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Andrews University

Andrews University. Employee Benefits Plan Year 2006/2007 March, 2006. Andrews University Tuition Assistance Policy - 2006. Medical Costs As a Percent of GDP. 2001 - 14.1% 2005 - 15.6% 2015 - 20% By 2015, $1 out of every $5 spent in the US economy will go for healthcare.

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Andrews University

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  1. Andrews University Employee Benefits Plan Year 2006/2007 March, 2006

  2. Andrews University Tuition Assistance Policy - 2006

  3. Medical Costs As a Percent of GDP • 2001 - 14.1% • 2005 - 15.6% • 2015 - 20% By 2015, $1 out of every $5 spent in the US economy will go for healthcare

  4. Healthcare Trend - 2005 • 9.5% Medical • 18.5% Prescription Drug

  5. 2006 Budget vs. Actual Medical Benefits

  6. The Cost of Employee Benefits • Benefits = $18,000/employee/year • Free Tuition • Educational Assistance • Medical/RX/Dental/Vision • Life and Disability • Worker’s Compensation • Retirement • Moving • Other Misc. Benefits

  7. Andrews University2005/2006 Plan Year • Currently at 105% of 2005/2006 AU 8 month Benefit Budget • 6 claims exceeding $75,000 ($661,141) • 2 claims exceeding $125,000 • Office visits - $117 PEPM • Regional average office visit cost PEPM = $60 • Prescriptions - $114 PEPM • Regional average prescription drug cost PEPM = $78 - $85

  8. Andrews University 2005/2006 Plan Year

  9. Andrews University 2006/2007 Plan Year

  10. Over The Counter Drugs • Request a prescription from your doctor for: • Claritin • or • Prilosec OTC • Fill prescription at either the pharmacy or through mail-order with a $0 co-pay

  11. Did You Know? • Brand-name vs. Generic Drugs • Nearly half of the drugs on the market today offer a generic substitution • Generics contain the same active ingredients as brand-name drugs • Generics must deliver the same amount of active ingredients into a patient’s bloodstream in the same amount of time • Generics meet the same FDA standards as their equivalent brand-name drugs • The cost of generics is typically 30% – 60% less than it’s counterpart • Shop around – drug prices vary by pharmacy • Go to www.Pharmacare.com or ask your doctor for additional information

  12. Did You Know? • Emergency Room vs. Doctor’s Office • The average cost for the use of the Emergency room is $400 • The average cost for the use of the Doctor’s Office is $60 • The average wait time in an Emergency Room is 1.5 hours • The average wait time in a Physician’s Office is 45 minutes

  13. Health Management Program • Move from reactive to proactive system • A system that starts before a disease is present • Emphasis is on prevention, not treatment • The goal is to enhance health • The potential for saving dollars and lives is increased

  14. Health Management Program • Components of Health Management Program • On-site health screenings • Health Risk Assessment • Disease management – health coaching • On-site health and wellness education

  15. Personal Wellness Profile • Includes: • Personal wellness profile questionnaire • Bring completed in pencil to your scheduled appointment • Blood pressure measurement • Body composition analysis • Cardiovascular risk profile • Finger stick • 12 hour fast • Receive a discount on employee contributions when both employee and spouse participate

  16. Personal Wellness Profile • One hour group interpretation seminars delivered on-site • Time allowed for one-on-one questions • Multiple sessions scheduled to accommodate department needs • Participants will receive their confidential 21 page report to assist them with making positive lifestyle changes

  17. Personal Wellness Profile • Health screens will be held from: • 6:30AM – 11:00AM on • April 18 • April 20 • April 21 • May 16 • 4:00PM – 7:00PM on • May 17 • Register today or on-line at www.Andrews.edu

  18. Third Party Administrator (TPA) • Review current TPA services (IBA & others) • Objectives • Accommodate current/future plan designs • Secure competitive reinsurance coverage • Secure high quality customer service for associates • Secure quality Pharmacy Benefit Manager (PBM) • Maintain access to our network of health care providers

  19. Third Party Administrator (TPA) • Objectives cont’d • Obtain access to real time web based tools • Automated enrollment, EOBs, etc. • Negotiate better fee schedules for medical and pharmacy benefits (reduce costs) • Obtain access to disease management tools to enhance our Health Management Program • State of the art data mining

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