Introduction 28 2021 Sustainability Report A Modern, High-Performing Health System Our People and Culture Environmental Health Responsible Business Practices Performance Data Managing chronic disease Treatment of chronic conditions accounts for more than $1 trillion in direct health care costs each year, and the prevalence of chronic disease continues to grow. We are helping patients with complex needs achieve better outcomes by taking a whole-person, integrated approach to care management. Beginning in 2021, UnitedHealth Group, including the United Health Foundation and UnitedHealthcare, is investing $4.5 million to increase access to health care, improve health outcomes and advance health equity in communities across Oklahoma, a state that ranks 42nd in the U.S. in access to primary care providers, and 43rd in multiple chronic conditions, particularly among Native Americans, according to America’s Health Rankings. Local partnerships are providing integrated services for people with diabetes and comprehensive geriatric care for Native Americans, and supporting people experiencing trauma, food insecurity and social isolation. Impact in Oklahoma 80% of the 3,800 patients served now have controlled diabetes. 100K meals provided in 2021. 1.6K+ patients 65+ screened for depression in 2021.