Contracting Agencies: Region Assessment Board of Administration - - PowerPoint PPT Presentation

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Contracting Agencies: Region Assessment Board of Administration - - PowerPoint PPT Presentation

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Contracting Agencies: Region Assessment Board of Administration Offsite Liana Bailey-Crimmins, Chief Health Director Shari Little, Chief, HPRD Gary McCollum, Health Actuary Health Policy and Benefits Branch January 17, 2018 B OARD OF A

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Contracting Agencies: Region Assessment

Liana Bailey-Crimmins, Chief Health Director Shari Little, Chief, HPRD Gary McCollum, Health Actuary

Health Policy and Benefits Branch

January 17, 2018

Board of Administration Offsite

BOARD OF ADMINISTRATION OFFSITE JANUARY 2018

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Agenda

  • Background
  • History & Regional Objectives
  • Regional Factors & Premiums
  • Next Steps

HEALTH CARE AFFORDABILITY

Transform health care purchasing and delivery to achieve affordability

BOARD OF ADMINISTRATION OFFSITE JANUARY 2018

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Background

Stakeholder Feedback Market Change Premium Variances

BOARD OF ADMINISTRATION OFFSITE JANUARY 2018

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Rates

Regional Factor Regions

Regional Rates

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BOARD OF ADMINISTRATION OFFSITE JANUARY 2018

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Public Agency Regions

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San Francisco $1,371.84 (Bay Area) Nevada County $1,371.84 (Bay Area)

2018 Single-Party Premiums

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$677.35 $794.80 $882.35 $1,205.55 $642.40 $625.78 $686.17 $704.59 $500 $600 $700 $800 $900 $1,000 $1,100 $1,200 $1,300 2015 2016 2017 2018

Single-Party Premium Years

PA Premium State Premium

Other Northern CA Region, Basic, Single Party Premium, HMO Plan

Regional Premium Volatility Over Time (example)

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BOARD OF ADMINISTRATION OFFSITE JANUARY 2018

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Objectives For Establishing Regions

Create Stable Public Agency Risk Pools Retain and Attract Public Agencies Reflect Cost of Health Care Regionally

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History

2003

  • Losing public

agencies in Southern CA

2009

  • Created fifth

region for Sacramento

2005

  • Established

four regions

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2014

  • Added Yolo

County to Sacramento region

BOARD OF ADMINISTRATION OFFSITE JANUARY 2018

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Challenges

Inequities (Perceived or Actual) Premium Volatility Difficulties Attracting and Retaining Public Agencies

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Current Regions

PPO

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State is a Single Region

PPO

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Regional Factors – PPO and HMO

PPO

CalPERS

HMO

Health Carrier

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Establishing Regional Factors and Premiums

PPO

HMO

Health Carrier Regional Factor State Premium HMO Regional Premiums X

=

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2018 Timeline

January July September November December

Present Options Initiate Board Discussion, Stakeholder Outreach Present Stakeholder Feedback

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Market Analysis Industry Expert Board Decision for 2020 Plan Year

BOARD OF ADMINISTRATION OFFSITE JANUARY 2018

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Questions and Discussion

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