BOARD ARD REP REPOR ORT Larry Pribyl Alliance Board Vice-Chair - - PowerPoint PPT Presentation

TH THE E ALL ALLIAN IANCE ANNUAL CE ANNUAL MEET MEETING ING

BOARD ARD REP REPOR ORT

Larry Pribyl Alliance Board Vice-Chair CFO, Trachte Building Systems, Inc.

APP APPROV ROVAL AL OF MIN OF MINUTES UTES

Approval of 2017 Minutes

WEL WELCOM COME NEW E NEW MEM MEMBERS BERS

> Alsum Farms & Produce, Inc. > Alum-Line, Inc. > Bangor School District > CESA 4 > DAAR Engineering, Inc. > Herzing University, Ltd. > Hollmen School District > J.F. Brennan Company, Inc. > J.H. Findorff & Son, Inc. > Jack Wolf Auto Group > Kalahari Development, LLC > Kaney Aerospace, Inc. > Kar Kraft, Inc. > Kickapoo School District > Laboratory Corporation of American Holdings > Lou Bachrodt Chevrolet Company > Melrose-Mindoro School District > Moring Disposal, Inc. > Northern Metal and Roofing Co., Inc. > Plank Enterprises, Inc. > RiverSide Electronics LTD > Rockford ToolCraft, Inc. > Rottinghaus Company, Inc. > SASid, Inc. > School District of Alma > Skyward Inc. > Warranty Processing > West Point Dairy Products LLC > Whitehall School District

BRA BRAND ND NEW MEMBE NEW MEMBERS RS

EFF EFFECT ECTIV IVE JU E JUNE NE 20 2018 18 OR OR LATE LATER

> Alpha Controls & Services, LLC > Diocese of La Crosse > Kunes Country Superstore of Stoughton > Stepping Stones of Rockford, Inc. > Western Technical College

EL ELEC ECTED B TED BOAR OARD MEM D MEMBER BERS

> Ann Annette Mi ette Mikul kula a

Human Resources Director, Rock County

> Br Brad ad Ol Olm m

Vice President of Human Resources, Gordon Flesch Company

> Sh Shir irley ley Reif Reif

Secretary-Treasurer, Crest Foods Company Inc.

> We Wend ndy y Cu Culv lver er

Chief Human Resources Officer, Mead & Hunt

> Mi Mick ck Gr Gron

• new

ewold

• ld

Owner, Fehr Graham – Engineering & Environmental

BOA BOARD OF DIR RD OF DIRECT ECTORS ORS

Mick ck Gronewo ewold ld

Fehr Graham

Di Diana Clark

Promega

We Wendy y Culver er

Mead & Hunt

Lisa sa Henke ke

Walworth County

Annett ette e Miku kula la

Rock County

Br Brad O d Olm lm

Gordon Flesch Company

Kyl yle e Re Reading ing

Spuncast

Shirley rley Re Reif if

Crest Foods Company

Larry y Pribyl yl

Trachte Building Systems

TREASURER’S REPORT

PA PAUL UL ME MEYER YER

Al Allianc liance e Boa

• ard

rd Tr Trea easu surer rer Ch Chief ief Op Oper erating ating Of Office ficer

SA SAVIN VINGS GS

$ $- $ $100,0 100,000,000 0,000 $ $200,000,0 ,000,000 $ $300,0 300,000,000 0,000 $ $400,0 400,000,000 0,000 $ $500,0 500,000,0 00,000 00 $ $600,0 600,000,0 00,000 00 $ $700, 700,000 000,000 ,000 $ $800,0 800,000,00 00,000 FY FY09 09 FY FY10 10 FY FY11 11 FY FY12 12 FY FY13 13 FY FY14 14 FY FY15 15 FY FY16 16 FY FY17 17 FY FY18 18

Billed Repriced Savings

REVE REVENU NUE & E & EXP EXPENS ENSES ES

$ $- $ $1,000 1,000,0 ,000 00 $ $2,0 ,000,000 0,000 $ $3,000 3,000,0 ,000 00 $ $4,000 4,000,0 ,000 00 $ $5,0 5,000,00 00,000 $ $6,0 6,000,00 00,000 $ $7,00 7,000,00 0,000 $ $8,000 8,000,000 ,000 FY FY09 09 FY FY10 10 FY FY11 11 FY FY12 12 FY FY13 13 FY FY14 14 FY FY15 15 FY FY16 16 FY FY17 17 FY FY18 18

Revenue Expenses Net Proceeds

FIN FINANC ANCIAL POS IAL POSITI ITION ON

$ $- $ $1,000 1,000,0 ,000 00 $ $2,0 ,000,000 0,000 $ $3,000 3,000,0 ,000 00 $ $4,000 4,000,0 ,000 00 $ $5,0 5,000,00 00,000 $ $6,0 6,000,00 00,000 $ $7,00 7,000,00 0,000 FY FY09 09 FY FY10 10 FY FY11 11 FY FY12 12 FY FY13 13 FY FY14 14 FY FY15 15 FY FY16 16 FY FY17 17 FY FY18 18

Total Total As Assets sets Total Total L Liab iabiliti ilities es Total Total Equ Equity

VAL VALUE UE OF MEMB OF MEMBERS ERSHI HIP

$39.73

in savings for every $1 spent accessing The Alliance

$ $- $ $5.0 5.00 $ $10.00 10.00 $ $15. 15.00 00 $ $20.0 .00 $ $25.00 .00 $ $30.00 30.00 $ $35. 35.00 00 $ $40.00 40.00 $ $45. 45.00 00 FY FY09 09 FY FY10 10 FY FY 11 11 FY FY 12 12 FY FY 13 13 FY FY 14 14 FY FY 15 15 FY FY16 16 FY FY17 17 FY FY18 18

$27.24 24 $31.77 7 $33.86 $34.01 01 $35.57 7 $35. 5.14 14 $43.33 33 $42.98 98 $42.29 .29 $39.73 3

0% 0% 5% 5% 10% 10% 15% 15% 20% 20% 25% 25% 30% 0% 35% 5%

Retainage Retainage-Longevity

RETA RETAIN INAG AGE RATE E RATE 2.6%

Retainage as of June 2018

HEA HEALTH LTH CARE C CARE COS OST

Per er Emp mployee loyee Per er Yea ear % Change hange

$ $- $ $2,0 ,000 $ $4,000 4,000 $6,000 $6,000 $ $8,000 8,000 $10,000 $10,000 $ $12,0 12,000 00 $ $14,00 14,000 FY FY09 09 FY FY10 10 FY FY11 11 FY FY12 12 FY FY13 13 FY FY14 14 FY FY15 15 FY FY16 16 FY FY17 17 FY FY18 18 $8,942 $9,415 $9,740 $10,043 $10,805 $10,812 $11,442 $12,130 $12,487 $13,071

5% 5% 5.3% 3.5% 3.1% 7.6% 0.1% 5. 5.8% 8% 6% 6% 2.9% 4.7% 4.7%

CEO’s REPORT

CH CHERY ERYL DEM L DEMAR ARS

Pre resi siden dent t & C & CEO O

Our Our Vis Visio ion: n:

> The Alliance is working toward a future where:

• High quality, affordable health care

is

• reliably delivered to all patients.

Our Our Vis Visio ion: n:

> The Alliance is working toward a future where:

• People have confidence that their

health plans enable them to take care of themselves and their families.

Our Our Vis Visio ion: n:

> The Alliance is working toward a future where:

• Alliance members thrive by joining

together to control the trend of health care costs.

Now, the How… a a wo work rk i in n pro progre gress ss

> Invest in high value primary care > Expand our network and transition to new payment models > Provide information and guidance

• to move market share to high value
• to predict and manage potential future high

health care costs

> Speak with one voice

Sen Senat ate H e HELP ELP Com Commi mitt ttee ee

HEA HEALTH PO LTH POLIC LICY Y REP REPORT ORT

Ka Kare ren Tim n Timbe berl rlak ake

Pri rincipa ncipal, l, Mi Mich chael ael Bes est t St Stra rategies tegies

Hea Healt lth Pol h Polic icy C y Com

• mmi

mitte ttee

> Pamela K. Appino Aqua-Aerobic Systems, Inc. > Vikki Brueggeman Zimbrick > Wendy Culver Mead & Hunt > Paula Hooker City of Beloit > Jerry Ward Seats, Inc. > Wendy Whitehead Kwik Trip

Hea Healt lth Po h Poli licy cy Ad Advi viso sors rs

> Karen Timberlake Principal > Nathan Houdek Principal > Stephanie Vojas Principal *Illinois > Beth Cubriel Principal * Washington D.C. > Kevin Swanson Senior Associate *Washington D.C.

> Designed to support The Alliance’s Health Policy Platform > Guide Health Policy Committee, Alliance staff, and consultants

• What’s important to Alliance members?
• What does The Alliance stand for?
• What should The Alliance do?

> Ideas, Review, HPC, Board and Membership Approval

Hea Healt lth Po h Poli licy cy Res Resol

• luti

utions

• ns

Co Cost st an and d Qua Quality lity Tr Tran anspa sparency rency – Th The e Pre rere requisi quisite te to to Mea Meaningful ningful Ch Chan ange ge in in He Heal alth th Ca Care re

> Resolution 1.02: Promote Fair Market Prices for Prescription Drugs to Ensure Appropriate Care and Predictable Health Care Expenses

• Use the clout and purchasing power of the government to

negotiate lower prices with manufacturers.

• Require greater transparency regarding how drug prices are

set.

• Incorporate value-based principles into drug formularies.
• Limit direct marketing of prescription drugs to consumers.
• Limit the total annual out-of-pocket costs paid by Medicare

enrollees.

Co Cost st an and d Qua Quality lity Tr Tran anspa sparency rency – Th The e Pre rere requisi quisite te to to Mea Meaningful ningful Ch Chan ange ge in in He Heal alth th Ca Care re

> Resolution 1.02: Promote Fair Market Prices for Prescription Drugs to Ensure Appropriate Care and Predictable Health Care Expenses

• Evaluate opportunities along the pharmacy supply chain to increase

value.

• Share information with consumers regarding pharmaceutical

effectiveness and value.

• The Federal Trade Commission (FTC) should use the drug pricing

formulas to “identify and act upon any anti-competitive practices.”

• Federal and state governments should work to control rising drug

prices while at the same time ensuring that any cost savings realized as a result of these actions are not shifted to employers and other private sector health care purchasers.

Al Aligning igning In Ince centives ntives fo for Pr r Provi

• viders

ders – Red Redes esig igning ning Pay aymen ment t Me Mech chan anisms isms to to Pro romot mote B e Bett etter er Va Valu lue > Resolution 2.01: Promote Health Care Value through Robust, Transparent Data

• The Alliance resolves to work with all of our government

partners so that timely, actionable information on health care quality and cost is collected and shared for the benefit and use

• f all health care system participants.
• Federal and state governments should move forward to make

robust health care data available so that purchasers, providers, payers and consumers can work together to promote higher value care.

Al Aligning igning In Ince centives ntives fo for Pr r Provi

• viders

ders – Red Redes esig igning ning Pay aymen ment t Me Mech chan anisms isms to to Pro romot mote B e Bett etter er Va Valu lue > Resolution 2.02: Promote Policies that Reduce Opioid Misuse and Addiction

• Adopt policies to control opioid misuse, including requiring

compliance with the latest federal and state opioid prescribing guidelines and requiring compliance with prescription drug monitoring programs.

• Support mechanisms to hold prescribers and pharmacies

accountable if they fail to comply with these guidelines and programs.

• Adopt policies that facilitate information sharing among

prescribers and pharmacies so that opioid prescribing patterns, and any inappropriate drug seeking by consumers, can be more easily monitored.

Sup Suppor porting ting Consumer Consumers

> Resolution 3.01: Promote Telemedicine

• Consistent state rules and broad definitions of these services

and technologies are important to their ability to offer these services as a benefit to their employees.

• The Alliance urges state regulators, medical boards, legislatures

and others to adopt telemedicine and telehealth polices that will enhance the availability and effectiveness of these services and control their cost.

Sup Suppor porting ting Consumer Consumers

> Resolution 3.02: Promote Behavioral Screening and Intervention

• The Alliance supports public policies at the federal and state

level that promote widespread adoption of brief screening and intervention through making data on screening, brief intervention and referral to treatment (SBIRT) services publicly available, including SBIRT in publicly sponsored health benefit design and providing adequate reimbursement for SBIRT services.

Sup Suppor porting ting Consumer Consumers

> Resolution 3.03: Promote Evidence- Based Pain Management Strategies

• Include coverage for evidence-based alternative pain

management therapies in state and federal health benefit programs

• Support for these approaches should include coverage in

benefit plan designs, reimbursement and transparent reporting of relevant quality and cost metrics.

Th The Hea e Healt lth h Ca Care re Ma Mark rketplac etplace e – Pr Pres eser erve ve What Works, Fix What Doesn’t and Remain Op Open en to to Ch Chan ange ge

> Resolution 4.01: Ensure that Health Care Acquisitions and Service Expansions Promote Value

• Evaluate health care provider acquisitions and expansions

based on a full consideration of current and anticipated population trends, availability of comparable health care services within a reasonable distance and the best interests of all aspects of the health care delivery system.

• Government entities that regulate or purchase health care

services should seek the perspectives of employers and

• ther purchasers regarding the impact of new construction,

facility expansions and provider system mergers.

Th The Hea e Healt lth h Ca Care re Ma Mark rketplac etplace e – Pr Pres eser erve ve What Works, Fix What Doesn’t and Remain Op Open en to to Ch Chan ange ge > Resolution 4.02: Reform Worker’s Compensation

• The Alliance resolves to work with Wisconsin policymakers and

the Wisconsin Worker’s Compensation Advisory Council to ensure that common sense reforms are considered and enacted.

• As an advocate for employers and an organization that

understands "market prices" for health care services, The Alliance can play an important role in helping policy makers understand what may constitute an acceptable solution for employers.

Wha What t El Else? se?

> See a health policy topic that needs a resolution?

• Tell us on your evaluation survey for

today’s meeting

> Interested in joining the Health Policy Committee?

• Contact Cheryl