Board of Directors Meeting June 15, 2016 MNsure’s Accessibility & Equal Opportunity (AEO) office can provide this information in accessible formats for individuals with disabilities. Additionally, the AEO office can provide information on disability rights and protections to access MNsure programs. The AEO office can be reached via 1-855-3MNSURE (1-855-366-7873) or [email protected].
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Board of Directors Meeting - MNsureJun 15, 2016 · Board of Directors Meeting June 15, 2016. MNsure’s Accessibility & Equal Opportunity (AEO) office can provide this information
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Board of Directors MeetingJune 15, 2016
MNsure’s Accessibility & Equal Opportunity (AEO) office can provide this information in accessible formats for individuals with disabilities. Additionally, the AEO office can provide information on disability rights and protections to access MNsure programs. The AEO office can be reached via 1-855-3MNSURE (1-855-366-7873) or [email protected].
Compliance Program Mission
MNsure views compliance as a responsibility of all employees throughout the organization and will implement the appropriate systems and structures to provide all employees and business units support, advice and guidance to assure ethical and regulatory requirements are identified and met.
MNsure shall operate as an ethical, compliant and transparent organization by fostering a culture of honesty and accountability, while adhering to the regulatory requirements governing our organization. Additionally, MNsure views compliance as the responsibility of all employees in order to help us achieve our mission to ensure all Minnesotans have the security of health insurance.
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Compliance Department Mission
The MNsure Compliance Department shall be a strategic and collaborative business partner to the Board of Directors, employees and business units by providing advice, support, and guidance on ethical and regulatory requirements as these groups make decisions and implement operations at MNsure.
The MNsure Compliance Department will foster trust, honesty, ethics and integrity with all MNsure employees and third parties by providing guidance and counsel on compliance risks and their potential impact to MNsure, advice and support on implementing compliance best practices into operations, and the ability to report any potential compliance concerns confidentially and without fear of retaliation.
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Compliance Team
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Dave RowleyGeneral Counsel/Chief
Compliance Officer
John Nyanjom Compliance and Program
Integrity Manager
Katie DeGrio ChanningCompliance Coordinator
Enrollment Dashboard – 1 of 2
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Cumulative Enrollment,Nov. 1, 2015 – June 12, 2016
Total Enrollments 376,749Medical Assistance 213,641MinnesotaCare 67,471Qualified Health Plans 95,637
Note: Data is based off of effectuated enrollment for May 2016.Data reflects all QHP enrollment except SHOP enrollment.
Prepared for June 15, 2016 Board Meeting
Individual Market: Metal LevelsNovember 1, 2015 – June 12, 2016
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16.5%
35.0%
47.2%
1.3%0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
Gold Silver Bronze Catastrophic
2016 QHP Metal Level Selection
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Note: Data reflects all QHP enrollment except SHOP enrollment.
QHP Enrollment by Rating RegionNovember 1, 2015 – June 12, 2016
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RatingArea
Percent of State’sPopulation in Region
Percent of QHPEnrollees in Region
1 8.1% 8.0%
2 5.9% 6.3%
3 4.7% 4.8%
4 2.2% 2.7%
5 3.8% 4.0%
6 4.2% 4.5%
7 7.9% 8.8%
8 61.6% 59.7%
9 1.6% 1.3%
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Effectuated Enrollments and Average Premiums, 2016
60,697
64,964
71,695 71,762 70,803$391.16$388.13
$380.92 $381.76 $381.79
$340.00
$350.00
$360.00
$370.00
$380.00
$390.00
$400.00
40,000
45,000
50,000
55,000
60,000
65,000
70,000
75,000
January February March April May
Monthly Effectuated Enrollments and Average PremiumsJanuary – May 2016
Effectuated Enrollments Average Premium
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Note: Premium data represents the full cost of a plan, prior to any application of Advanced Premium Tax Credits.Note: Effectuated enrollments and average premium amounts are based upon the latest data received from carriers.
MNsure Premium Withhold Revenue
$6.325$4.691
$6.642
$11.347
Enrollment Year 2015 Enrollment Year 2016
Forecast and YTD Actual
Current Forecast
YTD Actual (through May 2016)
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Revenue numbers in millions
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Note: EY16 forecast is based on preliminary budget passed at March 9, 2016 MNsure Board meeting.Numbers are subject to change.
Customer Service Dashboard
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Contact Center,May 23 – June 12, 2016
Call Volume 18,121Average Speed of Answer 0:02:54 Service Level (% of calls answered in 2 min. or less)
76.22%
Calls Abandoned while in Queue 5.07%Average Talk Time 0:07:52
All CallersTop Contact Center Inquiries,
May 23 – June 12, 2016
1. Password reset/Account unlock 13.83%
2. MA/MCRE 10.17%
3. Existing/Pending Inquiry 7.64%
Assister Resource Center (ARC)Top Inquiries,
May 23 – June 12, 2016
1. Existing/pending inquiry 47.65%
2. Password reset/account unlock 18.68%
3. Determination Result 4.71%
Contact Center – Call Volume/ASA
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Note: Call volumes represent weekly totals for week beginning with date.Average speed of answer represents weekly average for week beginning with date.
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MNsure Contact Center Call Volume/Average Speed of Answer Nov. 1, 2015 – June 12, 2016
Calls Received (MNsure)Average Speed of Answer (hh:mm:ss)
Enrollment Data: Carrier integration and federal reporting: 1095-A; 1095 IRS & CMS reports; 834 EDI file testing and production; enrollment data reconciliation with carriers