Andy Brantley College and University Professional Assn for Human Resources (CUPA-HR) Sam Connally University of Louisville Lori Southwood Northern Kentucky University Kimberly Wilson University of Kentucky

 You can get there from here!Andy Brantley  Current and future trends…  Healthcare—current and future trendsKimberly Wilson  Retirement—current and future trendsSam Connally  Onboarding—current and future trendsLori Southwood  Other strategiesAndy and panelists  Beyond higher education discussion Andy and panelists  SummaryAndy Brantley  Closing CommentsJohn Hayek

 CUPA-HR Economic Issues Survey findings  Employer/Employee “contract” changing  Key steps in moving forward

UK Health Plan Initiatives Kimberly P. Wilson CHRO September 13, 2010 An Equal Opportunity University

 Pharmacy Carveout  Plan Design Change  Co-pay Counseling  Lifestyle Case Management: Health & Wellness  Healthtrac: Health Assessment Program  Disease Management An Equal Opportunity University

 RFP for separate Rx vendor for FY ◦ Allowed the university to realize “full rebates” on brand medication ◦ Greater access to reporting tools and claims ◦ Direct access to Pharmacy Benefit Manager (e.g. Express Scripts) Account & Clinical Teams ◦ Better AWP discounts An Equal Opportunity University

 Change from “flat co-pays” (e.g. $8 generic, $20 brand) to coinsurance model (e.g. 20% generic, 30% brand)  Employees/Retirees became engaged in the purchase of health care “Consumerism” ◦ Both employees and employer benefit financially as employees make cost effective choices An Equal Opportunity University

 Two pharmacists hired from UK College of Pharmacy to work full-time in the Employee Benefits Office to provide “co-pay counseling” services ◦ Assist with understanding medications ◦ Look for drug to drug interactions ◦ Recommend to physician lower cost brand or generic alternative medications An Equal Opportunity University

University of Kentucky Generic Fill Rates January % 53% 51% 47% October 2004: UK implements Step Therapy Enhanced Trend Package July 2004 October 2003 July 2003: UK implements carved- out prescription benefit and % CO- INSURANCE with Express Scripts using the National Preferred Formulary 48% 49% January % July 2005: UK moves to the UK Prime formulary and lowered generic co-pay Every 1% increase in Generic Utilization saves the plan 1.01%* 42% Pre-July 2003 (prescription benefit with FLAT COPAYS) 60% July 2007:UK lowers Generic % Co-insurance *ESI Annual Review & Strategic Planning Session 68% July 2006: UK moves Medicare retirees to co- insurance 76% July 2010

BeH.I.P. – Behavioral Health Improvement Programs  Based upon the idea that asymptomatic individuals are developing diseases and intervention is necessary prior to disease progression  Telephonic counseling following specific and measurable criteria for individual risk reduction ◦ Weight Loss for Life- Exercise for Health ◦ Reduce the Pressure- Start to Stop Smoking ◦ Preventing Diabetes- Banishing the Blues ◦ Achieving Balance An Equal Opportunity University

 Goals: ◦ Educate individuals about their health ◦ Inform individuals about UK resources available to manage their health  Program (earn up to $180 per year) $25 twice per year ◦ Take a health assessment twice per fiscal year (July through September and January through March) $5 a month ◦ Check your personal health page and earn at least 500 Wellness Credits per month using the Healthy Activity Tracker $10 per quarter ◦ Complete the assigned Health Center Quiz each quarter $30 once per year ◦ Enroll in BeH.I.P. telephonic coaching program or an online Healthy Living program An Equal Opportunity University

 Programs (offered through Humana) ◦ Coronary Artery Disease ◦ Health Failure ◦ Chronic Kidney Disease ◦ End-Stage Renal Disease ◦ Rare Diseases  Diabetes Education (PharmacistCare) An Equal Opportunity University

On-boarding Electronic transactions Applicant tracking Staff—Current Faculty—Future Online enrollments Online interactive orientation Retention Manager training Employee satisfaction surveys Professional development fund Online exit interviews Staffing Light duty Internal temporary staffing Reduce absenteeism/presenteeism RTW/light duty programs Fitness for Duty On-site third party health clinic

 What suggestions do you have for helping us manage the higher education workforce during challenging economic times?