Top Banner
1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Delivering Value Through Our Private Exchange
21

1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

Mar 28, 2015

Download

Documents

Shirley Sidden
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

1Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

Minnesota Health Action Group February 21, 2013

Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

Delivering Value Through Our Private Exchange

Page 2: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

2Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

Agenda

My Plan by MedicaSM

Accountable Care Organizations

Employer & Employee Experience with My Plan

Page 3: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

3Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

My Plan by MedicaSM

Page 4: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

4Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

What is My Plan by Medica?Employer-Sponsored Defined Contribution

What it is not What it is

An individual product Employer sponsored group plan

Employer chooses a few selected plans

Employee chooses from a variety of plan options

Employees see what they pay, but not the total cost

Transparent recognition of the total cost and employer contribution

Page 5: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

5Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

What is Defined Contribution?

$$Predictable Employer Dollars

Defined ContributionHealth Benefits

EXPANDED PLAN OPTIONS

Page 6: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

6Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

My Plan by MedicaShopping with My Plan

$$My Plan Account

Page 7: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

7Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

5250

-80%

HSA

HDHP

300-

30 P

PO

20 PLAN POOLPre

miu

m

Benefit Designs

Lean Rich

My Plan by Medica Product portfolio

Page 8: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

8Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

My Plan Decision Support Tool

My Plan by MedicaShopping with My Plan

Plan Options

Plan Recommendations

$$Employer Dollars

Some Employee Dollars

MEDIUM PLAN

$$Employer Dollars

More Employee Dollars

HIGH PLAN

$$Employer Dollars

No Employee Dollars

LOW PLAN

Page 9: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

9Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

My Plan by MedicaShopping with My Plan

$$Employer Dollars

Page 10: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

10Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

My Plan by MedicaUnique service approach

Employees use personalized tools and resources to help them select the plan that best meets their needs for coverage and cost

Pre-Enrollment Service & Support

My Plan Total Service Team Approach

Dedicated pre-enrollment advisors available (My Plan Advisors)

Dedicated My Plan service team for members, employers and brokers

A customized website designed for employees as they complete their plan selection and enrollment process

My Plan members access information about Medica tools and resources, view plan benefits, EOBs and account specific information

1-855-3myplan myplanbymedica.com

1-855-2myplanmymedica.com

Page 11: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

11Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

Source: Data derived from AON Hewitt Corporate Health Exchange Survey, March 2012

Defined ContributionThe evolution of health benefits

Employer selects health plan and

funds 100%.

Employer provides options and employees

contribute %.

Employer offers private

exchange/defined contribution.

Employees choose form public exchange.

Percentage

0 20 40 60 80

Current Approach Future Approach (next 3-5 years)

Page 12: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

12Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

Accountable Care Organizations

Page 13: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

13Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

Accountable Care Organization (ACO)A healthcare organization that provides coordinated care to a defined population and is accountable* for:

Cost Quality Outcomes Consumer experience

What is an ACO?

*An ACO is accountable to patients it serves and the third-party payer with which it is partnered.

Page 14: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

14Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

The Evolution of My Plan: ACO Partnerships

Page 15: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

15Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

Employer & Employee Experience with My Plan

Page 16: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

16Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

My Plan by MedicaMarket reaction

Over 75 employers have implemented My Plan by Medica, representing 22,000 members

Interest exceeds expectations Early adopters:

— Varied in size and industry

— Focused on cost management and more choice for employees High levels of employer

and employee satisfaction

My Plan renewals: 100%

Page 17: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

17Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

Employers are controlling costs

— Majority are holding contributions flat

Employers are offering choice

— Majority of employers offer all 20 plans

Employers are experiencing high levels of employee appreciation and engagement

Employer Experience

Page 18: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

18Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

Communication and appropriate resources key to success

My Plan Advisors utilized by employees from every company

More than 90% enrolled via Web

Employees appreciate transparency and flexibility

Importance of choice validated through selection of all plans

Employee Experience

Page 19: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

19Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

Employers are better managing costs and providing employees with more choice

Employees are taking advantage of Choice

— All plans chosen & 80% HSAs

— 40% have chosen an ACO Care Systems are engaging

differently

A Strategy that Works

Page 20: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

20Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

Thank You

Page 21: 1 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Minnesota Health Action Group February 21, 2013.

21Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.Proprietary and confidential. Not to be copied or redistributed.

Barbara WattersVice President of Human Resources

Employer Experience

Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.