Employers Take the Wheel in the Healthcare
Employers Take the Wheel in the Healthcare Marketplace Lisa Evans
Director, Living Well Human Resources Southwire Company
Rosa Novo
Deputy Risk and Benefits Officer Miami-Dade County Public Schools
Doug Riley
Benefits Director JC Penney
Mary Bradley
Director of Healthcare Planning Pitney Bowes 1
About Southwire • Number of covered lives in US • 5700 Employees/8700 Dependents • 700 Retirees/500 Dependents
• 32 manufacturing plants 10 customer support centers 50% located in Carrollton GA • 41 years – employee average age • One location collectively bargained • $4.6 Billion Revenue in 2016
How We Took the Wheel Prescription Benefit Management • • • •
Supply Chain Management Specialty Medication Coupon use in 13 medications PBM opportunity
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Miami-Dade County Public Schools About Miami-Dade Schools • • • • • • • • • •
4th Largest District in the Nation Self-insured 32,000 Employees/ 8,600 dependents 8,000 Retirees/ 6,173 dependents 479 Sites Average Age of covered lives: 47- 52 Collectively Bargained- Five unions Total Healthcare Expense- $326M Dependent Subsidy- $88M 85% Female & 47% Chronic Condition
How We Took the Wheel • Engage more employees & dependents • Identify disparities by gender, age, race and job • Transition the wellness initiatives to a more Personal approach • Target specific locations and population based on their specific areas of need • Incorporate other areas of wellbeing, including mental health
3
About JCPenney
How We Took the Wheel
• Number of covered lives in U.S.:
• Shift from education focus to action to impact quality of healthcare in DFW market • Develop direct relationships and better leverage employer influence in the marketplace • Reduce waste and variation from the process of care • Use data to measure results and continuous improvement
• Employees + dependents = 34k • Retirees + dependents = 0
• Largest populations: TX, CA, NY • Average age of covered lives: 34.7 • 100% non-union
4
About Pitney Bowes
How We Took the Wheel
• Number of covered lives in US
• Strengthen signal through alliance • Focus on Pay for Value • Champion measures that matter • Direct interaction with providers
• 16,500 active members • 1,700 retired members
• WHQ in Stamford, CT but geographically dispersed • Average Age is 45 • Growing e-Commerce business
5
Director, Living Well Human Resources Southwire Company
Rosa Novo
Deputy Risk and Benefits Officer Miami-Dade County Public Schools
Doug Riley
Benefits Director JC Penney
Mary Bradley
Director of Healthcare Planning Pitney Bowes 1
About Southwire • Number of covered lives in US • 5700 Employees/8700 Dependents • 700 Retirees/500 Dependents
• 32 manufacturing plants 10 customer support centers 50% located in Carrollton GA • 41 years – employee average age • One location collectively bargained • $4.6 Billion Revenue in 2016
How We Took the Wheel Prescription Benefit Management • • • •
Supply Chain Management Specialty Medication Coupon use in 13 medications PBM opportunity
2
Miami-Dade County Public Schools About Miami-Dade Schools • • • • • • • • • •
4th Largest District in the Nation Self-insured 32,000 Employees/ 8,600 dependents 8,000 Retirees/ 6,173 dependents 479 Sites Average Age of covered lives: 47- 52 Collectively Bargained- Five unions Total Healthcare Expense- $326M Dependent Subsidy- $88M 85% Female & 47% Chronic Condition
How We Took the Wheel • Engage more employees & dependents • Identify disparities by gender, age, race and job • Transition the wellness initiatives to a more Personal approach • Target specific locations and population based on their specific areas of need • Incorporate other areas of wellbeing, including mental health
3
About JCPenney
How We Took the Wheel
• Number of covered lives in U.S.:
• Shift from education focus to action to impact quality of healthcare in DFW market • Develop direct relationships and better leverage employer influence in the marketplace • Reduce waste and variation from the process of care • Use data to measure results and continuous improvement
• Employees + dependents = 34k • Retirees + dependents = 0
• Largest populations: TX, CA, NY • Average age of covered lives: 34.7 • 100% non-union
4
About Pitney Bowes
How We Took the Wheel
• Number of covered lives in US
• Strengthen signal through alliance • Focus on Pay for Value • Champion measures that matter • Direct interaction with providers
• 16,500 active members • 1,700 retired members
• WHQ in Stamford, CT but geographically dispersed • Average Age is 45 • Growing e-Commerce business
5
