1. WellCare Health Plans, Inc.
Corporate Overview
March 21, 2014

2. 2As 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. 3As 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. 4As 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. 5As 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. 6As 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. 7As 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. 8As 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: