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School Employees Health Care Board Stephanie Hearn, BHP Executive Director Richard Packer t ,

School Employees Health Care Board Stephanie Hearn, BHP Executive Director Richard Packer t , BHP Trustee. January 5, 2010. AGENDA. Butler Health Plan Best Practice Standards Questions. Butler Health Plan STRUCTURE. Butler Health Plan.

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School Employees Health Care Board Stephanie Hearn, BHP Executive Director Richard Packer t ,

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  1. School Employees Health Care Board Stephanie Hearn, BHP Executive Director Richard Packert, BHP Trustee January 5, 2010

  2. AGENDA • Butler Health Plan • Best Practice Standards • Questions

  3. Butler Health Plan STRUCTURE

  4. Butler Health Plan • Butler Health Plan is a self-funded health trust. • The objective of the consortium remains the same after two decades of service: • To provide competitive medical and dental benefits at affordable prices.

  5. Butler Health PlanKey Stats • Represent 15 school districts • 7,500 school employees • 20,000 covered lives • Annual budget $70 million

  6. Butler Health Plan Members Butler County Educational Service Center Butler County Board of MR/DD Butler Technology & Career Development Schools Edgewood City Schools Fairfield City Schools Great Oaks Institute of Technology Hamilton City Schools Lakota Local Schools Madison Local Schools Middletown City Schools Monroe Local Schools New Miami Local Schools Ross Local Schools Sycamore Community Schools Talawanda School District

  7. Butler Health Plan Structure • Butler Health Plan (BHP) was formed in 1985 and is governed by a seven member fiduciary Board of Trustees. • 2009-2010 Board of Trustees: • Dan Hare - Chairman, Superintendent, Butler County Educational Service Center • Craig Jones– Treasurer, Lakota Local Schools • Jan Kesselring- VP Operations , Butler Tech • Nancy Lane- Treasurer, Fairfield City Schools • Marsha Mueggenberg– Classified Trustee, Ross Local Schools • Richard Packert– Certificated Trustee, Middletown City Schools • Robin White- President/CEO Great Oaks

  8. Butler Health Plan Structure Benefit Information Committee • Each district has three representatives: • One Administrative • One Certificated • One Classified • 45 Member Committee reviews information and suggests plan changes for medical and dental. (3 common plan designs)

  9. Butler Health Plan Plan Designs

  10. Butler Health Plan MARKET ANALYSIS

  11. S.E.R.B. / O.E.A. Health Care Survey Summary Findings 2009

  12. Butler Health Plan (BHP) January 1, 2009 Median Premium Rate Comparison - SERB / OEA Data Medical and Rx

  13. Overall Conclusion All the BHP plans are LOWER in premium rates and competitive in coverages.

  14. Best Practice Standards

  15. Butler Health Plan SEHCB Best Practice Standards Cont.

  16. Focuses on Five Risk Categories that account for 70% of Health Costs: • Smoking • LDL Cholesterol • Triglycerides • Glucose • Blood Pressure Interactive Health Index • Easy to Understand • Easy to Measure • Nationally Accepted Standards • Consistent and Fair • Modifiable & Controllable

  17. BHP Health Evaluation Results

  18. Butler Health Plan Participation Health Risk Assessment / Biometric Screening 2008-2009 Incentives Employee Meetings School Promotion Only

  19. Butler Health Plan SEHCB Best Practice Standards Cont.

  20. Butler Health Plan SEHCB Best Practice Standards Cont.

  21. Butler Health Plan SEHCB Best Practice Standards Cont.

  22. Butler Health Plan SEHCB Best Practice Standards

  23. Butler Health Plan 25 Year Success Story • All members have input • Focus on wellness • Financial Management

  24. Butler Health Plan Financial Management • Minimal overhead (6 cents on the dollar) • Direct contracts with all vendors (Separate contracts with networks, claims payer, stop loss, etc.) • Assertive claim management • Custom provider discount arrangements • Independent vendor audits • Member education (HealtheReports) • “All for one – one for all” operating philosophy (Common plan designs; Common rates)

  25. Questions

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