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L O C K T O N C O M P A N I E S University of Alaska & JHCC FY 18 Strategy Meeting November 18, 2016

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Page 1: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

L O C K T O N C O M P A N I E S

University of Alaska & JHCC FY 18 Strategy Meeting November 18, 2016

Page 2: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Table of Contents

O B J E C T I V E S

S E C T I O N 1 Vendor Programs

S E C T I O N 2 Wellness

S E C T I O N 3 Healthcare Reform Update & FY 18 Plan Ideas

A P P E N D I X

Page 3: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

Vendor Programs

Page 4: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Best Doctors (July 2015 – June 2016)

3,640 Eligible Employees (8,164 total members) for cost of $101,775

95 Member Contacts (Below target of 120 Contacts)

Diagnosis Change: 38% (Above BOB of 34%)

Treatment Change: 67% (Above BOB of 64%)

InterConsultation (24 contacts): An in-depth medical review by a leading physician to confirm a diagnosis or treatment, or suggest a recommended change.

University’s top specialty utilization is Orthopaedic Surgery, Neurology and Gastroenterology (in line with Best Doctors Book of Business)

Estimated Cost Avoidance: $267,907

$50k for reduced ER and inpatient admissions for Celiac Disease & Irritable Bowel Syndrome

$139k for averting surgery for Chiari malformation causing migraines

Ask The Expert (5 contacts): Best Doctors offers personalized answers to medical questions from leading physicians based on a member’s specific situation.

Estimated Cost Avoidance: $3,250

FindBestDoc (44 contacts)

eSummary (4 contacts)

Page 5: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Best Doctors Financial Impact (July 2011 to June 2016)

Total program cost of $602,958

2011 – 2013: $291,656

2013 – 2014: $114,920

2014 – 2015: $103,511

2015 – 2016: $92,871

Total Best Doctor’s estimated savings of $529,148

2011 – 2013: $69,143

2013 – 2014: $157,529

2014 – 2015: $145,862

2015 – 2016: $288,757

Page 6: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Patient Care Utilization – July 2015 to June 2016

July 2015 – June 2016: 96% of the services requested were resolved

Top service requests: Benefit Questions and Education, Choosing a Health Plan, Claims/Billing Issues, Cost Transparency and Network Questions

Within the Claims/Billing Issues, most utilized for General Claims payment and Payor Errors (both categories above PatientCare benchmark)

Page 7: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Patient Care Return on Investment – July 2015 to June 2016

Additional Employer Savings

202 hours spent by Advocates

278 Service Requests since inception

23% of members surveyed would have worked on health issues at work

15% of members surveyed would have given their issues to Human Resources

Estimated annual FY 16 cost of $102,000

Page 8: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Patient Care – Rewards Program

Offers financial incentive for members to choose the lowest cost/highest quality care for elective health care procedures

Member calls Patient Care to compare costs before scheduling ANY elective procedure

Cost is provided by Patient Care to member within 7 days

Member chooses lower cost provider based on 3 facilities compared

Member submits their EOB and Reward form to Patient Care within 180 days

Member receives 20% of the savings, up to $1,000 (could cap at $500)

Rewards will be paid once per test or procedure per year

Employees will receive the reward in their paycheck (taxed)

Additional PEPM of $1.00 (University of Alaska paying $2.32 PEPM)

Additional pepm cost of $40,836

Family members enrolled on the Medical Plan are eligible

Patient Care estimated average ROI of 239% after rewards are paid

Estimated number of payouts would be ~375 at an average payout of $230

Estimated cost of $86,250

Page 9: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Retrofit Overview – 8 Months

Page 10: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Outcomes

Page 11: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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2015 Graduate Group Remains Engaged

Page 12: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

Wellness

Page 13: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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FY 17 Incentive Program (FY 2018 Contributions)

July 1, 2016 – April 30, 2017

Activity Points

Personal Health Assessment (PHA) Required

Biometric Screening* Required

Earn at least 5 points by completing any combination of the following activities

Points

Activity Utilizing Connected! 1 point max per month / 4 points max

Tobacco Attestation 1 point / 1 point max

Worksite Health Challenge 1 point each / 2 points max

Education Opportunities 4 points max

Online Classes 1 point per 8 classes / 2 points max

On-Site Education Sessions 1 point per class / 4 points max Lifestyle Coaching 2 points per 4 sessions / 4 point max

Routine Wellness Opportunities 4 points max

Annual Wellness Visit 1 point / 1 point max

Adult Immunization Attestation 1 point / 1 point max

Dental Exam 1 point / 1 point max

Vision Exam 1 point / 1 point max

Participants must complete a PHA, a Biometric Screening and 5 points by April 30, 2017, to be eligible for the rebate on their health care contributions in FY18. Employees can earn up to $600 per year for their participation and up to $600 back for their spouse/FIP participation.

*If 3 out of 5 biometrics are met, member will also earn rebate for FY19, and only have to complete PHA in FY18

Page 14: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Proposed FY 2018 Incentive Program (FY 2019 Contributions)

July 1, 2017 – April 30, 2018 Activity Points

Personal Health Assessment (PHA) Required

Biometric Screening Required if member did not meet 3 out of

5 measurements in FY17 If 3 out of 5 measurements were not met in FY17 - Earn at least 5 points by completing any combination of the following activities

Points

Activity Utilizing Connected! 1 point max per month / 4 points max

Tobacco Attestation 1 point / 1 point max

Worksite Health Challenge 1 point each / 2 points max

Education Opportunities 4 points max

Online Classes 1 point per 8 classes / 2 points max

On-Site Education Sessions 1 point per class / 4 points max Lifestyle Coaching 2 points per 4 sessions / 4 point max

Routine Wellness Opportunities 4 points max

Annual Wellness Visit 1 point / 1 point max

Adult Immunization Attestation 1 point / 1 point max

Dental Exam 1 point / 1 point max

Vision Exam 1 point / 1 point max

Participants must complete a PHA and if a participate did not meet 3 out of 5 measurements in FY17, then they must also complete biometrics and earn 5 activity points by April 30, 2018, to be eligible for the rebate on their health care contributions in FY19. Employees can earn up to $600 per year for their participation and up to $600 back for their spouse/FIP participation.

Page 15: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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FY17/FY18 Outcomes Based Wellness (FY 2019 Contributions)

WOMEN

HDL Cholesterol ≥ 50

Triglycerides < 150

Waist Circumference < 35 inches (not pants size)

Blood Pressure < 130/85

Fasting glucose < 100

MEN

HDL Cholesterol ≥ 40

Triglycerides < 150

Waist Circumference < 40 inches (not pants size)

Blood Pressure < 130/85

Fasting glucose < 100

Employee and Spouse must achieve 3 out of the 5 measures Can add Tobacco in the future

Page 16: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

Healthcare Reform Update & FY 18 Plan Ideas

Page 17: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Health Care Strategy: Path to 2020

Upcoming Fees

2017 Fees

$2.08 pmpy PCORI fee paid by the University – July 31, 2016

$2.16 pmpy PCORI fee paid by the University – July 31, 2017

$27.00 pmpy Reinsurance fee paid by University (built into plan costs) – December 2016

Challenges and Opportunities

2020 Excise (Cadillac) taxes are on the horizon

At this time, FSA and HSA payroll deductions will be included in tax and employers will likely terminate these options

Incidence and severity of large claims projected to continue to increase

Increased scrutiny from stop-loss carriers

Leave administration & COBRA

ACA employer-mandated reporting

1094C (to IRS) and 1095-C (to Employees)

University of Alaska aggregates data from Banner & submits data to IRS

1095 Notice to Employees by January 31, 2017

1094 and copy of 1095 notices to IRS by March 31, 2017

$7,150 Individual OOP Maximum in 2017

Page 18: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Cadillac Tax

What is the Cadillac Tax? Beginning in 2020, a 40 percent excise tax will be imposed on the value of health insurance

benefits exceeding a certain threshold. Based on Calendar Year not Plan Year Plan value is budget/funding rates

The annual thresholds are $10,200 for individual coverage and $27,500 for family coverage (indexed to inflation).

Possible Solutions Reduce plan values (Plan Design Changes) Eliminate FSA / Limited Use FSA HSA contributions as post-tax Utilize wellness plan to drive healthier outcomes

Plan Trend Rate

(7/2016 to 7/2018) Over Threshold 2020 Estimated 2020 Excise Tax*

750 8% Yes

EE, EE+SP+1, 2 & 3 $1,320,400

HDHP 8% Yes

EE, EE+SP+2 & 3 $1,091,200

CDHP 8% Yes

EE, EE+SP+2 & 3 $250,900

Total $2,662,500

*Does not include FSA or HSA contributions or biometric costs

Page 19: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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FY 18 Plan Design Possibilities

Plan Design Estimated Cost Savings

CDHP w/ HSA

Increase family in-network out-of-pocket maximum from $6,850 to $7,150

($40,000)

Increase deductible from $1,500/$3,000 to $1,800,$3,600 ($138,000)

HDHP

Increase deductible from $1,250 to $1,500 ($263,000)

HDHP & 750

Increase Rx copays from $10/$30/$60/$100 to $10/$40/$70/$125 ($77,000)

Eliminate 2 fills at retail for Specialty drugs TBD

Page 20: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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FY 18 (July 1, 2017) Plan Design Ideas Under Consideration

Specialty Rx - No Fills at Retail (2 fills)

Reduce waste at Point of Sale

Provide education to the member of side effects

University is investigating the feasibility of a Limited FSA

2 Types

Limited FSA can only pay for dental and vision – Recommended

Most common Limited FSA

Reduced employee confusion on when and where it can used

Limited FSA can pay for HSA expenses once the deductible has been met

Employee must manage money and not use until deductible is met

Employee confusion on when to use funds

Page 21: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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FY 2018 Communication Plan

Proposed FY 2018 Communication Campaign Open Enrollment Campaign

BenefitLink Launch Campaign

Text Messaging Opt-In Campaign

Typical Campaign Elements: Email

Intranet article

Poster

Postcard

Contest/Game

Flier, etc.

Page 22: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Communication Campaign – BenefitLink (App) Standard

App is Active Today

Estimated Budget: $0

Branding Company logo

Content Services Standard Newsfeed Articles

Benefit Contact Information

Standard Newsfeed Images/Tiles

Documents Library including Benefits Guide

Page 23: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Communication Campaign – BenefitLink (App) Enhanced

Implementation Timeline:

1 week setup 1 week testing 2 weeks collateral development 2 weeks launch/contest

Estimated Budget: $15k-$20k/year

Customization of site HRIS data integration # of push notifications Custom newsfeed

Branding Company logo

Company color

Implementation & Utilization Support

Account Management

Annual Strategy Meeting

Customized Launch/Utilization Campaign

Utilization Contest

Content Services Newsfeed Articles

Push Notifications

Custom Newsfeed Images/Tiles

Analytics Monthly Login Report

Page 24: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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BenefitLink App Uses

Replace an employee newsletter

Distribute informal CEO iPhone video series

Recognize an outstanding employee each month

Request employee input on key topics

Measure the impact of communications on HSA participation

Run a wellness photo contest

Promote open positions

Share safety alerts

Push biometric screening reminders

Page 25: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Communications Campaign – Trumpia (Text)

Demo: Link Text ldbdemo to 99000

Implementation Timeline: 1 week setup 1 week testing 3 weeks collateral development 2 weeks opt-in campaign

Services:

Platform setup & licensing Text messages (assumes 24/year) Writing Publishing Opt-in campaign Platform/Database management

Estimated Budget: $14,000-18,000/year

http://lockton.messagingchannel.com/
Page 26: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Communications Campaign – FLIMP (Video)

Demo: Link Implementation Timeline:

1-2 weeks PowerPoint/script 3 weeks VO/storyboard 2 weeks animation

Services: Estimate coordination Script development Visual development Voiceover Animations Proofing/review

Estimated Budget: $5,500-$8,000/video

https://vimeo.com/flimpmedia/review/144223882/4119b5de1a
Page 27: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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Communications Campaign – Jellyvision (Interactive Video)

Demo Implementation Timeline:

Minimum of 3 weeks production

Services: Interactive design support videos

Estimated Budget: Average of $15 PEPY for DIY

model, which involves the Lockton communications team entering data into Jellyvision portal vs client working directly with Jellyvision

https://www.myalex.com/windigo/2016#intro
Page 28: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

Appendix

Page 29: University of Alaska & JHCC FY 18 Strategy Meeting · 2016-11-29 · $2.08 pmpy PCORI fee paid by the University – July 31, 2016 $2.16 pmpy PCORI fee paid by the University –

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2016 Incentive Program Overview (FY 17 Contributions)

Participants must complete a PHA, a Biometric Screening and 5 activity points by April 30, 2016, to be eligible for the rebate on their health care contributions in FY17. Employees can earn up to $600 per year for their participation and up to $600 back for their spouse/FIP participation.

July 1, 2015 – April 30, 2016

Activity Points

Personal Health Assessment (PHA) Required

Biometric Screening Required

Earn at least 5 points by completing any combination of the following activities

Points

Physical Activity: 120,000 points per one calendar month 1 point per max/month / 4 points max

Tobacco Attestation 1 point / 1 point max

Worksite Health Challenge 1 point each / 2 points max

Education Opportunities 4 points max

Online Classes 1 point per 8 classes / 4 points max

On-Site Education Sessions 1 point per class / 4 points max Lifestyle Coaching 2 points per 4 sessions / 4 point max

Routine Wellness Opportunities 4 points max

Annual Wellness Visit 1 point / 1 point max

Adult Immunization Attestation 1 point / 1 point max

Dental Exam 1 point / 1 point max

Vision Exam 1 point / 1 point max


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