Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG...

34

Transcript of Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG...

Page 1: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo
Page 2: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

WELCOME!

BUSINESS HEALTH CARE GROUP 2013 ANNUAL MEETING

Page 3: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

WHY “RIDING THE WAVE TOGETHER – 10 YEARS?”

A strategy of multi-stakeholder collaboration

• Employers

• Consumers

• Providers

• Brokers/consultants

• Administrator

• Strategic partners

Page 4: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

AGENDA

• Celebrating 10 Years – CEOs’ Perspective

– A Look Back – Don Davis – A Look at Today –

Richard Meeusen

• The Year in Review — Outperforming the market

– Dianne Kiehl

• Keynote: Health Benefits Odyssey: The Intersection of Health care Reform and Fiscal Challenges

– James A. Klein, President, American Benefits Council

• Driving Meaningful Change Award Presentation

• Broker and Sponsoring Organizations Awards Presentation

Page 5: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

PAUL RYAN, CONGRESSMAN 1ST DISTRICT

Page 6: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

CELEBRATING 10 YEARS – CEOS’ PERSPECTIVE

• A Look Back – Don Davis, Chairman Emeritus of Rockwell Automation

• A Look at Today – Richard Meeusen, Chairman, CEO and President of Badger Meter

Page 7: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

DON DAVIS Chairman Emeritus of Rockwell Automation

Page 8: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

CELEBRATING 10 YEARS – CEOS’ PERSPECTIVE

• A Look at Today – Richard Meeusen, Chairman, CEO and President of Badger Meter

Page 9: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

MANY HANDS

LEADERSHIP & GOVERNANCE

Page 10: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

CEO EXECUTIVE COMMITTEE

• Frank Jaehnert, Brady Corporation

• Keith Nosbusch, Rockwell Automation

• Paul Purcell, Robert W. Baird & Company

• Steve Smith, Journal Communications

Page 11: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

2013 STEERING COMMITTEE MEMBERS

• Wendy Salmon, Brady Corporation

• Paul Prickett, Briggs & Stratton

• Jeff Kluever, Journal Communications

• Dennis Salentine, BMO Financial

• Todd Smasal, Northwestern Mutual

• Lisa Mrozinski, Robert W. Baird

• Susan Schmitt, Rockwell Automation

Page 12: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

2014 STEERING COMMITTEE MEMBERS

• Dennis Salentine, BMO Financial

• Wendy Salmon, Brady Corporation

• Paul Prickett, Briggs & Stratton

• Jeff Kluever, Journal Communications

• Lisa Mrozinski, Robert W. Baird

• Teri Carpenter, Rockwell Automation

Page 13: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

OUTPERFORMING THE MARKET

FINANCIAL RESULTS

Page 14: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

2012 BHCG SELF-FUNDED RESULTS

-4%

-2%

0%

2%

4%

6%

8%

BHCG SE WI Market

7%

-2.6%

Page 15: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

BHCG SELF-FUNDED 7 YEAR TREND

0%

2%

4%

6%

8%

10%

12%

BHCG SE WI Market

7-10%

1.6%

Page 16: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

BHCG SELF-FUNDED EMPLOYER RESULTS

Total savings:

$773 million

Page 17: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

MILLIMAN STUDY*

Soooooo Soooo oo 2011 Soooooooo Woooooooo Coooooooo Hooooooooo Poooooo Cooooo Goooooo Moooooooo Booooooo Fooooooooo oo Hooooo oGMBFHoo

Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo oooooooooo ooooooo ooooooooooo ooooooooo oooo ooo

oooooooooooooo ooooooo Doooooooooo oooo oooooooooo ooo oo ooo oo ooooooooooo oooo ooooooo ooooooo ooooooooooo ooo ooo oo

oooooooo ooo oooo ooooooo ooooo ooooooo

Page 18: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

2013

MAJOR INITIATIVES

Page 19: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

2013 MAJOR INITIATIVES

1. Strategic Planning

2. Informed Decision Making – Best Doctors

3. QualityPath™

4. Advance Care Planning

5. Behavioral Screening & Intervention

Page 20: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

STRATEGIC PLANNING

• Began February 2012

• Has continued throughout 2013

• Committee Participation – CEO Executive Group

– Steering Committee

– Provider Contracting Subcommittee

• Industry experts

Page 21: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

BEST DOCTORS®

• Boston-based global health company

• First self-funded groups began implementation 9/1/12

• All fully insured groups, were effective 1/1/13

Services offered: – InterConsultation Service

– Ask the Expert

– Explore My Options

– FindBestDoc Service

Page 22: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

BEST DOCTORS® RESULTS

• Utilization (based on first six months of the program) – 359 calls received:

• 33 InterConsultations

• 12 Ask The Expert calls

• 186 FindBestDoc referrals

• Clinical Impact – Diagnosis Change – 51% of the cases

– Treatment Change – 81% of the cases

Page 23: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

QUALITYPATH™

• A Collaboration with The Alliance in Madison

• Speaking with one voice

• Targeting non-emergent cardiac procedures initially

• Program tenets: – Quality thresholds will be determined

– Variation of facility and physician performance will be determined

– Formulate strategy to address

• Positive provider feedback

Page 24: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

ADVANCE CARE PLANNING

• Designed to educate providers – System improvements

– Ensure patients make well-informed decisions and communicate wishes

• More than a document – Process of understanding and discussions

• Honoring Choices Wisconsin – Seven pilot participants

– BHCG encouraging more provider participations

Page 25: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

BEHAVIORAL SCREENING & INTERVENTION

• Behavioral risks and disorders impact costs, productivity, workers’ compensation and disability

• We have: – Educated member companies

– Confirmed BSI is covered

– Work with Humana to ensure proper payment

• Work with the provider community to encourage consistent BSI as a standard of care

Page 26: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

WHAT DOES BHCG MEMBERSHIP DELIVER?

THE BHCG VALUE PROPOSITION

Page 27: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

THE BHCG VALUE PROPOSITION

• Proven track record

• Dedicated Humana customer service

• Exemplary clinical and claims administrative teams

• Comprehensive oversight of Humana

• Price and performance transparency tools

• Consumer education video modules

• Web2Print

• Share best practices

• Legal and consultative resources

• Up-to-date market and industry news

• Educational forums, Seminars and workshops

Page 28: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

JAMES A. KLEIN AMERICAN BENEFITS COUNCIL PRESIDENT SEPTEMBER 25, 2013

HEALTH BENEFITS ODYSSEY: THE INTERSECTION OF HEALTH CARE REFORM AND FISCAL CHALLENGES

Page 29: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

2013

DRIVING MEANINGFUL CHANGE AWARD

Page 30: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

JOHN TOUSSAINT, M.D.

Page 31: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

BHCG MEMBERSHIP UPDATE – STRENGTH IN NUMBERS

• 1,132 employer members as of 7/31/13

• 104,979 plan members as of 7/31/13

Page 32: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

CONSULTANT/BROKER AWARDS

Most membership lives placed with the BHCG in 2012

The Horton Group

Most cases placed with the BHCG in 2012

May’s Insurance

Page 33: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

SPONSORING ORGANIZATION AWARD

Most groups joining the BHCG in 2012 through a Sponsoring Organization

Milwaukee Metropolitan Chamber of Commerce

Page 34: Title of Meeting · Steve Smith, Journal Communications . ... Doooooooo 2012 ooo ooooooooooo BHCG ooooo oo oooooooo oo Hoooooo Boooo oo ooooooooooooooooo ooooooooooo ooooooooo oooo

THANK YOU!