From: Newcomb, Kellee J.

Sent: Tue Aug 25 16:01:01 2015

To: Newcomb, Kellee J.

Subject: Trust Meeting

Importance: Normal

Trust Meeting

8/25/15

Attendance:

Greg Elder x

Adam Goldstein x

Susan Lindsey x

Jeff Moore ABSENT

Molly Ringo x

Kelly Shepherd x

Aayna Lee

Sean White

Randi Seaberg

Darla Vanduren

cris bosket

Victoria Reynolds Vera Whole Health

Ryan Schmidt Vera Whole Health

Call to Order

The meeting was called to order by Kelly Shepherd at 1:03 p.m.

Adoption of Agenda

A motion was made by adam and seconded by susan

Sean added Vera Whole Health to agenda with modification

Introduction of New Wellness Coordinator

formally welcome excited to have join the district and part of ongoing work we do. she gave background. thanked and looked forward to working

Vera Whole Health Presentation

provided handouts. city council meeting discussed this solution. interested in learning more. potential partnership. based in seattle emp;loyer funded on site. provided brief overview of the model. they have looked at some historical claims to model after. model around prevention rather than sick care. manage conditions. reviewed current clinets. model works well in school districts. onsite clinic. whole health counsels. trying to bring all patient concerns in at one time. comprehensive and holistic approach to care. whole health coaches shared info. coach approach. health culture building collaborative relationship. health navigators to support patient in journey of helath. aco accountable care organization employer sponsored aco. aligned goals. reviewed financial models. option b would be just district. where is city of everett? told they are vendor selected but not confirmed yet. have other clinets that could potentially be partners with. market will open up pretty quickly for them. all patients have reciprocal access to all clinics. with exception of bill and melinda gates foundation due to security reasons. sometimes off the grid. subjective feedback for culture data. working closely wwith virginia mason and mercer. timeframe does take once decision is made deciion point to implementation. contract signature then 6 months very doable. depends on space, staff, etc. 6 month is benchmark. final candidate is recommnded by them but client has final say. they dont bill at all. free to patient. pay a flat rate and they will do whatever they can for that rate. team can move and be flexible. sean explained about self insured and how it would work for fully insured. delay. still experience the claims cossts savings but it would be on a one year delay. they will recieve the claims data from uhc. they ave started to do some real close work with uhc. lots to think about. encourage them to look at makes a lot of sense for population. whatever need as a next step. if interested.

Approval of Minutes

A motion was made by adam and seconded by gregg

Trust Audit Update

darla shared gathered data for onsite audit. materials look great. has not come on site yet to look at . going along just fine. ntihing to report. completion possibly middle of sept. doing some off site things but darla will reach out to him to get him onsite and aligning calendars.

Wellness Program Update

rickie reviewed with the group. onsite screening not this fall. not a good time. she explained why. wait. they showed her the simply engaged plan. also met with larry chapman of wellness institute. not 2 at north one at eisenhower. sign up sept 16. thanked her for hitting the ground running. no help needed as yet.

Consultant Report

ssean presented annual discussion on renewals. aayna revidewed the executive summary.

12% increase. renewal increase would have been above this increase based on current claims data. message leave them with because dont have access to claims fullty insuredd was way to go. no cap for year three will be based on actual claims data. groupp discussed and reviewed.

does trust want to go with ghc ppo plan?? unsolicited options from ghc that they are sharing. access ppo network. everett clinic is part of the access option.

unum long term care plan. steep increase of 25%. what would trust like to do? only 16 employees use. targeted communications to these employees. recommend let it run its course with targeted communications to those individuals. chance policy could be terminated.

alere usage is low but it increased. 6 participants which was an increase of 2.

sean reviewed the excise tax with the group. does not make sense for any employer to pay this tax. explained exposure and understand exposure. flexible spending accounts included FSAs. age and gender characteristics law has language but dont know what that looks like. adam asked and sean answered. not included in this.

talked about fsa accounts being managed by the district not the trust. on site clinics, wellness, hi deductible health plans. limiting things.

reviewed ESSB for reference. uhc initiatives changing customer service to use data to match member to appropriate person rolling out 1.1.16. also rolling out virtual visits using iphones, computers with cameras. run through health plan as usual. communications. making updates to wellness plan. reviewed financial projections with the group. reviewed the scenarios with the group.

talked about scenario of going back to wea and what the chnages would be. talked about the current issues with uhc not as much about pharmacy but custo,er service. now complaints about more out of pocket with uhc than with wea. discussed what employees frustrations still being voiced.

question: stay with uhc or switching to wea. and then model to apply. wea will not be the same plans then when we left. would definately feel different and that woudl continuue. wea rates are even higher and increases will continue to mitigate the excise ttaxes coming in 2018. adam has not heard a compelling reason to switch potential withh state doing somthing personally doesnt see need to switch. mr agreed stability is iimportant and not a igh satisfaction industry. with exicise tax and unknowns with state nneed to channel energies with moving forward and possibility of vera and what to provide employees. not sure given enough time. stay the course at this time. susan said heard feedback from peopoel in other districts who have premera and who are not hhappy with the plan. include that in a communication plan. important to share that premmera plans are now different. need to spend next year to make uhc better or seriouusly look into other options. gregg agreed that need to listen to employees. if seriously looking at other plans does not want wea to be default plan for reasons that he listed. there could be significant changes in the next couple of years. have had seriousl discussion about both and wants to stay with uhc. kelly agreed with the commuunication. darla said did whole package before. having looked at all options withh other plans.

gghc discussed adding the ppo. what does it provide to employees. discussed it comparing to uhc option 3. right to rerate based on enrollmentpossibility that ould occurr if offered the ghc ppo. custom plans with uhc. sean does not see compelling reaoons to do something like this now. gregg keep exact same plans as have this year. ddoes not see peopole flooding to that plan if not happy to uhc. content keeping same pplans. greg moved that continue plans this year into next year molly seconded. all approved.

ddiscussed whether or not they should continue to discuss today or table until tomorroww morning. negotiations also effect this decision monetarilty. discussed schedduling something later next week. not making a decision until we have negotiationns. decision must be made on 9/16. sean said regardless of what happens inn bargaining the numbers are here. look at the reserve rather than the $ amounts. agreee to cancel meeting tomorrow. suggest that when the contract is ratified kelle will ppropose a meeting ouy bnefore the 16 unless cant find a meeting date. stayed with thee 16 sean will provide any updates.

Upcoming Agenda Items

Other

Adjournment

The meeting was adjourned by Kelly Shepherd at 4:01

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