Human ResourcesAndy Brantley

College and University Professional Assn for Human Resources (CUPA-HR)

Sam ConnallyUniversity of Louisville

Lori SouthwoodNorthern Kentucky University

Kimberly WilsonUniversity of Kentucky

Opening Comments

John Hayek

You can get there from here! Andy Brantley

Current and future trends… Healthcare—current and future trends Kimberly Wilson Retirement—current and future trends Sam Connally Onboarding—current and future trends Lori Southwood Other strategies Andy and

panelists

Beyond higher education discussion Andy and panelists

Summary Andy Brantley

Closing Comments John Hayek

Discussion Outline

CUPA-HR Economic Issues Survey findings

Employer/Employee “contract” changing

Key steps in moving forward

You can get there from here!

Human Resources focus area…Healthcare

University of Kentucky Health Benefits

UK Health Plan Initiatives

Kimberly P. WilsonCHRO

September 13, 2010

An Equal Opportunity University

Discussion Topics

Pharmacy Carveout

Plan Design Change

Co-pay Counseling

Lifestyle Case Management: Health & Wellness

Healthtrac: Health Assessment Program

Disease Management

An Equal Opportunity University

Pharmacy Carveout

RFP for separate Rx vendor for FY 2003-04◦ Allowed the university to realize “full rebates” on brand

medication◦ Greater access to reporting tools and claims◦ Direct access to Pharmacy Benefit Manager (e.g. Express

Scripts) Account & Clinical Teams◦ Better AWP discounts

An Equal Opportunity University

Plan Design Change

Change from “flat co-pays” (e.g. $8 generic, $20 brand) to coinsurance model (e.g. 20% generic, 30% brand)

Employees/Retirees became engaged in the purchase of health care “Consumerism”◦ Both employees and employer benefit financially as

employees make cost effective choices

An Equal Opportunity University

Co-pay Counseling

Two pharmacists hired from UK College of Pharmacy to work full-time in the Employee Benefits Office to provide “co-pay counseling” services◦ Assist with understanding medications◦ Look for drug to drug interactions◦ Recommend to physician lower cost brand or generic

alternative medications

An Equal Opportunity University

University of Kentucky Generic Fill Rates

January 2005 54

%

53%

51%

47%

October 2004: UK implements Step Therapy Enhanced Trend Package

July 2004

October 2003July 2003: UK implements

carved-out prescription benefit and % CO-INSURANCE with Express Scripts using the National Preferred Formulary

48%

49%

January 2004

55%

July 2005: UK moves to the UK Prime formulary and lowered generic co-pay

Every 1% increase in Generic

Utilization saves the plan 1.01%*

42%

Pre-July 2003 (prescription benefit with FLAT COPAYS)

60%

July 2007:UK lowers Generic % Co-insurance

*ESI Annual Review & Strategic Planning Session

68%July 2006: UK moves

Medicare retirees to co-insurance

76%

July 2010

Lifestyle Case ManagementBeH.I.P. – Behavioral Health Improvement Programs

Based upon the idea that asymptomatic individuals are developing diseases and intervention is necessary prior to disease progression

Telephonic counseling following specific and measurable criteria for individual risk reduction◦ Weight Loss for Life - Exercise for Health◦ Reduce the Pressure - Start to Stop Smoking◦ Preventing Diabetes - Banishing the Blues◦ Achieving Balance

An Equal Opportunity University

Healthtrac Rewards Goals:

◦ Educate individuals about their health◦ Inform individuals about UK resources available to manage their

health Program (earn up to $180 per year)

$25 twice per year◦ Take a health assessment twice per fiscal year (July through

September and January through March)$5 a month◦ Check your personal health page and earn at least 500

Wellness Credits per month using the Healthy Activity Tracker$10 per quarter◦ Complete the assigned Health Center Quiz each quarter

$30 once per year◦ Enroll in BeH.I.P. telephonic coaching program or an online

Healthy Living program

An Equal Opportunity University

Disease Management

Programs (offered through Humana)◦ Coronary Artery Disease◦ Health Failure◦ Chronic Kidney Disease◦ End-Stage Renal Disease◦ Rare Diseases

Diabetes Education (PharmacistCare)

An Equal Opportunity University

Human Resources focus area…Retirement

On-boarding

• Electronic transactions• Applicant tracking

• Staff—Current• Faculty—Future

• Online enrollments• Online interactive orientation

Retention

• Manager training• Employee satisfaction surveys• Professional development fund• Online exit interviews

Staffing

• Light duty• Internal temporary staffing

Reduce absenteeism/presenteeism

• RTW/light duty programs• Fitness for Duty• On-site third party health clinic

Human Resources focus area…Employment/Recruitment/Onboarding

Human Resources focus area…Other strategies

What suggestions do you have for helping us manage the higher education workforce during challenging economic times?

Beyond Higher Education

Summary

Closing Comments

John Hayek