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PAGE 73
Unipres U.S.A. Employee Benefits Brokerage and Consulting Services RFP
Strategy
2016
2017
2018
PLAN DESIGN AND
BENEFITS
•
Medical RFP
•
Refine Medical Plan to 1 PPO
and 2 High Deductible
Healthcare plan options
•
Maintain current contribution
strategy or as close as possible
•
Value Based Benefit Provisions
•
Evaluate Efficient Pharmacy
Provisions
•
40% Engagement in Consumer
Driven Plan
•
Evaluate High Performance
Network
•
Step Therapy for pharmacy -
•
Evaluate expanded EAP
•
Evaluate consumer driven plans
as sole plan options
•
Evaluate High Performance
Network with benefit differential
ENGAGEMENT
Incorporate Wellbeing in the
Open Enrollment
Communications
•
Consider the following activities
for 2015
o
HRA
o
Biometrics
o
Smoking cessation/smoke
free
•
2014 requirements plus:
•
Spouse HRA
•
Evaluate Preventive
Exam/Medical home
•
Define patient centered medical
home
•
Employee Healthy Outcomes
•
Spouse preventive Exam
•
Employee and Spouse Completes
Preventive Exam in addition to
2015 requirements
INCENTIVES
•
Premium Differential – in the
2015
•
Premium Differential
•
Evaluate Benefit Differential
•
Premium or Benefit Differential
POPULATION
HEALTH STATUS
•
Implement Comprehensive Total
Population Health Program
•
Measure effectiveness and
evaluate resources
•
Additional improvement
VALUE BASED
BENEFITS
•
Preventive pharmacy benefit on
all plans
•
Evaluate based on analytics
•
Evaluated based on analytics
•
High Performance Networks
WELLNESS
•
Develop Scorecard and strategic
plan
•
Consider food and vending
policies
•
Part time wellness coordinator
•
Focus senior leadership and
Organizational commitment
•
Design Wellness Logo
•
Tobacco Policy
•
Build on progress in 2014
•
Calendar of events
•
Health Coaching
•
Incentive Tracking
•
Pending analytics
COMMUNICATION
AND BENEFITS
ENROLLMENT
Participation requirements
•
HRA / HSA education
•
2015 coming requirements
•
Annual Enrollment
•
Eligibility requirement of 30
hours
•
Technology Solution for Enroll
•
Price transparency tools –
mobile devices
•
Price Comparison
communication pieces
•
Exchange education
•
Healthy outcomes
•
Communicate outcomes and
progress Improve and continue
HEALTHCARE
REFORM
•
Healthcare Reform
•
Exchange Education
•
Affordability test
•
“Play or Pay” financial analysis
•
Minimize “Shared
Responsibility” exposure Copays
apply to OOPM when valuing
plan
•
Affordability test includes
wellness incentive