Bdattach.

5
Board Priority Survey
Mar. 15, 2011
Joan Kapowich

Overview

This report provides an overview of a Board member survey conducted in March 2011. The survey asked Board
members to prioritize plan design changes if they needed to make up a deficit.

Survey Results

Value Based/
Priority Options Cost Saving Accumulated
Cost Shift
Strategies to Enhance Enrollment in Choice and
1 Value Based
Kaiser
Add more procedures to the Additional-cost Tier
2 Value Based
(being considered by OEBB)
3 AFSCME HRA Contract Plan Value Based
4 Out-of-pocket Max: $1,500 Cost Shift $6,200,000
5 $35/month Spouse or Domestic Partner Surcharge Cost Shift $9,000,000
6 Reduce Chronic Care Copayment* Value Based
Deductible: $250 In-network, $500 Out-of-network
7 Cost Shift $12,900,000
(4 visits not subject)
8 Out-of-pocket Max: $1,250 Cost Shift $3,400,000
9 Deductible: $250 In-network, $500 Out-of-network Cost Shift $15,000,000
10 4th Rx Tier for Specialty Drugs - $100 copay Value Based $600,000
11 Tobacco Surcharge or Benefit Change Value Based
12 $50/month Spouse or Domestic Partner Surcharge Cost Shift $12,000,000
13 HRA and Biometric Screening* Value Based
14 Out-of-pocket Max: $2,000 Cost Shift $10,800,000
15 Deductible: $100 In-network, $200 Out-of-network Cost Shift $6,300,000
Deductible: $100 In-network, $200 Out-of-network
16 Cost Shift $5,500,000
(4 visits not subject)
17 Rate Retirees Separately Going Forward Cost Shift
18 Separate Out-of-pocket Max for Rx* Cost Shift
19 Office Visit Coinsurance: 20% PCP, 35% Specialist Cost Shift $5,600,000
Rx Tiers: $10 Generic, $30 Brand, Higher of 50%
20 Cost Shift $11,500,000
or $60 Brand Non-formulary Mail Order: 2.5 x Retail
21 Discontinue Prescription Drug Exceptions Value Based $1,500,000
22 Rx Deductible: $50 Cost Shift
Deductible: $500 In-network, $1,000 Out-of-
23 Cost Shift $23,600,000
network (4 visits not subject)
24 Premium Contributions Cost Shift
Deductible: $500 In-network, $1,000 Out-of-
25 Cost Shift $27,600,000
network
26 Rate Retirees and Actives Separately Cost Shift $10,400,000

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