uaa staff counciluaa staff council audio: 786-6755 | id: 284572| agenda thursday, april 7, 2016...
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UAA Staff Council Audio: 786-6755 | ID: 284572| Agenda
Thursday, April 7, 2016
9:30-11:30 a.m. ADM 204
I. Call to Order
II. Introduction of Members [P = Present E = Excused X = Absent]
2015-2016 UAA Staff Council Membership
Term: Term:
Liz Winfree (Co-President) Center for Human Development – College of
Health 15-16 Ryan Hill
Residence Life 15-17
Kathleen McCoy (Co-President) University Advancement
15-17 Maureen Hunt (Mat-Su) Academic Affairs
15-16
John Moore (Co-Vice President) EBL, College of Arts & Sciences
15-17 Brenda Levesque College of Health
15-17
Chris Triplett (Co-Vice President) University Advancement
15-17 Doug Markussen Environmental Health & Safety/Risk Mgmt,
Support Services 15-17
Peter Clemens VA Student Financial Assistance
15-16 Sandra Medina Geomatics, College of Engineering
15-16
Danielle Dixon Student Advising, College of Health 15-17 Melodee Monson
Human Services 15-16
Nancy Hall WWAMI 15-16 Fannie Slaten
Faculty Support 15-16
Kim Heidemann Allied Health 15-16 Marie Williams
Bookstore 15-16
Betty Hernandez University Advancement 15-17 Ian Bushell (Kodiak)
Technology Services 15-16
Vacant (UAA) Dawson Moore (PWSC) 15-16
Vacant (KPC)
III. Approval of the Agenda (pg. 1-3)
IV. Approval of the Summary (pg. 4-6)
V. President’s Report
Elections
VI. New Business A. Campus Safety (Ron Swartz) 30 mins B. Health Plan Changes (Erika Van Flein) 20 mins
i. Impact of 125% Medicare
UAA Staff Council Audio: 907-786-6755 | ID: 284572 | Agenda
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ii. Health Premiums FY17
C. Healthyroads (Sara Rodewald) 10 mins i. Plan usage
ii. Reminders/Questions on April 30 Deadline
VII. Topics of Staff Concern
VIII. Old Business A. UAA Staff Council/HPER Wellness Update (Kathleen McCoy)
IX. UAA Staff Council Committees
A. Wellness Committee (Representatives: Sandra Medina, Kim Heidemann)
B. Communication Committee (Members: Ian Bushell, Brenda Levesque, Marie Williams) Begin Ice Breaker meetings in January
C. Vision Statement Development Committee (pg. 7) (Representatives: Peter Clemens, Ryan Hill)
D. Staff Emeritus Status Committee (pg. 8-10) (Representatives: Kathleen McCoy, Betty Hernandez, Ryan Hill)
X. UAA Campus Committees A. Development Day Committee (pg. 11-12)
(Representative: Betty Hernandez)
B. Diversity Action Council (pg. 13-15) (Representative: Ryan Hill)
C. University Assembly (Representatives: Liz Winfree, Kathleen McCoy, Betty Hernandez, Chris Triplett, John Moore. Alternate: Danielle Dixon)
D. Facilities Space and Planning (pg. 16)
(Representative: Nancy Hall)
E. Campus Safety Committee (Representative: Doug Markussen. Alternate: Fannie Slaten)
XI. UA Staff Alliance Committees A. Staff Alliance (pg. 17-18)
(Representatives: Kathleen McCoy and Liz Winfree)
B. Staff Health Care Committee (pg. 19-26)
UAA Staff Council Audio: 907-786-6755 | ID: 284572 | Agenda
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(Representatives: Maureen Hunt and Danielle Dixon. Alternates: Melodee Monson and Marie Williams)
C. Joint Health Care Committee (pg. 27-35) (Representative: Kathleen McCoy)
D. Staff Compensation Committee (Representatives: John Moore and Liz Winfree. Alternate: Maureen Hunt)
E. Morale - TBA
XII. Informational Items A. SB 174 Staff Polling Results (pg. 36) B. Elections
i. April: Elections ii. May: Seat Elected Individuals
C. New CMS Work Shop, every Friday, BMH 232 from 8:30-11:15 am (Old website shuts down June 30th)
XIII. Adjourn:
UAA Staff Council Audio: 786-6755 | ID: 284572| Summary
Thursday, March 3, 2016
9:30-11:30 a.m. ADM 204
I. Call to Order
II. Introduction of Members [P = Present E = Excused X = Absent]
2015-2016 UAA Staff Council Membership
Term: Term:
E Liz Winfree (Co-President) Center for Human Development – College of
Health 15-16 P Ryan Hill
Residence Life 15-17
P Kathleen McCoy (Co-President) University Advancement
15-17 P Maureen Hunt (Mat-Su) Academic Affairs
15-16
P John Moore (Co-Vice President) EBL, College of Arts & Sciences
15-17 P Brenda Levesque College of Health
15-17
P Chris Triplett (Co-Vice President) University Advancement
15-17 P Doug Markussen Environmental Health & Safety/Risk Mgmt,
Support Services 15-17
P Peter Clemens VA Student Financial Assistance
15-16 P Sandra Medina Geomatics, College of Engineering
15-16
P Danielle Dixon Student Advising, College of Health 15-17 P Melodee Monson
Human Services 15-16
P Nancy Hall WWAMI 15-16 P Fannie Slaten
Faculty Support 15-16
P Kim Heidemann Allied Health 15-16 P Marie Williams
Bookstore 15-16
P Betty Hernandez University Advancement 15-17 P Ian Bushell (Kodiak)
Technology Services 15-16
Vacant (UAA) A Dawson Moore (PWSC) 15-16
Vacant (KPC)
III. Approval of the Agenda (pg. 1-3)
Approved
IV. Approval of the Summary (pg. 4-6) Approved
V. President’s Report
VI. New Business A. Lean Six Sigma Presentation (Carolyn Forner) 30 mins
Contact: [email protected] for questions.
UAA Staff Council Audio: 907-786-6755 | ID: 284572 | Summary
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B. New Online Recruiting Platform, Page Up, Presentation (Ron Kamahele) 45 mins
Will go live March 28, 2016
VII. Topics of Staff Concern
VIII. Old Business A. HPER – Staff Wellness Breaks
IX. UAA Staff Council Committees
A. Wellness Committee (Representatives: Sandra Medina, Kim Heidemann)
B. Communication Committee (pg. 7) (Members: Ian Bushell, Brenda Levesque, Marie Williams)
i. Development Day Basket Update
C. Vision Statement Development Committee (Representatives: Peter Clemens, Ryan Hill)
D. Staff Emeritus Status Committee (pg. 8-28) (Representatives: Kathleen McCoy, Betty Hernandez, Ryan Hill)
Email feedback regarding proposal by March 17, 2016.
X. UAA Campus Committees A. Development Day Committee (pg. 29)
(Representative: Betty Hernandez)
B. Diversity Action Council (pg. 30-32) (Representative: Ryan Hill)
C. University Assembly
(Representatives: Liz Winfree, Kathleen McCoy, Betty Hernandez, Chris Triplett, John Moore. Alternate: Danielle Dixon)
D. Facilities Space and Planning
(Representative: Nancy Hall)
E. Campus Safety Committee (Representative: Doug Markussen. Alternate: Fannie Slaten)
XI. UA Staff Alliance Committees
A. Staff Alliance (pg. 33) (Representatives: Kathleen McCoy and Liz Winfree) Next meeting is March 8th
B. Staff Health Care Committee (pg. 34-35) (Representatives: Maureen Hunt and Danielle Dixon. Alternates: Melodee Monson and Marie Williams)
UAA Staff Council Audio: 907-786-6755 | ID: 284572 | Summary
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C. Joint Health Care Committee (pg. 36-37) (Representative: Kathleen McCoy)
D. Staff Compensation Committee (Representatives: John Moore and Liz Winfree. Alternate: Maureen Hunt)
E. Morale - TBA
XII. Informational Items A. Elections
i. March: Nominations ii. April: Elections
iii. May: Seat Elected Individuals B. New CMS Work Shop, every Friday, BMH 232 from 8:30-11:15 am (Old website shuts
down June 30th)
XIII. Adjourn:
Mission, Vision, and Values Development Committee Thursday, April 7, 2016 The Mission, Vision, and Values Development Committee received a small amount of feedback from members of the Council. A member asked that we remove the lead part of each definition, which stated “Staff Council defines __________ as.” The committee incorporated that feedback and is putting the following core values to the Council for a vote: Staff Council Core Values Equity: Ensuring the fair treatment of unrepresented staff. Advocacy: Giving a voice to staff in decisions that impact the (UAA) community. We value open lines of communication and collaboratively working with leadership to improve the lives of staff at UAA. Leadership: Facilitating forums to share best and promising practices as well as development opportunities to benefit staff and meet the needs of the UAA community. Recognition: Highlighting the work and contributions of staff, and telling the story of what we are doing to support student success, retention, and the University mission.
Mission, Vision, and Values Development Committee Report 1
Staff Emeritus Status Committee Thursday, April 7, 2016 The committee received minimal feedback from Staff Council members regarding the nomination form and process for the conferral of staff emeritus status. A council member recommended changing “Anchorage community” to “local community” in order to accommodate nominations from community campuses. That change was accepted by the committee and is reflected in the attached form. The committee puts forward the following form to be approved by Staff Council to confer emeritus status on staff. The form also outlines the steps a staff member would have to take in order to achieve emeritus status.
Emeritus Status Committee Report Page 1
_________________________________________________________________________________________________________________________ Board of Regents Policy 04.04.070. Emeritus Status Emeritus status is an honor conferred by the chancellor, president, or Board of Regents upon the outstanding retirees of the university and not an automatic recognition of services rendered. The perquisites of emeritus status will be provided by university regulation. In exceptional circumstances, the chancellor may confer emeritus status on other meritorious employees who have provided a minimum of 10 years of faithful service of high quality to the institution. Recommendations will proceed along the appropriate administrative channels to the chancellor. Information of Retiring Employee (Nominee) Name:
Employee ID Number:
Division/College:
Department/Office:
Office Telephone Number:
Office Address:
Approximate Date of Retirement:
Position Title:
Information of Nominator Name:
Office Telephone Number:
Email Address:
Department/Office:
Nomination Checklist ________ Letter of nomination describing the contributions this staff member has made to the UAA and
Anchorage communities that could be described as high quality and beyond the staff member’s job responsibilities. Highlight initiatives, programs, committee involvement, leadership roles or services the staff member initiated during their employment.
________ Minimum of three letters of support
________ Comprehensive resume of this staff member
________ Completed nomination form, including signatures (see below)
NOMINATION FOR THE CONFERRAL OF STAFF EMERITUS STATUS
Governance Office ADM 219 [email protected]
Nomination for the Conferral of Staff Emeritus Status UAA Governance Office [email protected] 786-1994
Signature Page Nominator’s Signature Date Retiring Employee’s (Nominee) Supervisor’s Signature Date Vice Chancellor/Dean’s Signature Date The completed nomination form and supporting documents should be submitted to the UAA Governance Office in Administration 219. Questions may be directed to the UAA Governance Office at [email protected] or 907-786-1994.
FOR OFFICE USE ONLY Governance Received:________________________ � Complete Packet � Incomplete Packet – ____ Returned ____ Pending Items UAA Governance Office’s Signature Date Human Resource Services _________________________________________________________________ _________________________________ Dates of Employment Years of Employment at UAA Director of Human Resource Service’s Signature Date Staff Council � Recommend for Emeritus Status � Decline Staff Council President’s Signature Date Chancellor � Approve for Emeritus Status � Decline Nomination for the Conferral of Staff Emeritus Status UAA Governance Office [email protected] 786-1994
UAA Development Day Committee Report Thursday, May 12
Theme – Inspiring Positive Change Registration Please mark your calendars: Opens – Monday, April 25 Closes – Friday, May 6 Registration Evite Workshops fill up fast, so watch for your evite! If you do not receive an evite on the designated opening day, please contact Bryce Johnson at [email protected]. Community Engagement and UAA Fair Fair Hours – 10:30 am-1:30 pm If your college, department, or program is interested in having a table at the fair, please contact Chris Triplet at [email protected]. This is a great opportunity to connect with our employees and showcase your area. Also, if you are involved with a non-profit or local organization who may be interested in having a table at the fair, please contact Chris Triplet at [email protected]. Employee Photos We are in need of photos from each college/campus/department with at least two or more employees in the photo to showcase at the start of the opening ceremony. Please send the photos to Fannie Slaten at [email protected]. Volunteers We are looking for volunteers to help during UAA Development Day. If you would like to help make this day special, please go to the volunteer page or contact Laura Zamborsky at [email protected]. Lunch Due to challenging times, we will have local food truck vendors available during the lunch session for employees to purchase food. Collection Bins This year we will have collections bins for Anchorage Animal Shelter and Control, Food Bank of Alaska, and Mat-Su Animal Shelter during the morning registration. By donating an item to any of these organizations you will receive a ticket for the drawing at the opening ceremony. To view the list of approved donations and for more information, please visit the UAA Development Day website.
Bookstore All UAA employees will receive a 25% discount on clothing, May 12. So go get your green and gold gear for UAA Development Day!
# # #
Diversity Action Council Friday, March 25, 2016 9:00 am – 10:30 am Lyla Richards Conference Room Diversity Action Council Website: https://www.uaa.alaska.edu/dac/ 1. DAC 2015/2016 Budget
a. Granted funding requests YTD: $8,578.00 b. Current budget for 2015-2016: $9,422.00
2. Funding Requests
a. The 2016 Alaska Native Studies Conference was awarded $1,000 by the Council. The conference is April 14-16 on the residential and main campuses.
b. SafeZone Celebration Week was awarded $1,000 by the Council. The week will run April 14-22, 2016 in various locations on campus.
3. Discussion items to include in joint DAC-Faculty Senate Diversity Committee meeting with the Chancellor The Council finalized an agenda for the joint meeting with the Chancellor that will take place on March 31, 2016 from 3:00 pm – 4:00 pm in the Student Union. The Council will present accomplishments from the past year, as well as action steps we feel are needed to make UAA a more welcoming and inclusive environment. The Council also asked a variety of students to answer the five following questions: 1. How do you define diversity and inclusion? 2. What is your perception of diversity and inclusion at UAA regarding students, faculty, and staff? 3. Have you participated in curricular and co-curricular programs at UAA that promote diversity and inclusion? Please list one to three specific examples. 4. In what ways are your expectations of promoting diversity and inclusion at UAA being met or not met? 5. What are your recommendations in order to make this a more diverse and inclusive university? Responses will be presented to the Chancellor during the meeting. Next Meeting: April 8 2016 9:00 am – 10:30 am Lyla Richards Conference Room
Facilities Space and Planning Committee Friday, March 25, 2016 Rep: Nancy Hall The committee met for a tour of the old Engineering Building in the final stages of a major renovation. Occupancy is expected to begin in July to prepare for fall classes. The building was taken down to a skeleton and given a new outside skin, electrical, windows and sound proofing, among other improvements. As much as possible was spared from reconfiguration to save on costs. FIRST FLOOR: Metal shop, wood shop, Geomatics lab, car simulation lab. SECOND FLOOR: Classrooms, graduate student space and student advising offices. The second floor is connected to the parking garage. PARKING GARAGE: Required vehicle permits to be determined. THIRD FLOOR: Administrative offices with occupation to be finalized. Plans for a pedestrian underpass from the Engineering Building to the SSB Parking Lot are still in the works. Funding and City permitting remain an issue.
Staff Alliance Meeting March 9. 2016 From Kathleen McCoy Title 9: Bridgett Dooley, UAA Title 9 compliance officer, and Lori Klein of UAF, described necessity to rewrite BOR policy to conform with federal Title 9 requirements. She gave an overview of policy changes, and said the rewrite would be shared by end of business day March 9; Staff Alliance comments due by March 28. BOR will vote on changes at the June meeting. Staff Alliance said it would respond in writing. Changes covered included creating ONE POLICY that applies to students, staff, faculty and visitors to campus. This is rewrite of BOR policy 01.02. Changes include allowing anonymous reporting; amnesty (if drinking is involved when an incident occurs, the student will not be held as responsible for the drinking because the other incident is more serious.) One privacy concern for university employees is that notice is given to both parties when an investigation is ongoing. This conflicts with some employment law that says employees have the right to privacy and notice of discipline is not shared. Dooley said details are still being worked out. Budget Report: Chris Christiansen said budget movement happening much more quickly this year. Goal was to have Sen and House budgets done by March 16, about three weeks earlier than last year. He mentioned that SB 174 passed out of Judiciary and headed to Finance. Very helpful to hear from employees. New CHRO: With Erik Seastedt’s departure, Statewide has been searching for a new CHRO. Down to final candidate. Staff Alliance asked hiring body when there will be time for staff input. Alesia Kruckenberg said feedback would be sought from Statewide Administration Association, which is statewide staff only. Suggestion: include System Governance Council, which includes system-wide representation from staff and faculty. Sounded like that would become the plan. Will find out if that is what happened. Chair Report: Faye Gallant, Staff Alliance chair, reported on her meeting with President Jim Johnsen. She said great that Strategic Pathways report is out on the website and accessible, but she would like staff to be at the table when it is being written. One idea might be for system governance to appoint a task force that would take on this role. Still to be discussed. If state budget comes in really really low, there will be closures at every university, Faye quoted Johnsen as saying. Could consider declaring fiscal exigency to accomplish this. UAF staff council passed a resolution asking for three things to be added to current layoff regulations, including the person laying you off will not be the person who reviews your case if you ask for review.
Compensation Committee: Brad Krick reported that the HR Compensation Director commented that, if an increase is approved, she would support a split step and across the board increase. She would also like to resume market surveys. The draft ASEA contract includes no pay increases the next three years, however, that is only for COLA—state employees will still get an increase. Also noted the CPI for urban workers in Anchorage is down 1.5%.
Morale Committee: Morgan Dufseth, governance executive officer, will seek members from UAA and SW. Kolene (committee founder and head) has been doing research and looking at other campuses to see how they tackled morale issues. UAA will forward two names.
Transformation Team: The report is up on the website. Monique gave quick review. Suggested that largest changes are coming in IT, HR and Safety Management. Link to the report is here. It is 144 pages. An FAQ about the Transformation Team report is here. Feedback is welcome here.
Staff Health Care Committee, March 4, 2016 Meeting notes From Kathleen McCoy Attending by teleconference: Melodee Monson UAA (alt for Danielle Dixon UAA), Maureen Hunt UAA Mat-Su (alt), Lesli Walls UAF, Linda Hall SW, Monique Musick SW, Wendy Miles UAS, Gwenna Richardson UAS, Kayti Coonjohn UAS (alt), Kathleen McCoy UAA. Not attending: Marie Williams UAA, Danielle Dixon UAA, David Bantz UAF (alt), Susan Mitchell UAF (alt), Arthur Hussey, SW (alt), Stacy Howdeshell UAF. Guest: Timothy Armbruster, UA Benefits Lead Accountant JHCC set premium rates for FY 17, and UA approved. (see attached). Timothy explained that a steep drop in plan membership could still affect these rates, though not drastically. Currently projected is a 7% decline or about 300 people. Also, JHCC chose to apply $1M of a projected $1.5M over recovery from FY16 – still underway until Jun 30 --toward keeping health plan premiums at the lowest, Option A. for FY17. Unused wellness rebates do account for at least part of the projected over recovery. Deductible for Consumer Driven Health Plan CDHP increased to $1500 for the individual and $3000 for the family, but out of pocket was capped at $6,850, down from $11,000, to comply with Affordable Care Act requirements. Legislature/UA budget: Monique mentioned that the Senate finance subcommittee on UA will recommend a $325M budget for UA, compared to House recommendation of $300M. Watch for the Capitol Report by Chris Christiansen to stay up on UA and legislative budget discussions. Fairbanks oncology: Tim said negotiations are underway between Premera, Mike Powers of UAF and the out-of-network oncologists in Fairbanks. Anchorage has 17 in-network oncologists. Existing patients will continue at the same level of coverage through June 30. New patients, and existing patients beginning July 1 will pay at in-network levels (80 percent) of 125% Medicare. Service experience: Experience reports with auxiliary services like Patient Care, Nurse Line and Best Doctors are always welcome, Timothy said. We pay for their services and have expectations of their delivery; so please report experience to Erika and Timothy so they can address any shortcomings with the vendor. Health Travel Benefits: Timothy said the list of 17 approved travel reasons is gone from the website as of Jan. 1. He said plan members can travel for any procedures;
he advises calling Premera to check in. UA health travel benefit will pay at the IRS allowable rates. Usually travel expenses are paid up front and reimbursed, though Timothy said check with Premera if that is a problem. A companion traveler, if deemed medically necessary, will also be covered at the IRS allowable rates. Includes $30/day toward car rental. Timothy said the Blue Cross network is huge, and health travelers can consider destinations beyond Seattle where they have family. Timothy said Premera is working up a new brochure on health travel benefit. Doctors and Premera network status: Timothy said ENT doctors are out of network in Fairbanks and in Anchorage. Orthopedic surgeons are mostly out of network in Anchorage, though a recent business merger between two big practices in Anchorage suggests some movement for some smaller practices to come back in network as a defense against what some might consider a monopoly. 125% Medicare out of network issue: Timothy said Premera and UA benefits are drawing up some illustrative scenarios to better explain how out-of-network payments are handled. He said UA benefits and Premera have heard the complaints from plan members who did not understand the impact. Timothy confirmed that Premera is delivering an analysis of impact on health plan members based on the July 1, 2016 start of out of network payments at the 125% Medicare level. This will be an issue at the March JHCC, date not set yet. Posters by SHCC: SHCC has long had a desire to increase communication to health plan members. Rather than a comprehensive approach to everything about the health plan (as UA Benefits is charged with) SHCC is more interested in targeting key messages to warn against costly mistakes, and to advise use of auxiliary benefits like Best Doctors, Nurse Line and Patient Care to help plan members make cost-effective health decisions. At today’s meeting we agreed on two ideas for graphic designers to work up. There are more ideas on our Road Map spread sheet, but at least we can start with these. I’ll share these with Kayti Coonjohn and Danielle Dixon, volunteer graphic artists, so they can draft up posters for us. UA Benefits will review for accuracy. 1. Going out-of-network for your health care will cost you more:
• ‘allowable rate’ set at125% Medicare • unlimited balance billing • won’t count toward out-of-pocket maximum
2. What would you rather pay: 20% of $20,000, or 20% of $10,000? When it comes to health care costs, location matters. Alaska has the country’s highest costs. If you need a procedure, investigate Premera’s health travel benefit, paid at IRS-approved levels and covering medically-necessary travel partners. You don’t have to pay Alaska prices. Next meeting: We will Doodle poll for a meeting time after the next JHCC meeting, which is planned for late March, exact date not yet set. ALSO, SHCC member requested 90-minute meeting slots. We can always end early, but we should allow enough time for full discussion if we need it. Kathleen will advise Morgan.
SHCC Meeting Notes Meeting date: March 31, 2016 From Kathleen McCoy Plan impact on members The SHCC received a briefing from Erika Van Flein and David Hinkley (Lockton) of the same plan impact materials that they presented first to JHCC on March 25. Their report was a request from the February JHCC for data analysis showing impact of 125% Medicare allowable charge for out-of-network providers. This change when into effect July 1, 2016. JHCC members heard from constituents about high balance billing events. That analysis convinced the JHCC to write and approve this recommendation to UA’s CHRO: Motion 16.3: The Joint Health Care Committee recommends that the University of
Alaska Chief Human Resources Officer implement an increase in the non-contracted provider reimbursement from 125% to 200% of Centers for Medicare and Medicaid Services (CMS) starting 1 July 2016.
This is made only as a recommendation to the University. At SHCC, Erika mentioned that UA Legal is waiting to hear if the state employee plan will be moving to $125% Medicare as UA currently is. So no word yet on whether allowable charge will move to 200% of Medicare with the new plan year. The JHCC also discussed whether plan members under the FY16 allowable charge strategy should be provided some allowances. Erika counseled against reprocessing claims as a certain nightmare for the health plan member. She noted that some balance billing has been written off by providers already. Based on her suggestions, JHCC settled on having Premera reach out to plan members experiencing issues to encourage connection to Patient Care, the auxiliary patient advocacy service paid for by the university to assist with medical billing issues. Patient Care could double check their bills and make sure that all the paperwork is correct. They could also ask providers on behalf of the patient to consider a write off of some or all of the balance billing.
Some of the spreadsheets from Erika and David’s reports are attached to the JHCC March 25 report made to this body as well. Not reattaching them here. Healthyroads update You’ll find this update attached here. One thing you may find interesting is a breakdown on which employee groups are most using the wellness incentive, $600 rebate opportunity. Unrepresented staff are by far the highest users. Health plan premium rate increase (Of note, occurred after this JHCC meeting.) JHCC had voted to apply $1Million of the over recovery toward health plan FY17 premium rates, keeping them almost the same as fy16. But in the process of working up materials for open enrollment, UA benefits discovered a math error. The over-recovery was applied twice, incorrectly. So now, with the over-recovery applied correctly, the health premium rates will be going up nearly 11% for almost every plan for FY17. UA Benefits is still prepping materials for open enrollment, but this was an early head’s up on this development. Attached, find the health plan premium spreadsheet by health plan type. This chart is attached. Lastly, Statewide Voice story on health plan consumerism This story helps explain how consumers can use some plan benefits to keep their costs lower when facing either high costs: Patient Care and the medical travel benefit. Please share the link widely.
3/31/2016, 4:09 PM
Line #
Headcount projection as of Feb 2016
FY16 Actual Rates
FY17 Proj Rates Option A
FY17 % Change
FY17 $ Change
"750" Plan1 EE 488 $2,264.00 $2,509.00 10.82% $245.002 EE + SP 307 4,980.00 5,517.00 10.78% $537.003 EE + CH 108 3,396.00 3,763.00 10.81% $367.004 EE + 2CH 51 4,301.00 4,765.00 10.79% $464.005 EE + 3 or more CH 20 4,980.00 5,517.00 10.78% $537.006 EE + SP + 1CH 113 6,112.00 6,771.00 10.78% $659.007 EE + SP + 2CH 107 7,018.00 7,775.00 10.79% $757.008 EE + SP + 3 or more 67 7,696.00 8,526.00 10.78% $830.00
HDHP Plan9 EE 561 $1,111.00 $1,231.00 10.80% $120.0010 EE + SP 306 2,444.00 2,708.00 10.80% $264.0011 EE + CH 114 1,666.00 1,846.00 10.80% $180.0012 EE + 2CH 50 2,111.00 2,339.00 10.80% $228.0013 EE + 3 or more CH 18 2,444.00 2,708.00 10.80% $264.0014 EE + SP + 1CH 169 2,999.00 3,323.00 10.80% $324.0015 EE + SP + 2CH 189 3,443.00 3,815.00 10.80% $372.0016 EE + SP + 3 or more 96 3,776.00 4,184.00 10.81% $408.00
CDHP Plan17 EE 256 $761.00 $845.00 11.04% $84.0018 EE + SP 84 1,674.00 1,856.00 10.87% $182.0019 EE + CH 38 1,142.00 1,266.00 10.86% $124.0020 EE + 2CH 23 1,446.00 1,603.00 10.86% $157.0021 EE + 3 or more CH 10 1,674.00 1,855.00 10.81% $181.0022 EE + SP + 1CH 98 2,054.00 2,276.00 10.81% $222.0023 EE + SP + 2CH 99 2,359.00 2,614.00 10.81% $255.0024 EE + SP + 3 or more 58 2,587.00 2,867.00 10.82% $280.00
University of AlaskaFiscal Year 2016-2017 Employee Plan Rate Scenario
Base Annual Rates without surcharges1M Option
3/31/2016, 4:09 PM
Line #
Headcount projection as of Feb 2016
FY16 Actual Rates
FY17 Proj Rates Option A
FY17 % Change
FY17 $ Change
"750" Plan1 EE 488 $119.16 $132.05 10.82% $12.892 EE + SP 307 $262.11 $290.37 10.78% $28.263 EE + CH 108 $178.74 $198.05 10.80% $19.314 EE + 2CH 51 $226.37 $250.79 10.79% $24.425 EE + 3 or more CH 20 $262.11 $290.37 10.78% $28.266 EE + SP + 1CH 113 $321.68 $356.37 10.78% $34.697 EE + SP + 2CH 107 $369.37 $409.21 10.79% $39.848 EE + SP + 3 or more CH 67 $405.05 $448.74 10.79% $43.69
HDHP Plan9 EE 561 $58.47 $64.79 10.81% $6.3210 EE + SP 306 $128.63 $142.53 10.81% $13.9011 EE + CH 114 $87.68 $97.16 10.81% $9.4812 EE + 2CH 50 $111.11 $123.11 10.80% $12.0013 EE + 3 or more CH 18 $128.63 $142.53 10.81% $13.9014 EE + SP + 1CH 169 $157.84 $174.89 10.80% $17.0515 EE + SP + 2CH 189 $181.21 $200.79 10.81% $19.5816 EE + SP + 3 or more CH 96 $198.74 $220.21 10.80% $21.47
CDHP Plan17 EE 256 $40.05 $44.47 11.04% $4.4218 EE + SP 84 $88.11 $97.68 10.86% $9.5719 EE + CH 38 $60.11 $66.63 10.85% $6.5220 EE + 2CH 23 $76.11 $84.37 10.85% $8.2621 EE + 3 or more CH 10 $88.11 $97.63 10.80% $9.5222 EE + SP + 1CH 98 $108.11 $119.79 10.80% $11.6823 EE + SP + 2CH 99 $124.16 $137.58 10.81% $13.4224 EE + SP + 3 or more CH 58 $136.16 $150.89 10.82% $14.73
University of AlaskaFiscal Year 2016-2017 Employee Plan Rate Scenarios
Biweekly Rates (19 Payperiods)- Base Annual Rates without surcharges
1M Option
3/31/2016, 4:09 PM
Line #
Headcount projection as of Feb 2016
FY16 Actual Rates
FY17 Proj Rates Option A
FY17 % Change
FY17 $ Change
"750" Plan1 EE 488 $87.08 $96.50 10.82% $9.422 EE + SP 307 $191.54 $212.19 10.78% $20.653 EE + CH 108 $130.62 $144.73 10.80% $14.114 EE + 2CH 51 $165.42 $183.27 10.79% $17.855 EE + 3 or more CH 20 $191.54 $212.19 10.78% $20.656 EE + SP + 1CH 113 $235.08 $260.42 10.78% $25.347 EE + SP + 2CH 107 $269.92 $299.04 10.79% $29.128 EE + SP + 3 or more 67 $296.00 $327.92 10.78% $31.92
HDHP Plan9 EE 561 $42.73 $47.35 10.81% $4.6210 EE + SP 306 $94.00 $104.15 10.80% $10.1511 EE + CH 114 $64.08 $71.00 10.80% $6.9212 EE + 2CH 50 $81.19 $89.96 10.80% $8.7713 EE + 3 or more CH 18 $94.00 $104.15 10.80% $10.1514 EE + SP + 1CH 169 $115.35 $127.81 10.80% $12.4615 EE + SP + 2CH 189 $132.42 $146.73 10.81% $14.3116 EE + SP + 3 or more 96 $145.23 $160.92 10.80% $15.69
CDHP Plan17 EE 256 $29.27 $32.50 11.04% $3.2318 EE + SP 84 $64.38 $71.38 10.87% $7.0019 EE + CH 38 $43.92 $48.69 10.86% $4.7720 EE + 2CH 23 $55.62 $61.65 10.84% $6.0321 EE + 3 or more CH 10 $64.38 $71.35 10.83% $6.9722 EE + SP + 1CH 98 $79.00 $87.54 10.81% $8.5423 EE + SP + 2CH 99 $90.73 $100.54 10.81% $9.8124 EE + SP + 3 or more 58 $99.50 $110.27 10.82% $10.77
University of AlaskaFiscal Year 2016-2017 Employee Plan Rate Scenario
Biweekly Rates (26 Payperiods)- Base Annual Rates without surcharges
1M Option
JHCC Meeting Notes Meeting date: March 25, 2016 From Kathleen McCoy Plan impact on members The thrust of this meeting was a follow up to questions on health plan costs to members after the July 1, 2016 institution of 125% Medicare as the allowable charge for out-of-network or non-contracted providers. The plan pays 60 percent of the allowed charge, which is now set at 125% of Medicare. At the February JHCC meeting, several anecdotal examples of large balance billing issues came forward through JHCC members from their constituents. Because that information was anecdotal, JHCC asked for statistical information to better evaluate impact on plan members. Erika Van Flein of UA Benefits and David Hinckley of Lockton ran through five spreadsheets and a graphic to “drill down” into impact for plan members. The numbers are dense and the explanation complicated by being delivered by people very familiar with the complexities of health care billing. That said, they tried very hard to be thorough. One takeaway they stressed was that for members going out of network and experiencing high balance billing this year, they also experienced high (though not as high) balanced billing last year. The charts were also able to demonstrate that other plans may be picking up some of the balance billing in some cases; in others, doctors may be writing off some of the balance billing. The analysis convinced the JHCC to write and approve this recommendation to UA’s CHRO: Motion 16.3: The Joint Health Care Committee recommends that the University of
Alaska Chief Human Resources Officer implement an increase in the non-contracted provider reimbursement from 125% to 200% of Centers for Medicare and Medicaid Services (CMS) starting 1 July 2016.
This is made only as a recommendation to the University. Word is not back yet if the July 1, 2016 plan will make this change.
The JHCC also discussed whether plan members under the FY16 allowable charge strategy should be provided some allowances. Erika counseled against reprocessing claims as a certain nightmare for the health plan member. She noted that some balance billing has been written off by providers already. Based on her suggestions, JHCC settled on having Premera reach out to plan members experiencing issues to encourage connection to Patient Care, the auxiliary patient advocacy service paid for by the university to assist with medical billing issues. Patient Care could double check their bills and make sure that all the paperwork is correct. They could also ask providers on behalf of the patient to consider a write off of some or all of the balance billing. Some of the spreadsheets are attached. One that contained case numbers and proprietary billing information from doctors can’t be widely shared. Healthyroads update You’ll find this update attached here. One thing you may find interesting is a breakdown on which employees are most using the wellness incentive, $600 rebate opportunity. Unrepresented staff are by far the highest users. Health plan premium rate increase (Of note, occurred after this JHCC meeting.) JHCC had voted to apply $1Million of the over recovery toward health premium rates, keeping them almost the same as fy16. But in the process of working up materials for open enrollment, UA benefits discovered a math error. The over-recovery was applied twice, incorrectly. So now, with the over-recovery applied correctly, the health premium rates will be going up nearly 11% for almost every plan for FY17. UA Benefits is still prepping materials for open enrollment, but this was an early head’s up on this development. Attached, find the health plan premium spreadsheet . Lastly, Statewide Voice story on health plan consumerism This story helps explain how consumers can use some plan benefits to keep their costs lower when facing either high costs: Patient Care and the medical travel benefit. Please share the link widely.
Data Overview:
The requirements for the FY16 program year are to complete a personal health assessment (PHA), biometrics and earn 5 additional points. Healthyroads provides a monthly report that details how many points members have earned as well as indicates if they have also completed the PHA and biometrics.
I’ve provided the total population numbers for eligibility and then broke those-out by employee class. There are many ways you can pull eligibility numbers, but you can see that I opted to pulled numbers for members who have been eligible for the entire period of 5/1/15—3/5/16. So, these may be slightly off from what they actually are and will not include any new hires that have come on the plan mid-year.
The point columns below are JUST regarding points earned. These members may have also completed the PHA and/or biometrics, but I did not provide that data. The column marked as ‘Met all reqs’ is the only column that will pull-in the PHA/Biometric completion. That means those are the members who have met all requirements already to earn the full rebate. Since we are over the half-way point, I’ve provided two columns that will indicate percentage of people with at least 3 points, and then the percentage of who have completed everything.
Employee Class Point Breakdown:
• From most recent Incentive report: 03/05/2016 • Employees (eligible for entire period: 5/1/15-3/5/16): 3,283 • Total Employees with some sort of points: 2,939 (90%) • Total Employees with at least 3 points: 1,201 (37%)
Class Code
Total Eligible
1 point
2 points
3 points
4 points
5 points
Met all reqs. % w/ 3 or more pts
% Met all reqs.
A9 (UAFT)
241 89 43 27 14 27 16 28% 7%
CR (Local 6070)
182 77 20 10 1 9 7 11% 4%
F9 (UNAC)
734 270 166 52 46 95 40 26% 5%
FN (UNAC)
32 13 7 3 5 4 2 38% 6%
EX 88 25 16 11 7 21 9 44% 10% FR 71 27 18 2 2 11 6 21% 9% NR 952 298 186 100 69 247 112 44% 12% NX 19 4 3 0 1 1 1 11% 5%
XR 976 310 166 94 71 271 102 45% 10% Spouse/FIP Class Point Breakdown:
• From most recent Incentive report: 03/05/2016 • Spouses/FIPs(eligible. for entire period: 5/1/15-3/5/16): 1,698 • Total spouses/FIPs with some sort of points: 1,311 (77%) • Total Spouses/FIPs with at least 3 points: 370 (22%)
Class Code
Total Eligible
1 point
2 points
3 points
4 points
5 points
Met all reqs. % w/ 3 or more pts
% Met all reqs.
A9 (UAFT)
133 55 24 8 7 8 4 17% 3%
CR (Local 6070)
93 36 6 8 1 4 3 14% 3%
F9 (UNAC)
429 152 83 24 17 58 25 23% 6
FN (UNAC)
10 5 3 2 0 1 1 30% 10%
EX 64 18 11 4 6 12 5 34% 8% FR 40 18 6 2 1 6 2 23% 5% NR 415 146 67 28 20 38 13 21% 3% NX 5 1 0 1 0 1 1 40% 20% XR 508 192 88 30 15 68 26 22% 5%
EXHIBIT 1: NON-CONTRACTED CLAIMS EXPERIENCE BY CONTRACT TYPE AND SERVICE AREAUNIVERSITY OF ALASKA
Estimates of reductions in Allowed and Paid due to reduced Non-Contracted ReimbursementClaims incurred 7/1/2015 - 2/29/2016
Claims Experience: 7/1/2015 - 2/29/2016 Estimated Allowed and Paid under Old Reimbursement Scheme
Scenario Area ContractID Claims Billed Allowed PaidEstimated
Old Allowed (1)Reduction in
Allowed%
ReductionEstimated Old Paid (1)
Reduction in Paid
% Reduction
125% of CMS AK NONCONTRACTED 1,157 1,393,075 391,660 245,765 1,147,170 755,509 65.9% 861,990 616,226 71.5%AK 5A 508 829,417 209,273 150,467 662,304 453,031 68.4% 523,751 373,284 71.3%NONAK NONCONTRACTED 250 291,350 126,793 89,092 180,697 53,904 29.8% 125,907 36,816 29.2%
Totals 1,915 2,513,842 727,726 485,323 1,990,171 1,262,445 63.4% 1,511,648 1,026,325 67.9%
160% of CMS AK NONCONTRACTED 1,157 1,393,075 475,370 302,749 1,147,170 671,799 58.6% 861,990 559,241 64.9%AK 5A 508 829,417 261,202 189,216 662,304 401,102 60.6% 523,751 334,535 63.9%NONAK NONCONTRACTED 250 291,350 138,559 99,437 180,697 42,138 23.3% 125,907 26,470 21.0%
Totals 1,915 2,513,842 875,131 591,402 1,990,171 1,115,039 56.0% 1,511,648 920,246 60.9%
200% of CMS AK NONCONTRACTED 1,157 1,393,075 548,379 364,793 1,147,170 598,790 52.2% 861,990 497,197 57.7%AK 5A 508 829,417 317,455 232,058 662,304 344,849 52.1% 523,751 291,693 55.7%NONAK NONCONTRACTED 250 291,350 146,228 108,522 180,697 34,469 19.1% 125,907 17,385 13.8%
Totals 1,915 2,513,842 1,012,063 705,373 1,990,171 978,108 49.1% 1,511,648 806,276 53.3%
300% of CMS AK NONCONTRACTED 1,157 1,393,075 691,474 490,661 1,147,170 455,695 39.7% 861,990 371,329 43.1%AK 5A 508 829,417 418,520 322,628 662,304 243,784 36.8% 523,751 201,122 38.4%NONAK NONCONTRACTED 250 291,350 156,821 120,145 180,697 23,876 13.2% 125,907 5,762 4.6%
Totals 1,915 2,513,842 1,266,815 933,435 1,990,171 723,356 36.3% 1,511,648 578,213 38.3%
Notes:(1) - this is an estimate of what the allowed and paid would have been had the 125% of Medicare pricing not been implemented
EXHIBIT 2: HIGH-COST MEMBER IMPACT FOR VARIOUS SCENARIOSUNIVERSITY OF ALASKA
Estimates of increase in Out of Pocket Costs for Non-Contracted ClaimsClaims incurred 7/1/2015 - 2/29/2016
All Impacted Members Hi-Cost Members (Impact > $5000)
ScenarioMember
CountTotal OOP
ImpactImpact per
MemberMember
CountTotal OOP
ImpactImpact per
MemberCMS125 878 1,026,325 1,169 42 833,799 19,852 CMS160 878 920,246 1,048 37 753,180 20,356 CMS200 878 806,276 918 33 672,645 20,383 CMS300 878 578,213 659 25 509,241 20,370
EXHIBIT 3: IMPACT ON MEMBER OUT OF POCKET COSTS FOR VARIOUS SCENARIOSUNIVERSITY OF ALASKA
Estimates of increase in Out of Pocket Costs for Non-Contracted ClaimsClaims incurred 7/1/2015 - 2/29/2016
Mbr Out of Pocket Costs: 7/1/2015 - 2/29/2016 Mbr Out of Pocket Costs on Old Reimbursement Impact on Out of Pocket Costs
Scenario OOP Impact Per Claimant Mbr Count MCS Bal Billed TotalTotal Per Claimant MCS Bal Billed Total
Total Per Claimant MCS Bal Billed Total
Total Per Claimant
125% of CMS Positive Impact 23 11,317 19,110 30,426 1,323 10,588 24,051 34,639 1,506 729 (4,941) (4,212) (183) Less than $50 397 68,724 81,196 149,920 378 115,434 30,848 146,282 368 (46,710) 50,348 3,638 9 $50 - $250 264 28,971 81,144 110,115 417 48,437 28,917 77,353 293 (19,465) 52,227 32,762 124 $250 - $500 55 13,874 43,223 57,097 1,038 23,814 14,230 38,044 692 (9,940) 28,993 19,053 346 $500 - $1000 48 19,049 99,972 119,022 2,480 34,871 49,312 84,183 1,754 (15,822) 50,660 34,839 726 $1000 - $5000 49 24,098 216,986 241,085 4,920 57,577 77,063 134,639 2,748 (33,478) 139,924 106,446 2,172 $5k - $10k 22 38,049 254,619 292,668 13,303 60,416 72,838 133,253 6,057 (22,367) 181,781 159,415 7,246 $10k - $20k 12 19,613 280,156 299,768 24,981 63,098 79,474 142,572 11,881 (43,485) 200,681 157,196 13,100 $20k - $30k 4 8,529 182,547 191,076 47,769 33,475 56,715 90,190 22,548 (24,946) 125,832 100,886 25,221 More than $30k 4 10,177 527,163 537,340 134,335 30,813 90,224 121,038 30,259 (20,636) 436,939 416,302 104,076 Totals 878 242,403 1,786,116 2,028,519 2,310 478,523 523,671 1,002,194 1,141 (236,120) 1,262,445 1,026,325 1,169
160% of CMS Positive Impact 72 22,470 40,307 62,777 872 23,960 54,220 78,179 1,086 (1,490) (13,913) (15,402) (214) Less than $50 452 86,987 71,133 158,120 350 120,583 32,820 153,403 339 (33,596) 38,313 4,717 10 $50 - $250 185 35,142 77,020 112,163 606 49,122 40,589 89,710 485 (13,979) 36,432 22,452 121 $250 - $500 43 12,668 32,060 44,728 1,040 19,080 11,205 30,285 704 (6,412) 20,855 14,444 336 $500 - $1000 40 16,177 70,533 86,710 2,168 27,395 31,331 58,727 1,468 (11,219) 39,202 27,983 700 $1000 - $5000 49 30,420 198,285 228,706 4,667 59,285 56,548 115,833 2,364 (28,865) 141,737 112,872 2,304 $5k - $10k 19 37,901 240,316 278,217 14,643 66,707 71,631 138,338 7,281 (28,806) 168,685 139,879 7,362 $10k - $20k 11 22,073 267,433 289,507 26,319 53,912 93,454 147,365 13,397 (31,838) 173,980 142,141 12,922 $20k - $30k 4 8,738 186,239 194,977 48,744 32,504 57,035 89,539 22,385 (23,766) 129,204 105,437 26,359 More than $30k 3 11,153 455,383 466,536 155,512 25,975 74,839 100,814 33,605 (14,822) 380,544 365,722 121,907 Totals 878 283,730 1,638,711 1,922,440 2,190 478,523 523,671 1,002,194 1,141 (194,793) 1,115,039 920,246 1,048
200% of CMS Positive Impact 188 39,323 57,788 97,111 517 48,347 81,002 129,349 688 (9,024) (23,214) (32,238) (171) Less than $50 423 106,603 60,045 166,647 394 127,727 35,934 163,661 387 (21,125) 24,111 2,986 7 $50 - $250 117 18,308 38,633 56,941 487 26,375 16,249 42,623 364 (8,067) 22,385 14,318 122 $250 - $500 39 14,628 36,460 51,088 1,310 21,057 15,941 36,998 949 (6,430) 20,519 14,089 361 $500 - $1000 33 18,802 61,331 80,133 2,428 26,118 31,050 57,169 1,732 (7,316) 30,280 22,964 696 $1000 - $5000 45 29,609 192,819 222,428 4,943 59,019 51,897 110,916 2,465 (29,411) 140,922 111,512 2,478 $5k - $10k 19 43,572 281,497 325,068 17,109 72,435 111,148 183,583 9,662 (28,864) 170,349 141,485 7,447 $10k - $20k 7 16,330 160,170 176,500 25,214 38,964 48,577 87,541 12,506 (22,634) 111,593 88,960 12,709 $20k - $30k 4 9,674 177,829 187,503 46,876 32,504 57,035 89,539 22,385 (22,830) 120,794 97,964 24,491 More than $30k 3 9,842 435,208 445,050 148,350 25,975 74,839 100,814 33,605 (16,133) 360,369 344,236 114,745 Totals 878 306,690 1,501,779 1,808,469 2,060 478,523 523,671 1,002,194 1,141 (171,832) 978,108 806,276 918
300% of CMS Positive Impact 336 69,787 58,543 128,330 382 94,675 108,190 202,865 604 (24,888) (49,647) (74,535) (222) Less than $50 357 106,293 35,779 142,072 398 112,516 28,057 140,574 394 (6,224) 7,722 1,498 4 $50 - $250 64 12,620 27,326 39,946 624 18,327 12,788 31,115 486 (5,707) 14,537 8,830 138 $250 - $500 32 10,992 29,215 40,207 1,256 15,869 12,996 28,865 902 (4,877) 16,219 11,342 354 $500 - $1000 26 17,595 54,175 71,770 2,760 21,562 30,715 52,277 2,011 (3,967) 23,460 19,493 750 $1000 - $5000 38 54,876 204,420 259,296 6,824 73,148 83,806 156,954 4,130 (18,272) 120,614 102,342 2,693 $5k - $10k 15 32,848 240,364 273,211 18,214 68,830 101,294 170,124 11,342 (35,982) 139,070 103,087 6,872 $10k - $20k 5 12,228 126,946 139,174 27,835 24,937 44,783 69,720 13,944 (12,709) 82,162 69,454 13,891 $20k - $30k 4 13,397 206,831 220,228 55,057 39,362 85,855 125,217 31,304 (25,965) 120,977 95,012 23,753 More than $30k 1 2,744 263,429 266,173 266,173 9,297 15,187 24,484 24,484 (6,553) 248,242 241,689 241,689 Totals 878 333,380 1,247,027 1,580,407 1,800 478,523 523,671 1,002,194 1,141 (145,142) 723,356 578,213 659
EXHIBIT 4: ESTIMATED ALLOWED AND PAID SAVINGS FOR VARIOUS NON-CONTRACTED SCENARIOS125%/160%/200% CMS Allowed for Non-Contracted Claims Savings Estimate
Claims incurred 7/1/2014 - 6/30/2015
ALLOWED DOLLAR Impact
Claims Experience Projected Allowed Projected % Reduction from UCRContractID Area Claims Billed Allowed Paid CMS125 CMS160 CMS200 CMS125 CMS160 CMS200NONCONTRACTED AK 10,645 4,139,990 3,409,130 2,431,394 1,594,638 2,157,874 2,403,329 53.2% 36.7% 29.5%NONCONTRACTED NONAK 377 749,606 375,594 307,386 276,358 312,385 326,828 26.4% 16.8% 13.0%ANMC AK 1,841 2,424,982 2,058,384 1,359,792 2,058,384 2,058,384 2,058,384 0.0% 0.0% 0.0%5A AK 1,454 2,489,881 1,999,956 1,709,116 462,233 687,683 832,355 76.9% 65.6% 58.4%CONTRACTED AK 69,314 55,727,720 42,532,360 34,626,012 42,532,360 42,532,360 42,532,360 0.0% 0.0% 0.0%CONTRACTED NONAK 11,564 12,840,413 7,294,545 6,637,788 7,294,545 7,294,545 7,294,545 0.0% 0.0% 0.0%Totals 95,195 78,372,593 57,669,970 47,071,488 54,218,518 55,043,231 55,447,802 6.0% 4.6% 3.9%
Annual Allowed Savings 3,451,451 2,626,738 2,222,168
PAID DOLLAR Impact
Claims Experience Projected Paid Projected % Reduction from UCRContractID Area Claims Billed Allowed Paid CMS125 CMS160 CMS200 CMS125 CMS160 CMS200NONCONTRACTED AK 10,645 4,139,990 3,409,130 2,431,394 1,144,080 1,540,745 1,716,854 52.9% 36.6% 29.4%NONCONTRACTED NONAK 377 749,606 375,594 307,386 233,814 259,514 270,488 23.9% 15.6% 12.0%ANMC AK 1,841 2,424,982 2,058,384 1,359,792 1,359,792 1,359,792 1,359,792 0.0% 0.0% 0.0%5A AK 1,454 2,489,881 1,999,956 1,709,116 364,246 543,349 660,364 78.7% 68.2% 61.4%CONTRACTED AK 69,314 55,727,720 42,532,360 34,626,012 34,626,012 34,626,012 34,626,012 0.0% 0.0% 0.0%CONTRACTED NONAK 11,564 12,840,413 7,294,545 6,637,788 6,637,788 6,637,788 6,637,788 0.0% 0.0% 0.0%Totals 95,195 78,372,593 57,669,970 47,071,488 44,365,732 44,967,201 45,271,298 5.7% 4.5% 3.8%
Annual Paid Savings 2,705,756 2,104,288 1,800,191
EXHIBIT 5: ESTIMATED MEMBER IMPACT FOR VARIOUS NON-CONTRACTED SCENARIOS125%/160%/200% CMS Allowed for Non-Contracted Claims Savings Estimate
Claims incurred 7/1/2014 - 6/30/2015
Member Count in each Category Avg Per Mbr Impact on Out of Pocket CostsMember Impact Category CMS125 CMS160 CMS200 CMS125 CMS160 CMS200Unaffected Members 7,213 7,213 7,213 - - - Affected Members 2,299 2,299 2,299 1,177 915 783 Totals 9,512 9,512 9,512 284 221 189
Member Count in each Category Avg Per Mbr Impact on Out of Pocket CostsMbr Annual Out of Pocket Impact CMS125 CMS160 CMS200 CMS125 CMS160 CMS200POSITIVE IMPACT 489 592 779 (101) (106) (101) LESS THAN $50 172 310 300 30 26 22 $50 - $250 575 553 490 137 131 129 $250 - $1000 578 496 428 524 526 511 $1000 - $5000 372 255 219 2,014 1,992 1,973 MORE THAN $5000 113 93 83 14,330 14,166 13,956 Subtotals 2,299 2,299 2,299 1,177 915 783
Results of staff polling on SB174. Staff Alliance has a resolution up for vote opposing SB 174, so campuses governance groups have been polling so they can represent their campus accurately. UAA response 351 people 65% opposed the original SB 174 (228 people) 20% approve SB 174 with UA amendments (69 people) 11% support the original SB 174 as written (40 people) 2% no opinion (8 people) 2% other (6 people) UAF response 56.3% opposed the original SB 174 (220 people) 24.6% approve SB 174 with UA amendments (96 people) 14.6% support original SB 174 (57 people) 1.8 % no opinion (7 people) 2.8 % other (11 people) UAS Passed an early resolution opposing SB 174 before UA proposed amendments UA Statewide Staff No consensus among their staff, so their reps are abstaining from Staff Alliance vote to oppose SB 174 48.6 % support SB 174 as written or with UA amendments 46.7 % oppose SB 174