Transcript Document

Delivering Value Through Our Private Exchange
Minnesota Health Action Group
February 21, 2013
Proprietary
andand
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Medica®.
Proprietary
confidential.
to be
copied
or redistributed
without
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consent
from
Medica®.
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Agenda
 My Plan by MedicaSM
 Accountable Care Organizations
 Employer & Employee
Experience with My Plan
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My Plan by MedicaSM
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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
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What is Defined Contribution?
$$
Predictable
Employer Dollars
EXPANDED PLAN OPTIONS
Defined Contribution
Health Benefits
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My Plan by Medica
Shopping with My Plan
$$
My Plan Account
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My Plan by Medica
Premium
Product portfolio
20 PLAN POOL
Lean
Benefit Designs
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Rich
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My Plan by Medica
Shopping with My Plan
My Plan Decision Support Tool
No Employee
Dollars
$$
Employer Dollars
LOW PLAN
More Employee
Dollars
Some Employee
Dollars
$$
Employer Dollars
$$
Employer Dollars
PLAN
PlanMEDIUM
Options
HIGH PLAN
Plan Recommendations
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My Plan by Medica
Shopping with My Plan
$$
Employer Dollars
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My Plan by Medica
Unique 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
1-855-2myplan
mymedica.com
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Defined Contribution
The evolution of health benefits
Current Approach
Future Approach (next 3-5 years)
Employer selects
health plan and funds
100%.
Employer offers private
exchange/defined
contribution.
Employer provides
options and employees
contribute %.
Employees choose
form public exchange.
0
20
40
60
80
Percentage
Source: Data derived from AON Hewitt Corporate Health Exchange Survey, March 2012
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Accountable Care
Organizations
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What is an ACO?
Accountable Care Organization (ACO)
A healthcare organization that
provides coordinated care to a
defined population and is
accountable* for:
 Cost
 Quality
 Outcomes
 Consumer experience
*An ACO is accountable to patients it serves and the third-party payer with which it is partnered.
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The Evolution of My Plan: ACO Partnerships
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Employer & Employee
Experience with My Plan
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My Plan by Medica
Market reaction
 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%
Over 75 employers have implemented My Plan by Medica,
representing 22,000 members
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Employer Experience
 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
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Employee Experience
 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
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A Strategy that Works
 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
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Thank You
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Employer Experience
Barbara Watters
Vice President of Human Resources
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andand
confidential.
NotNot
to be
copied
orNot
redistributed
without
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consent
from
Medica®.
Proprietary
confidential.
to be
copied
or redistributed
without
written
consent
from
Medica®.
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