HomeMy WebLinkAbout041508 Healthcare PlanningHealth Care
Health Care
City Council Briefing
City Council Briefing
April 15, 2008
April 15, 2008
School Board Briefing
School Board Briefing
April 22, 2008
April 22, 2008
Background
Health Care Program Planning
Health Care Program Planning
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Briefings on March 11
Briefings on March 11
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Responses to Questions
Responses to Questions
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City Council on March 21,2008
City Council on March 21,2008
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School Board on March 29, 2008
School Board on March 29, 2008
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3-Year Strategy to Control Increasing Costs
3-Year Strategy to Control Increasing Costs
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Plan Design, Contributions, Medical Management, GASB
Plan Design, Contributions, Medical Management, GASB
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Funding
Funding
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Goals
Continue to:
Continue to:
affordable, quality healthcare
Offer affordable, quality healthcareas part of a
Offer as part of a
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competitive total compensation package
competitive total compensation package
Control costs
Control costs
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Manage healthcare trend
Manage healthcare trend
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Reduce GASB 45 liability
Reduce GASB 45 liability
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healthy workforce
Maintain a healthy workforce
Maintain a
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best prices
Achieve best pricesfor goods and services
Achieve for goods and services
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health risks
Focus on health risksthat are significant cost drivers
Focus on that are significant cost drivers
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culture of change and accountability
Promote a culture of change and accountability:
Promote a :
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Managers, Employees, Partners
Managers, Employees, Partners
health awareness/education
Promote health awareness/education
Promote
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Work in Progress
2007 Claims Audit
2007 Claims Audit
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GASB 45 Funding and Policy
GASB 45 Funding and Policy
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Health Care Self Insurance Fund Monitoring and
Health Care Self Insurance Fund Monitoring and
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Policy
Policy
2009 Rate Setting
2009 Rate Setting
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DependentAudit
DependentAudit
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Enhanced Education and Awareness
Enhanced Education and Awareness
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Additional Work Required
for 3-Year Strategy
Create High Deductible Health Plan with Health
Create High Deductible Health Plan with Health
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Savings Account
Savings Account
Study
Study
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Co-Insurance
Co-Insurance
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Service years for access to retiree health care
Service years for access to retiree health care
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Restrictions on eligibility and/or plan choices
Restrictions on eligibility and/or plan choices
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Incentives for health behaviors/Disincentives for risky
Incentives for health behaviors/Disincentives for risky
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behavior
behavior
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2009 Recommendations –
2009 Recommendations –
Direction Requested
Direction Requested
City/Schools Contribution $5,400
City/Schools Contribution $5,400
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No RFP on Fully Insured
No RFP on Fully Insured
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Plan Design Changes
Plan Design Changes
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Funded ($M)
Annual
GASBLiabilityGASB ARC
($M )
2009 Recommendations
Deductible on all plans
(HMO plan -$100 Individual/$200 Family)
$1.2$1.9$0.2
Align City retiree rates to that of School retirees$0.5$4.4$0.5
Eliminate $0 premium on HMO for employees ($10 mo)$2.0$0.0$0.0
Savings (Reduction to Cost)$3.7$6.3$0.7
*No referral required on HMO
*No referral required on HMO
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