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Agenda
Meeting Location PSB building, 3rd Floor, Suite 369A
Vendor Topics of Discussion
- Review benchmark data and plan changes
- Highlight areas of needs, emphasis, improvement and/or engagement
- Overview of engagement with Clackamas County
1:30 – 1:40 General Business
- Attendance: Identification of Absent Members
- Introduction – New BRC Members, Membership Changes
- Minutes
Presentations:
1:40 – 2:20 pm Review – historic plan changes, utilization, benchmark data, and County benefits management
Presenters: Mercer
2:20 – 2:30 pm BREAK BREAK
2:30 – 2:45 pm Member Reports Share Info - All Members
2:45 – end Draft 2026 Renewal Priorities Share Info - All Members
Minutes
This document is intended to be a meeting summary.
Attendance and Minutes:
Voting Members Present: Cheryl Bell, Cynthia Kodachi, Nancy Bush, Ryan Miller (late arrival), Sandra Montoya, Rachelle Bonsi, Cynthia Boettcher, Alex Gonzalez, Calley Dean, Rob Sadowsky
Voting Members Not Present: Phillip Mason-Joyner, Paula McDonald, Greta Nickerson, Jon Santana, Ron Wierenga, John Lee, Deena Mehdikhan, Gretchen Pacheco, Bob Skinner, Fred Yungbluth
Minutes: Toni McGarvey
Facilitator: Cynthia Kodachi
Introductions:
- Cory Falls – New BRC Facilitator
Attendance:
- Attendance taken. No quorum assembled.
General Notes: Cynthia Kodachi
- Please do your best to attend all meetings. Attendance is important.
- Please turn off phones and keep laptop closed during meetings to maintain full engagement
- Please show attention to guest speakers: be present, show appreciation through active engagement
Mercer: Presentation – Utilization Review:
Presenter: Joe Bober
- Renewal changes over the years – key actions taken 2020 through current year
- Utilization 2024 over 2023
- Increase of 14.3% drive by large claims (claims over 100,000)
- Ran at 89% of expectation
- General County utilization numbers show stop loss.
- General County plans are running a little above benchmark
- Presented what other public entities are doing to reduce cost around pillars of Employee Health,
Employee Experience and Plan Management- Dependent audits conducted every 3-5 years key to plan management
- County currently working with Mercer to identify an auditor and process to meet our goal of conducting a dependent audit in 2025
- The goal of this audit is to mitigate impacts to the county's bottom line and make any necessary administrative plan corrects
- 6. Mercer seeing expansion of wellness programs in public entities
- Chronic disease management
- Lifestyle coaching
- Nutritional support and coaching
- Keeping costs down through providing wellness education and support
- Increase in provision of voluntary benefits by public entities, many of which Clackamas has already engaged
- Aflac
- EAP
- LifeBalance
Open Enrollment Wrap-Up – New Hire Data and Provider Changes
County Presenter: Billie Hurley
- Event window: 10/28/24 – 11/13/24
- ~60 changes in medical providers
- ~40 changes in dental providers
Member Reports:
- Cynthia encourages BRC members to submit questions and topics for discussion for upcoming vendor presentations to the BRC.
- BRC Meeting on April 17th will include presenters from Providence and Delta Dental. Please come prepared to engage, ask questions.
- Discussion regarding current plans and plan performance generated these questions from the group:
- Health Coaching – How do members access coaching?
- How is Health Coaching different than Care Management?
- What resources do members have when changing to Providence from a different provider or changing PCP?
- State law requires a PCP – what can members do if they don't like the PCP that has been assigned to them?
- What should members do when they are told their prescription is in short supply or can't be filled?
- Tobacco cessations – is this covered?
- Alternative Care – Does Providence cover lab work to determine therapy?
- What should a member do when they are told they have to wait 6-9 months to see their PCP?
- What is Providence doing to get more PCP's?
- Discussion of Renewal Priorities discussed and generated additional discussion topics:
- What are issues facing our group members now?
- What changes does the BRC want to see discussed during renewal cycle?
- More discussion regarding chronic disease management and support under both plans (ie pre-diabetes support)
- Prescriptions for weight loss and diabetes management
- Alternative care such as hypnotherapy, smoking cessation, life coaching
- Mitigating costs and premium increases while adding features and expanding coverage
- Reminder: Wellness Fair – April 23rd in the DSB lobby from 9:00 am – 3:00 pm
- Details being shared each week in the weekly county newsletter (PGA)
Meeting Adjourned:
Cynthia Kodachi adjourns the meeting
Next meeting: April 17th, 2025 – In-Person PSB Conference Room 369A/B