City of San  Angelo                                              ©2012 ACAP Health Consulting                             ...
COSA’s - The 2012 Plan YearThe Charge:• Lower Overall Costs• Maintain Benefits• No Increase to the Employee/Employer Fundi...
COSA’s - The 2012 Plan YearThe Challenge:• Health Risks of Employees Declining• Procurement Process Showed Marginal Saving...
ACAP Health Engaged• Former Insurance Executive with contracting knowledge• Data warehouse to assess physician/hospital  p...
ACAP Health Engaged• Selection of Community resulted in a projected  35% facility cost savings from current• ACAP’s paid o...
ACAP’s Next Steps• Must address underlying health risks of COSA’s  population• Analyze claims and biometric data to identi...
ACAP’s Next Steps• Create an Accountability Model for the physicians   – Improve the Employees’ Health thru Wellness   – C...
Request• Health Plan is realizing savings today• Year to date, we estimate the plan has saved over  $250,000• The health f...
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City Council May 15, 2012 ACAP

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  • Dan gives high level overview on MV
  • City Council May 15, 2012 ACAP

    1. 1. City of San Angelo ©2012 ACAP Health Consulting Confidential-Not for Distribution ©2012 - Confidential-Not for Distribution
    2. 2. COSA’s - The 2012 Plan YearThe Charge:• Lower Overall Costs• Maintain Benefits• No Increase to the Employee/Employer Funding ©2012 ACAP Health Consulting ©2012 - Confidential-Not for Distribution Confidential-Not for Distribution
    3. 3. COSA’s - The 2012 Plan YearThe Challenge:• Health Risks of Employees Declining• Procurement Process Showed Marginal Savings – Insurance Carriers’ Network Discounts Similar at 58% – Administrative Costs Not Enough to Offset Projected Claim Cost Increase – No Administrator Able to Deliver Lower Costs ©2012 ACAP Health Consulting ©2012 - Confidential-Not for Distribution Confidential-Not for Distribution
    4. 4. ACAP Health Engaged• Former Insurance Executive with contracting knowledge• Data warehouse to assess physician/hospital performance• Based on the knowledge of the providers’ current costs: – First Step: Contacted hospitals’ CEOs on COSA’s objectives – Second Step: Requested fixed cost financial arrangement – Third Step: Analyzed the hospitals’ contracts – Finally: Resolved financial outliers to identify best financials ©2012 ACAP Health Consulting ©2012 - Confidential-Not for Distribution Confidential-Not for Distribution
    5. 5. ACAP Health Engaged• Selection of Community resulted in a projected 35% facility cost savings from current• ACAP’s paid on a results-based model - % of actual savings ©2012 ACAP Health Consulting ©2012 - Confidential-Not for Distribution Confidential-Not for Distribution
    6. 6. ACAP’s Next Steps• Must address underlying health risks of COSA’s population• Analyze claims and biometric data to identify the right interventions to avoid catastrophic claimants• Work with Community to build a more connected Care Pathway for the individual ©2012 ACAP Health Consulting ©2012 - Confidential-Not for Distribution Confidential-Not for Distribution
    7. 7. ACAP’s Next Steps• Create an Accountability Model for the physicians – Improve the Employees’ Health thru Wellness – Close Clinical Gaps in Care for the Employees – Better Connection with Specialists and the Hospital• Additional savings available through an accountable physician ©2012 ACAP Health Consulting ©2012 - Confidential-Not for Distribution Confidential-Not for Distribution
    8. 8. Request• Health Plan is realizing savings today• Year to date, we estimate the plan has saved over $250,000• The health fund reserves are healthy• Seeking approval to contract with ACAP for services rendered on a shared savings basis• Need assistance from ACAP to address additional shared savings opportunities ©2012 ACAP Health Consulting ©2012 - Confidential-Not for Distribution Confidential-Not for Distribution
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