Anthem Blue Cross 2015 Annual Report Download

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2015 Annual Report
ADVANCING BETTER
HEALTH CARE

Table of contents

  • Page 1
    2015 Annual Report ADVANCING BETTER HEALTH CARE

  • Page 2
    ...to guide our strategy, growth and success. 2015 was a year of tremendous change for our company, our industry and for health care consumers. More than ever, consumers are looking to us to help them navigate the complexities of health care and provide them with affordable, high-quality health benefit...

  • Page 3
    ... recovery activities, optimized provider contracts and drug formularies, and honed in on clinical approaches like our AIM Specialty Health subsidiary's specialty management capabilities and our catalog of care management programs. At the end of 2015, we achieved a cost of care savings of more than...

  • Page 4
    ... the health of our nation. Together, we are working to transform health care and advance our vision of being America's valued health partner. Thank you for your interest, support and investment in Anthem. Joseph R. Swedish Chairman, President and CEO, Anthem, Inc. Anthem 2015 Annual Report 4

  • Page 5
    ... health outcomes. Value-based payment models, driven by improved analytics and more personalized approaches to care, lay the groundwork for better health. By creatively addressing cost challenges, we are enabling greater affordability for employers, consumers and providers. For example, our plans...

  • Page 6
    ...solutions and programs that are empowering consumers to take charge of their health and wellness-giving them the knowledge and power to make informed decisions about their care. This includes providing information on quality and cost for medical procedures, as well as access to their benefits in one...

  • Page 7
    ...our dental, vision, life, disability and medical plans work together to promote better health outcomes and lower the total cost of care, drawing on data and analysis from Anthem's Resolution Health subsidiary. Consumers who are covered by our affiliated specialty and medical plans have more complete...

  • Page 8
    ...medical care. Clear Health Alliance goes beyond supporting its members' medical needs by also offering access to social and behavioral health care services for HIV/AIDS patients. This truly sets our specialty health plan apart from other plans participating in Florida's Medicaid managed care program...

  • Page 9
    ...partnering with providers to create new products and services that better serve patient populations. Our goal is to pave a promising new road toward better health care for all. ENHANCED PERSONAL HEALTH CARE Anthem has invested heavily in strengthening consumers' relationships with their doctors. We...

  • Page 10
    ...member per month. Participating providers performed better than non-participating peers BETTER IN PEDIATRIC PREVENTIVE CARE 9.6% BETTER IN ANNUAL MONITORING OF PER SISTENT MEDICATIONS 4.8% BETTER IN OTHER ACUTE AND CHRONIC CARE MEASURES 3.9% In our analysis of patient experience, cost savings...

  • Page 11
    .... The partnership gives providers across the state access to infectious disease specialists via telemedicine for Colorado members who otherwise might require emergency care, hospital admission or would have to be transported from a rural, mountain community to metro areas for care. For Coloradoans...

  • Page 12
    ... approach to patient care, we can achieve affordability for employers, consumers and providers. Anthem is working to remove the financial roadblocks to healing, managed care and better health. CANCER CARE QUALITY PROGRAM With more cancer treatment options, medical research and evidence available to...

  • Page 13
    ... CARE CENTERS Our plans' goals are to improve health outcomes by taking into account the consumer's complete health profile and meeting his or her health care needs, no matter how complex. This can lead to improved health care savings in the long term. CareMore's nationally recognized clinical care...

  • Page 14
    ...costs concerns are addressed with Dual-Eligible Special Needs Plans (DSNPs) that are primarily $0 premium plans with $0 copays. They include dental and vision coverage, many feature some transportation to doctor's appointments, and some include coverage for over-the-counter drug costs. HMOs and PPOs...

  • Page 15
    ... grant program, the Anthem Foundation-the charitable arm of Anthem, Inc.-is tackling some of the nation's most pressing health concerns and issues. The Foundation works closely with partner organizations that not only share our vision for a healthier future, but have set a Anthem 2015 Annual Report...

  • Page 16
    ...to attempt to set a Guinness World Record for the "Most People in a CPR Relay." Over a period of 12 hours, community and local leaders, celebrities, athletes, area residents and tourists from all over joined us in Times Square, New York, to officially break the record. Anthem 2015 Annual Report 16

  • Page 17
    ...-profit online institution offering convenient, self-paced college curriculum tailored for working adults. College for America allows its students to earn associate or bachelor's degrees at an affordable cost. Anthem piloted a program offering to pay tuition for New Hampshire associates who enrolled...

  • Page 18
    ...for America curriculum can earn their degree for free, with Anthem paying the cost of tuition. ANTHEM ASSOCIATES ENROLLED 2050 ANTHEM GRADUATES 35 College for America's focus on real-world projects and business competencies as well as its self-paced program allows participants to complete their...

  • Page 19
    FINANCIAL HIGHLIGHTS Anthem 2015 Annual Report 19

  • Page 20
    (continued) Individual 4% National Accounts 19% Local Group 40% 2015 MEDICAL MEMBERSHIP BlueCard® 14% 4% Medicare Medicaid Federal Employee Health Benefits 15% 4% CUSTOMER BASE 61% Self-Funded Fully-Insured 39% Anthem 2015 Annual Report 20

  • Page 21
    ... REPORTED IN ANTHEM'S 2015 ANNUAL REPORT ON FORM 10-K. (Dollars in millions, except per share data) OPERATING RESULTS Total operating revenue Total revenue Net income Earnings Per Share Basic net income Diluted net income Dividends per share (In whole dollars) Balance Sheet Information Total assets...

  • Page 22
    ...,653 Note 1: The information presented above should be read in conjunction with the audited consolidated financial statements and accompanying notes and Management's Discussion and Analysis of Financial Condition and Results of Operations included in Anthem's 2015 Annual Report on Form 10-K. Note...

  • Page 23
    ... (Dollars in millions, except share data) December 31, 2015 December 31, 2014 ASSETS Current assets: Cash and cash equivalents Investments available-for-sale, at fair value: Fixed maturity securities (amortized cost of $16,950.0 and $17,120.4) Equity securities (cost of $1,055.8 and $1,303.7) Other...

  • Page 24
    ... Long-term debt, less current portion Reserves for future policy benefits, noncurrent Deferred tax liabilities, net Other noncurrent liabilities Total liabilities Commitments and contingencies-Note 13 included in 2015 Annual Report on form 10-K Shareholders' equity Preferred stock, without par value...

  • Page 25
    Consolidated Statements of Income Years Ended December 31 (Dollars in millions, except per share data) REVENUES Premiums Administrative fees Other revenue Total operating revenue Net investment income Net realized gains on investments Other-than-temporary impairment losses on investments: Total ...

  • Page 26
    ...The information presented above should be read in conjunction with the audited consolidated financial statements and accompanying notes and Management's Discussion and Analysis of Financial Condition and Results of Operations included in Anthem's 2015 Annual Report on Form 10-K. Anthem 2015 Annual...

  • Page 27
    ...558.4 (294.7) 1.7 3.0 172.7 1.4 (115.9) $2,373.8 2015 $2,560.0 2014 $2,569.7 2013 $2,489.7 The information presented above should be read in conjunction with the audited financial statements and accompanying notes included in Anthem's 2015 Annual Report on Form 10-K. Anthem 2015 Annual Report 27

  • Page 28
    ... Excess tax benefits from share-based compensation Changes in operating assets and liabilities: Receivables, net Other invested assets Other assets Policy liabilities Unearned income Accounts payable and accrued expenses Other liabilities Income taxes Other, net Net cash provided by operating...

  • Page 29
    ...lending payable Changes in bank overdrafts Premiums paid on equity call options Proceeds from sale of put options Repurchase and retirement of common stock Cash dividends Proceeds from issuance of common stock under employee stock plans Excess tax benefits from share-based compensation Net cash used...

  • Page 30
    ....5 (7.1) 564.8 1,586.9 2,151.7 - $ 2,151.7 2.2 (897.7) 2,484.6 1,586.9 (4.8) $ 1,582.1 The information presented above should be read in conjunction with the audited financial statements and accompanying notes included in Anthem's 2015 Annual Report on Form 10-K. Anthem 2015 Annual Report 30

  • Page 31
    ... there were 71,430 shareholders of record of our common stock. The following table presents high and low sales prices for our common stock on the NYSE for the periods indicated. High 2015 First Quarter Second Quarter Third Quarter Fourth Quarter 2014 First Quarter Second Quarter Third Quarter Fourth...

  • Page 32
    ... Blue Shield Association. Anthem companies serve members as the Blue Cross licensee for California; and as the Blue Cross and Blue Shield licensee for Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, New York...

  • Page 33
    ... Joseph R. Swedish Chairman, President and Chief Executive Officer Wayne S. DeVeydt Executive Vice President and Chief Financial Officer Craig Samitt, M.D. Executive Vice President and Chief Clinical Officer Brian Griffin Executive Vice President, President, Commercial and Specialty Business...