Upload
others
View
0
Download
0
Embed Size (px)
Citation preview
ENVISIONING A PARTNERSHIP
andGALLAGHER
Arthur J. Gallagher & Co.
© 2017 GALLAGHER BENEFIT SERVICES, INC.
Objectives
2
Accountant, Senior - Aviation Department $55,873.38 - $89,174.31
Assistant Building Official $69,411.70 - $110,780.62Behavioral Health Clinician $48,349.23 - $77,165.54Food Service Supervisor $36,203.47 - $57,780.94
$23.19 - $31.70 hourlyTransit Mechanic
Attract Retain
Engage Employees
47 Posted Positions
Benchmarking
Annual Employee Benefits Survey
Overview
4
• Progressive Plan Management• 4 plan offerings including HRA/HSA components
and Consumer Driven Health Approach• Narrow Network for 2018 – Community Care Plan
(CCP)• Offers subsidy for part-time employees’ medical
benefits• Engagement Incentive / Wellness
• Strong Incentive and Focus• Linked to HRA/HSA Funding – for 2 of the plans
• Completion of One Wellbeing Event• Self Funded Offerings
• Medical since 2015 • Pharmacy over 15 years
• Stand Alone Pharmacy Programs• CCP Plan uses EnvisionRx• All other plans use OptumRx
Challenges
5
• Plan Funding• 2015 required additional County funding• Projected to increase at a rate of 9.5% per year
• Employee Contribution Fluctuations• 2016 contributions changed from (80%) - 400% forcing
large migration• 2017 contributions changed from 0% - 17%• Wide swings in County HSA/HRA contributions
• State Filing Issues• Medical State filings
• No year end filing for 2015• Required additional funding
• Pharmacy State Filings• Several not accepted by the OIR
• Provider Losses & Replacement Carriers• RFP process recommended vendor was not implemented• Selected UnitedHealthcare post-RFP based on Network
changes• Potential Revenue Loss / Budget Issues
• Proposed increase to Homestead Exemption
Is Your Benefits Program Sustainable?
Sustainability
© 2017 Gallagher Benefit Services, Inc.
2015 Actual
2017 Projected
2019 Projected
Payroll(in millions)
$265.2 $277.7 $289.3
TotalExpense(in millions)
$52.6 $56.0 $67.1
Benefits as a Percent
19.8% 20.2% 23.2%
Plan Benchmarking – 2017 Comparison of Richest Plans Offered
Type of Benefit OOP/Cost
Annual Employee Deductible
$1,300
Annual Employee Out of Pocket Maximum
$2,800
Coinsurance 80%
Total Monthly Cost $755
Monthly Employee Contribution
$151
Type of Benefit OOP/Cost
Annual Employee Deductible
$0
Annual Employee Out of Pocket Maximum
$1,264 - $2,500
Coinsurance 100%
Total Monthly Cost $633 - $771
Monthly Employee Contribution
$0 - $30
7Arthur J. Gallagher and PROSPECT NAME
South Florida Public Entity Clients
Requested Services and Other Gallagher Capabilities
Executive Benefits
Human Resources& Compensation
Voluntary Benefits
Exchange SolutionsCompliance
HR & Benefits Technology
Health & Welfare Healthcare Analytics
Institutional Investment &
Fiduciary ServicesLife/Wholesale
Multinational Benefits & HR
Retirement PlanWellbeing
& EngagementPharmacy Benefit
Management
Gallagher has the local resources to meet all requested outlined services. In addition to those the RFP, Gallagher can provide other capabilities and services.
8
** ** **
** **
Broward County’s Dedicated Team
© 2017 Gallagher Benefit Services, Inc.
Our client-centered focus means we work as part of Broward County’s Team
Dr. Love, Kate Siano and John Hughes
Wellness Consultants
Glen Volk and Sharon Leach
Consulting Actuaries
Barbara L. Crowe, Area President, Lead Consultant
Paul Hebert,Lead Benefit
Counsel
Jeff AngelloFlorida Market
President
Michelle Nathan, Account Executive and Back Up Lead
Consultant
Gerry Desmond, Retirement
Plan Consulting
Rebecca Pitilon, Yvonne Blackford, and Gerry Smith-
Copeland Account Services
9
Strategic ApproachMulti Year Strategy
Immediate – Upon AwardIdentify Goals & Objectives•Understand the County’s directives and
strategic HR goals•Immediate financial opportunities•Present benchmarking•Review historical claims and design data –
medical and Rx•Conduct thorough compliance review and
update•Compliance gap analysis•Healthcare Reform compliance & financial
impact•Forensic contract analysis to eliminate waste,
ineffective programs, and contractual gaps•Assess financial stability •State filings both on medical and RX•Stop Loss Review and Marketing
2018 – 2019Focus on Vendor Partnerships•Evaluate vendor relationships•Define contract language and terms•Leverage analytics to drive and validate benefit strategy•Workforce Evaluation - drives communication style &
benefit mix•Operation Unit wellness environment audit (CDC scorecard
based)•Cost containment philosophy - incentive versus steerage•Competitive landscape for benefits & recruitment•Identify retrospective and prospective risk score based on
claims data•Identify key cost drivers by operational unit/plan•Overview and areas for negotiations•Data Warehouse•Stop Loss Marketing
2019 & BeyondOptimize Plan Effectiveness•Aggressively manage cost by identifying drivers in plan data•Review changes to ensure their effectiveness•Evaluate the market for best contract terms and conditions•Review contribution structure and effectiveness•Consider cost-saving plan design options•Overall plan designs•Network optimization (including limited networks)•Consumerism/Communication tools•Alternative payment models to align physician and plan goals•Identify retirement readiness and the impact that has on long-term health costs
10
Partnership Model
Strategy & DesignWellbeing & Engagement
Communication & Education
Compliance
Reporting and Analytics
Plan Management & Benefits Administration
• Multi-Year Planning • Sustainability modeling• Benchmarking • Evaluate Emerging Trends
• Actuarial Services• Underwriting• Benefits Dashboard• Monthly Reporting• M&A / Transactional Analysis
• 27 Attorneys• Monthly Directions• HCR Updates• Technical Bulletins• CE Approved Webinars• Quarterly Seminars
• Workforce Evaluation• Calendar• Multi-media deliverables• Aligned with culture
• Annual Service Calendar • Benefit Advocate Call Center• Benefits Administration Consulting
• The Gallagher Way for Wellbeing
11
• PBM Procurement Services
• Ongoing Post-Implementation Audits
• Medical Claim Audits
• Prescription Drug Electronic Audits
• Pre-implementation Audits
• Dependent Eligibility Audits
• In-depth Data Analysis
• Predictive Modeling• Benchmarking• Quarterly Trend Updates
• Rate Renewals/ Plan Pricing
• Reserving• Plan Redesign• Retiree Valuations
• State Filings• Benefit Valuations
Actuarial Services Data Warehousing Audits PBM
Services
Healthcare AnalyticsSuite of Services
What would Broward County have experienced under Gallagher’s model?• 3 to 5 year regularly updated forecast• Deep dive into cost drivers• Comparison of network contracting / discount analysis• Gallagher’s propriety underwriting and plan design factors• Premium rate setting to ensure plan solvency• Annual State filings
12
The Multiple Dimensions of Wellbeing
The WHOLE person comes to work every day....
each employee’s wellbeing influences individual and organizational performance
&&
Physical Health
Physical Health
Social/Emotional
Health
Social/Emotional
Health
Financial Health
Financial Health
Community Health
Community Health
Career HealthCareer Health
13
Getting Started
Our consultative process
Well-being & Engagement Strategy FrameworkHealth Benefits
(Design, financing, risk management andadministration)Well-being & Engagement
(Optimization of workforce productivity through engagement and good health)
Alignment to Business ObjectivesDeeper discovery, finding new ways to demonstrate well-being as an enabler to internal
business strategies and company mission
Understand Data, People, Culture
Create Guiding Principles, Goals, Objectives, &
Success Metrics
Create Plan Design to Encourage Healthy
Decisions and Manage Costs
Create formal Wellness Advocate Network
Conduct Market Survey for Wellness Partner, if
appropriate
Build Internal Alignment with Stakeholders
Adapt Workplace Policies & Environment to Support
Vision for Health
Evaluate Opportunities for Onsite Care Integration
Dedicated ResourcesDr. Love, Kate Siano and John Hughes
14
Gallagher Wellbeing Microsite
•Turnkey Wellbeing Communications– Created by Gallagher wellbeing experts– Very simple, no cost solution
•12 Month Wellbeing Website– Monthly topics and strategies to promote
through information, resources and programs
•Monthly Categories of Information– Newsletters (English & Spanish)– Posters (English & Spanish)– Toolkit/Challenge/Activity
Website URL is https://gbs.ajg.com/wellness2017/
© 2017 Gallagher Benefit Services, Inc.
5015
National Scope
• We shoulder your compliance needs and help you avoid compliance risk.
• Our resources are dedicated to removing fear and uncertainty on compliance issues.
• We provide up-to-date legislative and regulatory monitoring and support.
• We provide toolkits, checklists, and other resources to put the compliance landscape in an actionable perspective.
Compliance
Local Execution
• Access to a dedicated local team member for compliance who will help navigate both day-to-day and strategic compliance issues.
Common Ways We Provide Help
• Honing your “game plan” for the employer mandate and related IRS reporting.
• Spotting gaps in reporting and disclosure requirements under ACA, COBRA, and HIPAA.
• Design issues for wellness programs and consumer-driven health care.
Dedicated Resources:Paul Hebert, Local Attorney and over 27 compliance attorneys
16
Communication Consulting & Development
Listen Design Digital Personalize Print
17
Workforce SegmentsStage Career Priority Life Stage Characteristics Benefits Needs Communication Style
Preference
Entry-Level20 – 30 year olds
(Gen Y)
• Professional development• Job advancement• Income growth• Establishing financial stability• Recognition
• Single or recently married• Childless• No or little savings• Does not own a home
• Light user of medical benefits• Health and wellness activities
that are fun, social and affordable
• Financial planning for the future
• Work environment and corporate culture are important
• Expects technology• Prefers multiple focal points
in presented information• Needs guidance and structure
Mid-Career30 – 45 year olds
(late stage Gen Y + Gen X)
• Focus on job and income advancement
• Recognition• Professional development
and certifications
• Young family• Growing financial obligations• Day care needs• Work/life balance is important
• Moderate to heavy user of medical benefits
• Wellness efforts aimed at preventing health problems and sustaining good health
• Financial planning for the future
• Heavy user of time off and leave benefits
• Prefers summarized and visually appealing communications
• Requires detail• Expects to be asked for
feedback
Established45 – 55 year olds
(late stage Gen X +Boomers)
• Professional respect• Leadership• Mentorship opportunities
• Lessening family obligations• Established financial routines• Elder care needs (for aging
parents)
• Moderate to heavy user of medical benefits
• Wellness efforts aimed at preventing health problems and sustaining good health
• Retirement savings• Long term care insurance• Life Insurance
• Requires individual attention• Prefers practical and factual
information• Requires to be asked for
feedback
Pre-Retiree55+ year olds
(Boomers + Traditionalists)
• Preparing for transition into retirement
• Focus on securing steady income during retirement
• Lighter family obligations
• Heavy user of medical benefits
• Wellness efforts aimed at preventing health problems and sustaining good health
• Retirement savings• Long term care insurance• Life Insurance
• Requires individual attention• Prefers peer advice• Requires to be asked for
feedback
18
Publications
Healthcare Reform Updates Directions Newsletters Technical Bulletins Webinars
19
What is a Trusted Advisor?
© 2017 GALLAGHER BENEFIT SERVICES, INC.
What Gallagher Brings to the Table…
Accurate & Responsive Account Management• Gallagher’s internal Business Operating Standards and Systems ensure Broward County Board of County Commissioners will have
a measurable and clearly defined service plan• The account management team servicing Broward County Board of County Commissioner has expertise with the public sector area,
direct access to local subject matter experts and qualified redundancies to ensure consistencyPartnership in Strategic Planning and Execution• Gallagher’s consulting team has the expertise to guide Broward County Board of County Commissioners through future challenges
and the ability create and execute a strategic plan• Our Public Niche works with companies of Broward County Board of County Commissioners ’s industry and size enabling us to
provide precision guidance and perspective• Supported by robust analytics, underwriting, communications, compliance, health management and other resourcesMeasurable Engagement• Our communications team combines insight based on a deep understanding of employee tendencies with imaginative delivery to
create a final product for Broward County Board of County Commissioners that is unique and effectiveTeam and Cultural Stability• Broward County Board of County Commissioners can count on Gallagher for a locally consistent service team and stable,
conservative corporate backingMarket Clout• Gallagher’s presence as one of the largest benefit consultants in the world translates to favorable negotiations and renewals for
Broward County Board of County Commissioners
20
• Premium in Excess of $2 billion
Proudly GLOBAL, Fiercely LOCAL
21
Presence3300+
Benefit Services Employees Nationally
190+Benefit Offices
Nationally
103+Local
Benefit ServicesEmployees
Arthur J. Gallagher and Broward County Board of County Commissioners
AwardsS. Florida Business
JournalChief Executive
Magazine
World’s Most Ethical Companies
2012 – 2017• Best Companies• Largest Public Entity
Consultant in Florida
Over 90 Florida Public Entities
A True Partnership
At Gallagher, partnership means we actively invest in your success and
continually earn your trust.
22