Attachment: Board Workshop 4-17-12 PP Final 3.pdf
Chairman Dr. Barbara Murray turned the workshop over to Susan Standley, Director of Compensation & Benefits, who introduced the following participants of the workshop:
Willis of Florida representatives: Michael R. Meredith, Executive Vice President; Sue Wiesing, Assistant Vice President; and other personnel that were seated in the audience.
Cigna Health care representatives: Brian McNeil, Senior Client Manager and Brett Schneider, Clinical Registered Pharmacist.
Brevard Public School employee: Karen Maltese, Supervisor General Accounting for Compensation & Benefits.
Ms. Standley also took the opportunity to thank Kathy Estrada, Secretary to Compensation & Benefits, and Jacqueline Joy, Administrative Assistant to the School Board, for setting up the meeting.
Ms. Standley gave a presentation on the vision and strategy for Brevard Public Schools (BPS)employee benefits, the importance of Integration and a brief history of the BPS Self-Funded Health Care Plan. She turned the meeting over to Michael Meredith who expanded on the information as to "Why do Employers Self Fund?" and the Pharmacy Benefit Manager (PBM).
Ms. Standley and Mr. Meredith answered several of the questions from the Board Members as it relates to Health Care Plans and Pharmacy Benefits Manager.
Mr. Schneider commented the down side of customers going to different pharmacies to receive savings on their medications. He mentioned the biggest concern is that the pharmacist within the network cannot see the global picture of all the medications that a customer has been prescribed to know if there are any interactions amongst the prescribed medications. Ms. Kneessy suggested having a class of medications with no co-pay, that are typically free at other places, to keep things from going off the grid.
Ms. Standley covered the scope of services of having a third party administrator as well as the selection considerations. Discussion ensued about auditing claims and the pros and cons of an indepth audit.
Ms. Standley wrapped up the meeting by going over the following key features we will be faced with in the future:
Insufficient ongoing revenue
Increasing heath care costs
The cost of federal health care reform
Ms. Henderson commented that the presentation was very informative and gave some feedback on how some of the employees have reacted in regard to the preferred health centers. She stated the employees are finding the clinics very helpful, quick, and cost effective. Ms. Standley mentioned that the Compensation and Benefits Department has been receiving positive feedback from the employees and the providers. She mentioned that we will be starting with a data analysis this month (April 2012). Ms. Standley said that she would be doing a board update on the data analysis of the preferred health care clinics.
Ms. Kneessy thanked Ms. Standley and her staff for the comprehensive presentation.
Mr. Ziegler noted the content of the presentation was excellent and went on to explain what he has been doing to get a better understanding of the complexities of the health care industry. Mr. Ziegler felt as though the facility based concept is the key to cost containment and asked Ms. Standley for her thoughts. Ms. Standley stated there are some things we are currently doing but due to the shortage of time of this meeting, will not be able to explain indepth. She mentioned that Cigna, as our partner, is so committed they are completely funded a health coach to work with Lana Saal, Wellness Manager.
Mr. Ziegler stated that many people have mentioned to him that we will never accomplish what we need to with wellness and education unless we have our own health care centers.
Chairman Dr. Murray thanked Ms. Standley, Mr. Meredith, Mr. McNeil, Ms. Wiesing and Mr. Schneider for providing the Board with this information. She stated that she will work with Dr. Binggeli and Ms. Standley to do a follow-up in the future. Chairman Dr. Murray mentioned to the Board the importance of giving Ms. Standley direction as a Board and not a single Board Members idea they wish to push through. She mentioned that the Board, on several occasions, has given the directive that we do not want to get into the business of owning our own health care centers.