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Human Resources. 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. Opening Comments John Hayek. Discussion Outline.
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Human Resources 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
Discussion Outline • You can get there from here! Andy Brantley • Current and future trends… • Healthcare—current and future trends Kimberly Wilson • Retirement—current and future trends Sam Connally • Onboarding—current and future trends Lori Southwood • Other strategies Andy and panelists • Beyond higher education discussion Andy and panelists • Summary Andy Brantley • Closing Comments John Hayek
You can get there from here! • CUPA-HR Economic Issues Survey findings • Employer/Employee “contract” changing • Key steps in moving forward
University of Kentucky Health Benefits UK Health Plan Initiatives Kimberly P. Wilson CHRO September 13, 2010 An Equal Opportunity University
Discussion Topics • Pharmacy Carveout • Plan Design Change • Co-pay Counseling • Lifestyle Case Management: Health & Wellness • Healthtrac: Health Assessment Program • Disease Management An Equal Opportunity University
Pharmacy Carveout • RFP for separate Rx vendor for FY 2003-04 • 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
Plan Design Change • 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
Co-pay Counseling • 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 July 2010 76% July 2007:UK lowers Generic % Co-insurance 68% July 2006: UK moves Medicare retirees to co-insurance 60% July 2005: UK moves to the UK Prime formulary and lowered generic co-pay 55% January 2005 54% Every 1% increase in Generic Utilization saves the plan 1.01%* October 2004: UK implements Step Therapy Enhanced Trend Package 53% July 2004 51% 49% January 2004 October 2003 48% July 2003: UK implements carved-out prescription benefit and % CO-INSURANCE with Express Scripts using the National Preferred Formulary 47% Pre-July 2003 (prescription benefit with FLAT COPAYS) 42% *ESI Annual Review & Strategic Planning Session
Lifestyle Case Management 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
Healthtrac Rewards • 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
Disease Management • 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
Human Resources focus area…Employment/Recruitment/Onboarding
Beyond Higher Education • What suggestions do you have for helping us manage the higher education workforce during challenging economic times?