1. Alaskans for Sustainable
Healthcare Costs
February 16, 2017

2. AGENDA
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
Overview of onsite clinics
Understanding the 80th Percentile

3. 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

4. REVIEW OF AVAILABLE DATA FOR HEALTHCARE SERVICES

5. 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

6. 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

7. 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

8. 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

9. REVIEW OF AVAILABLE DATA FOR HEALTHCARE SERVICES (cont.)
PPO Medical Plan Benchmarks
IN-NETWORK DEDUCTIBLES
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved

10. 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

11. REVIEW OF AVAILABLE DATA FOR HEALTHCARE SERVICES (cont.)
PPO Medical Plan Benchmarks
PLAN COINSURANCE
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved

12. 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

13. 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

14. 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

15. REVIEW OF AVAILABLE DATA FOR HEALTHCARE SERVICES (cont.)
CDHP Medical Plan Benchmarks
IN-NETWORK DEDUCTIBLES
Copyright © 2016 United Benefit Advisors, LLC. All rights reserved

16. 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

17. REVIEW & DISCUSSION: TRANSPARENCY BILL HB 123 AND ORDINANCE AO.2017-26
Ordinance of anchorage municipality

18. REVIEW & DISCUSSION: TRANSPARENCY BILL HB 123 AND ORDINANCE AO.2017-26
AO No
Bill Falsey, Municipal Attorney
Ordinance of anchorage municipality

19. REVIEW & DISCUSSION: TRANSPARENCY BILL HB 123 AND ORDINANCE AO.2017-26
Ordinance of anchorage municipality

20. 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
Ordinance of anchorage municipality

21. OVERVIEW OF ONSITE/NEARSITE CLINICS
Theory of Employer sponsored Clinics
Benefit to Employee
Increased convenience
Longer appointments
Guided healthcare experience
Decreased out of pocket costs
More personalized experience
Integration with technology
Benefit to Employer
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

22. UNDERSTANDING THE 80TH PERCENTILE
How do you calculate the number?
Regulation
Where were we in 2011?
Where are we now?

23. UNDERSTANDING THE 80TH PERCENTILE
How do you calculate the number?

24. UNDERSTANDING THE 80TH PERCENTILE
Regulation

25. UNDERSTANDING THE 80TH PERCENTILE
Where were we in 2011?

26. UNDERSTANDING THE 80TH PERCENTILE
Where are we now?

27. WE HAVE A WEBSITE!
FACEBOOK:

28. WE NEED YOU! Come to 2/27 leadership meeting
Engage more employers to get involved in the coalition