Alaskans for Sustainable
Healthcare Costs
February 16, 2017
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AGENDA
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Success! We recognize the problem and are engaging solutions! We need your
continued help!
Federal update on healthcare reform
Review of available data for healthcare services
Discuss current transparency bill HB 123 and Anchorage MLA ordinance AO 2017-26
Overview of onsite clinics
Understanding the 80th Percentile
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FEDERAL UPDATE ON HEALTHCARE REFORM
Update from recent trip to D.C.: Tiffany Stock, AAHU member
1. Timeline
• Federal Priorities
• Administrative Order from HHS – Stabilize the Market
• Reconciliation Process – Repeal parts of ACA that deal with
the budget
• New Legislation/Regulations – Replacement language and
new reforms
2. Moving decisions to the state
3. Why this is important
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REVIEW OF AVAILABLE DATA FOR HEALTHCARE
SERVICES
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REVIEW OF AVAILABLE DATA FOR HEALTHCARE
SERVICES (cont.)
HEALTH PLAN PREVALENCE AND HEALTH PLAN COSTS SURVEY
• PPO Medical Plan Data
• HDHP Medical Plan Data
State = Alaska
Region = AK, AZ, CA, HI, ID, MT, NV, OR, UT, WA, WY
Premium information is for medical and pharmacy only; dental vision and other
ancillary coverage is not included
Data is collected for renewals from July 1, 2015 to June 1, 2016
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved
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REVIEW OF AVAILABLE DATA FOR HEALTHCARE
SERVICES (cont.)
• PPO Medical Plan Benchmarks
AVERAGE ANNUAL COST PER EMPLOYEE / MOST RECENT RENEWAL INCREASE
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved
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REVIEW OF AVAILABLE DATA FOR HEALTHCARE
SERVICES (cont.)
• PPO Medical Plan Benchmarks
AVERAGE ANNUAL COST PER EMPLOYEE
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved
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REVIEW OF AVAILABLE DATA FOR HEALTHCARE
SERVICES (cont.)
• PPO Medical Plan Benchmarks
AVERAGE MONTHLY PREMIUMS (ALL PLANS)
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved
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REVIEW OF AVAILABLE DATA FOR HEALTHCARE
SERVICES (cont.)
• PPO Medical Plan Benchmarks
IN-NETWORK DEDUCTIBLES
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved
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REVIEW OF AVAILABLE DATA FOR HEALTHCARE
SERVICES (cont.)
• PPO Medical Plan Benchmarks
IN-NETWORK OUT-OF-POCKET MAXIMUMS
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved
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REVIEW OF AVAILABLE DATA FOR HEALTHCARE
SERVICES (cont.)
• PPO Medical Plan Benchmarks
PLAN COINSURANCE
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved
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REVIEW OF AVAILABLE DATA FOR HEALTHCARE
SERVICES (cont.)
• CDHP Medical Plan Benchmarks
AVERAGE ANNUAL COST PER EMPLOYEE / MOST RECENT RENEWAL INCREASE
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved
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REVIEW OF AVAILABLE DATA FOR HEALTHCARE
SERVICES (cont.)
• CDHP Medical Plan Benchmarks
AVERAGE ANNUAL COST PER EMPLOYEE
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved
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REVIEW OF AVAILABLE DATA FOR HEALTHCARE
SERVICES (cont.)
• CDHP Medical Plan Benchmarks
AVERAGE MONTHLY PREMIUMS (ALL PLANS)
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved
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REVIEW OF AVAILABLE DATA FOR HEALTHCARE
SERVICES (cont.)
• CDHP Medical Plan Benchmarks
IN-NETWORK DEDUCTIBLES
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved
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REVIEW OF AVAILABLE DATA FOR HEALTHCARE
SERVICES (cont.)
• CDHP Medical Plan Benchmarks
IN-NETWORK OUT-OF-POCKET MAXIMUMS
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved
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REVIEW & DISCUSSION: TRANSPARENCY BILL HB 123
AND ORDINANCE AO.2017-26
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REVIEW & DISCUSSION: TRANSPARENCY BILL HB 123
AND ORDINANCE AO.2017-26
• AO No. 2017-26
• Bill Falsey, Municipal Attorney
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REVIEW & DISCUSSION: TRANSPARENCY BILL HB 123
AND ORDINANCE AO.2017-26
• HB 123
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CALL TO ACTION
• Read Bill and Ordinance
• Attend the 2/28 Assembly meeting
• Call Representatives Sponholz, Tuck, Drummond, Parish, Gara,
Tarr and the Health and Social Services Committee members
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OVERVIEW OF ONSITE/NEARSITE CLINICS
Theory of Employer sponsored Clinics
Benefit to Employee
Benefit to Employer
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Increased convenience
Longer appointments
Guided healthcare
experience
Decreased out of pocket
costs
More personalized
experience
Integration with
technology
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Increased employee productivity
Controlled healthcare costs
Manage employees’ health risks
Attraction and retention
Integration with existing wellness
programs, screenings and
adherence
Negotiations of preferred
networks
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UNDERSTANDING THE 80TH PERCENTILE
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How do you calculate the number?
Regulation
Where were we in 2011?
Where are we now?
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UNDERSTANDING THE 80TH PERCENTILE
• How do you calculate the number?
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UNDERSTANDING THE 80TH PERCENTILE
• Regulation
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UNDERSTANDING THE 80TH PERCENTILE
• Where were we in 2011?
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UNDERSTANDING THE 80TH PERCENTILE
• Where are we now?
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WE HAVE A WEBSITE!
FACEBOOK:
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WE NEED YOU!
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Come to 2/27 leadership meeting
Engage more employers to get involved in the coalition
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