Building a stronger Broward County Government workforce, one smile at a April 2019 Proprietary
Taking the journey with you Going Improving local health Meeting members where Helping members they are, when and how achieve better health they need us at a lower cost Leading the Making it change simple Offering innovative Making a complicated technology and system easier member-centered benefits to navigate 2 Proprietary
Aetna’s financial offer • Competitive rate proposal of 3% below current • 3- Year Rate Guarantee • $10,000 Pre-Implementation credit • Dedicated Account Team • 1% of premium at risk for performance guarantees • Extended Grace Period of 45 days for billing • Matching current age limitations for dependents • Matched your current frequency limitations • Increased eligible age for orthodontics • Additional cleaning for Diabetics, Heart Disease & Pregnancy • Robust mobile tools for members Proprietary
Summary of Benefits 4 Proprietary
Why Aetna Dental?
Dental care where your employees work and live Top Providers Geo Results 7 of the top 10 General Dentists 98% 25 of the top 30 Endo/Oral Surg/Ortho/Perio – 99% 37 of the top 50 Does the vendor allow dentists to choose which plans they will accept? • Is the vendor a true capitation based dental HMO network, or a copay plan? • Does the vendor provide a national DMO network • 1 Internal network data. Proprietary
13.4 Million Members Creates Better Management 7 Proprietary
We leverage collaborations to serve our members 1 3 2 Teaming with Columbia Rush To Brush Opioid Alternative and Harvard Universities Pneumonia is the #1 acquired First and only dental infection in America First to study the link between insurance company to study medical and dental and offer Help patients combat hospital-acquired pneumonia Initial and ongoing dental- Dentists prescribe 12% of all (HAP) medical integration to study immediate release opioid how dental care improves We will send ~36K care prescriptions overall health packages to members with upcoming surgeries The majority of dental Results include links between prescriptions are to children diabetes, heart disease, low ages 10-19 birth weight babies to proper oral hygiene Exparel is a non-addictive, one-time injection at the surgical site that relieves pain for the first few days Proprietary
How we’re different? Other What Aetna Standalone integrated carriers offers dental carriers • Fully-automated • No direct connection • Not automated, identification to medical claims potential manual error and outreach • Client may incur an • Employees may have • Multi-channel additional fee to to self-report communications implement • Limited communications including mail, email • Manual process prone channels for member and phone to error outreach The Results? 10% 42% 5% 45% increased decrease lower improved use of preventive use of basic and major medical costs 1 diabetes control 1 dental care 1 services 1 Ongoing, statistically-valid analysis of Aetna DMI customers. Aetna Informatics. Proprietary
16 years average tenure gives you Better Service 10 10 Proprietary
Oral Surgery Center of Excellence • Recognized as an industry Best Practice Service Model • Increased constituent satisfaction levels • A hands-on experience: oral surgery calls from Aetna members and provider are “warm” transferred for detailed coverage information • Quickly reviews all oral surgery claims for Aetna medical and dental products • Review Plan sponsor benefits to ensure oral surgery coverage is accurate • Coordination of critical functions associated with oral surgery process 11 Proprietary
Your team gets results Rosanne Robertelli Account Executive Wanda Crawford Members could save an average of 72 • Account Manager percent on an eye exam and a pair of 97% eyeglasses compared to someone without vision benefits. 5 overall Minerva Henry satisfaction 1 Sales Support Consultant • Barry Noorigian 91% Dental Retention Manager responds quickly 1 Alex Harkins, CEBS Director of Sales 95% customer retention 2 Renthia Jackson Vice President of Sales, 12 Proprietary
We do the lifting to ensure a smooth transition Post Discover Define Implement Plan setup Validate implementation Collect information Determine roles Set expectations Finalize plan design Plan testing Evaluate and responsibility implementation Form implementation Develop project plan Account structure Load eligibility / team Identify technical and eligibility enroll members Project debrief Conduct status calls resources Systems setup Mail ID cards Transition to account team Member services training Open enrollment communication Go live 1/1/2020 Pre-Effective Date Average Implementation $10,000 Implementation / service center available is 34 days Communication Budget for members included 1 APT Medical Member National Accounts Report Card 1Q – 4Q results. Results are based on a telephone survey of Aetna Medical Members – National Accounts conducted from February to November by DSS Research, a third-party market research vendor. Proprietary
Better Engagement Proprietary
Digital tools to make more informed decisions Our digital tools help members reduce out-of-pocket costs, better manage their family’s oral health and more easily connect with network providers Search for cost-effective network dentists and decide based on dentist profiles and ratings, and patient reviews Schedule appointments online Receive email reminders to schedule dental visits and take care of oral health Compare out-of-pocket costs for any service, like a filling or X-ray. Cost is 56% calculated using provider’s fee and applying member’s cost share, deductible and annual maximum of members who are accessing the tool are searching Aetna Navigator for providers 1 1 Source: 2018 internal data Proprietary
Find the best provider for their needs Search by condition, location, provider name, etc. See how many colleagues visit this provider Get estimated procedure costs View dentist rating which takes into account professional history, affordability, patient experience, etc. Proprietary
Committee Questions 1. Address the items listed on the Plan Design Questionnaire, specifically the number of items listed vary throughout the proposals that there were exceptions and how they would impact county employees • Our goal was to match or exceed the current policy, we did not list exceptions in the plan design questionnaire section of the RFP 2. Address your Plan Design with specifics as to any age limitations and limitations of services based on frequency limits • Our goal was to match or exceed the current policy, we matched all services with the exception of: • Space Maintainers – we extended age limit to no age limit • Added ADA 5865 – complete mandibular overdenture • Added ADA 5866 – complete mandibular overdenture • Added ADA 9212 – trigeminal division block anesthesia 3. Address the Top Utilized Provider Disruption Questionnaire and the impacts on county employees as well. • Our national DMO network provides national exposure while providing a significant match of current DMO providers 17 Proprietary
Aetna’s financial offer • Competitive rate proposal of 3% below current • 3- Year Rate Guarantee • $10,000 Pre-Implementation credit • Dedicated Account Team • 1% of premium at risk for performance guarantees • Extended Grace Period of 45 days for billing • Matching current age limitations for dependents • Matched your current frequency limitations • Increased eligible age for orthodontics • Additional cleaning for Diabetics, Heart Disease & Pregnancy • Robust mobile tools for members Proprietary
19 Proprietary
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