourth consecutive year, the National Business 2014 Corporate Engagement Award of Excellence Group on Health honored UnitedHealth Group with a for outstanding employee volunteer programs that Platinum award for being named one of the “Best Employers for Healthy Lifestyles” in 2014. engage workers and improve communities. • The Typhoon Yolanda relief effort coordinated by • UnitedHealth Group was named to Profiles in Diversity Project HOPE and underwritten exclusively by UnitedHealth Group was one of only three companies earning a position on the CDP Climate Disclosure Leadership Index, earning a score of 99 out of 100. • UnitedHealth Group received a Bronze Class Sustainability Award in RobecoSAM’s 2014 Corporate Sustainability Assessment. RobecoSAM assesses the sustainability performance of more than 2,000 companies across 58 sectors. 14 | UnitedHealth Group | 2014 Annual Review Our Culture The people of this company are aligned around basic values that inspire our behavior health care professionals, hospitals and the individual consumers of health care. as individuals and as an institution: Trust is earned and preserved through truthfulness, integrity, active engagement and Integrity. We are dedicated to the highest levels of personal and institutional integrity. We make honest commitments and work to consistently honor those commitments. collaboration with our colleagues and clients. We encourage the variety of thoughts and perspectives that reflect the diversity of our markets, customers and workforce. We do not compromise ethics. We strive to deliver on our promises and we have the Innovation. We pursue a course of continuous, positive and practical innovation, courage to acknowledge mistakes and do whatever is needed to address them. using our deep experience in health care to be thoughtful advocates of change and Compassion. We try to walk in the shoes of the people we serve and the people we work with across the health care community. Our job is to listen with empathy and to use the insights we gain to invent a better future that will make the health care environment work and serve everyone more fairly, productively and consistently. then respond appropriately and quickly with service and advocacy for each individual, Performance. We are committed to deliver and demonstrate excellence in everything each group or community and for society as a whole. We celebrate our role in serving we do. We will be accountable and responsible for consistently delivering high-quality people and society in an area so vitally human as their health. and superior results that make a difference in the lives of the people we touch. Relationships. We build trust through cultivating relationships and working in productive collaboration with government, employers, physicians, nurses and other We continue to challenge ourselves to strive for even better outcomes in all key performance areas. Our Mission Our mission is to help people live healthier lives and to help make the health system work better for everyone. • We seek to enhance the performance of the • We support the physician/patient relationship health system and improve the overall health and empower people with the information, and well-being of the people we serve and guidance and tools they need to make their communities. personal health choices and decisions. • We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. UnitedHealth Group | 2014 Annual Review | 15 Our Leadership Executive Officers and Leaders Stephen J. Hemsley Chief Executive Officer Eric S. Rangen Senior Vice President and Chief Accounting Officer Larry C. Renfro Vice Chairman, UnitedHealth Group and Chief Executive Officer, Optum Jeannine M. Rivet Executive Vice President Marianne D. Short Executive Vice President and Chief Legal Officer Anthony Welters Executive Vice President David S. Wichmann President and Chief Financial Officer D. Ellen Wilson Executive Vice President, Human Capital Cory Alexander Executive Vice President, External Affairs Edson Bueno, M.D. Founder and Chief Executive Officer, Amil Terry Clark Senior Vice President, Marketing and Brand Dirk McMahon Executive Vice President, Chief of Enterprise Operations Richard Migliori, M.D. Executive Vice President, Medical Affairs and Chief Medical Officer William A. Munsell Executive Vice President Don Nathan Senior Vice President and Chief Communications Officer John S. Penshorn Senior Vice President, Capital Markets Communications and Strategy 16 | UnitedHealth Group | 2014 Annual Review Glenn M. Renwick Chairman, President and Chief Executive Officer, The Progressive Corporation Kenneth I. Shine, M.D. Special Advisor to the Chancellor for Health Affairs, The University of Texas System Gail R. Wilensky, Ph.D. Senior Fellow, Project HOPE, an international health foundation Audit Committee Glenn M. Renwick, Chair Robert J. Darretta Michele J. Hooper Nominating and Corporate Governance Committee Michele J. Hooper, Chair William C. Ballard, Jr. Douglas W. Leatherdale Compensation and Human Resources Committee Rodger A. Lawson, Chair William C. Ballard, Jr. Gail R. Wilensky, Ph.D. Public Policy Strategies and Responsibility Committee Gail R. Wilensky, Ph.D., Chair Edson Bueno, M.D. Kenneth I. Shine, M.D. Board of Directors William C. Ballard, Jr. Former Of Counsel, Bingham Greenebaum Doll LLP (formerly Greenebaum Doll & McDonald PLLC) Edson Bueno, M.D. Founder and Chief Executive Officer, Amil Richard T. Burke Non-Executive Chairman, UnitedHealth Group Robert J. Darretta Retired Vice Chairman and Chief Financial Officer, Johnson & Johnson Stephen J. Hemsley Chief Executive Officer, UnitedHealth Group Michele J. Hooper President and Chief Executive Officer, The Directors’ Council, a company focused on improving the governance processes of corporate boards Rodger A. Lawson Chairman, E*TRADE Financial Corporation and Retired President and Chief Executive Officer, Fidelity Investments — Financial Services Douglas W. Leatherdale Retired Chairman and Chief Executive Officer, The St. Paul Companies, Inc. (currently known as Travelers Companies, Inc.) You can find more information about UnitedHealth Group and its businesses by visiting our website: www.unitedhealthgroup.com. 10% 10% This annual review is printed on recycled papers and uses reduced VOC (Volatile Organic Compounds) vegetable-based inks. UnitedHealth Group | 2014 Annual Review | 17 www.unitedhealthgroup.com UnitedHealth Group Center 9900 Bren Road East, Minnetonka, Minnesota 55343 100-16336 4/15 ©2015 UnitedHealth Group. All Rights Reserved. UnitedHealth Group is a registered trademark with the U.S. Patent and Trademark Office. 

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