Page 21 - Touchstone Communities
P. 21
Strategic processes and tools
05 — Infolock is Lockton’s proprietary data warehouse and analytics 06 — GPS is a proprietary actuarial tool that utilizes client-speciic
tool. data, IDEAL Proile, organizational objectives, etc., to develop a
dynamic multiyear strategy with cost impact, employee friction, and
administrative effort.
Action through
insight YOUR DATA GPS
BIG DATA
Projected cost of plan: After 3-year strategy
The big picture. $40M $37M
$35M
$35M $32M
Collect data from $30M $30M $32M
multiple, disparate CONSULTATIVE $30M $25M$25M $26M $28M $29M
$25M
PARTNERSHIP
sources. $25M $21M$21M $25M $27M $28M
$21M
$20M
Transform and enrich $15M
data to make it $10M
meaningful. INSIGHTS $5M
K
Skilled experts to 2014 2015 2016 2017 2018 2019
develop targeted Projected cost with trend
solutions. Purchasing efficiency, eligibility management, cost sharing
Key medical High-cost Utilization Gaps in Risk Add wellness
conditions claims patterns care stratification
1 1
Executive Dashboard Sample Three-Year Strategic Plan
2020 (current) 2021 2022 2023
Medical self-insured Assessand recalibrate stop- loss Implement co-pay / MandateCOE facilities and
Purchasing Rx self-insured risk transfer strategy coinsurance differentials providers for designated
services
for using COE facilities
Efficiency Stop loss reinsurance Reassessself-insured TPA/PBM and designated high
terms and provider network(s)
quality providers
Broad national PPO Implement telemedicine service Adopt local narrow Consider ACO
Healthcare network Validate effectiveness of Rx network options where plans/networks by market
where proven cost effective
available
Delivery Mandatory Rx mail-order mandatory mail-order and
adjust as needed
for maintenance
medications
EE annual discounts: Continue biometric testing Continue biometric Continue biometric testing
testing
Health and $40 per month for Add spouses to biometric testing Implement outcomes- Continueoutcomes-based
completing health
contribution differentials
Risk
differentials based on
biometric screening
Improvement evaluation and based contribution based on health risk factors
73% employee health risk factors
participation
1.38 covered dependents Amnesty dependent audit Engage third party for
Eligibility per covered employee Assessand recalibrate employee dependent eligibility
audit
Management 300 estimated covered contributions for adding spouses
as needed to mitigate risk
spouses
4-tier contributions exposure
HDHP / HSA option Eliminated HSA seed and require Reduce dental plan Only offer one medical plan
78% coverage value employee contributions to subsidy to 50% option that is HSA qualified
PPP option receive any XYZ Company match Reinvest savings into Make dental plan 100%
Participant 80% coverage value Start process of implementing a medical plan employee paid
Experience Sample company total defined contribution strategy;
medical plan premium
subsidy at 70%; total cost cost neutral to XYZ Company
regardless of plan elected by
subsidy at 57% employee
1 37
Touchstone Communities — Lockton Total Rewards Practice overview 21 Lockton Companies
05 — Infolock is Lockton’s proprietary data warehouse and analytics 06 — GPS is a proprietary actuarial tool that utilizes client-speciic
tool. data, IDEAL Proile, organizational objectives, etc., to develop a
dynamic multiyear strategy with cost impact, employee friction, and
administrative effort.
Action through
insight YOUR DATA GPS
BIG DATA
Projected cost of plan: After 3-year strategy
The big picture. $40M $37M
$35M
$35M $32M
Collect data from $30M $30M $32M
multiple, disparate CONSULTATIVE $30M $25M$25M $26M $28M $29M
$25M
PARTNERSHIP
sources. $25M $21M$21M $25M $27M $28M
$21M
$20M
Transform and enrich $15M
data to make it $10M
meaningful. INSIGHTS $5M
K
Skilled experts to 2014 2015 2016 2017 2018 2019
develop targeted Projected cost with trend
solutions. Purchasing efficiency, eligibility management, cost sharing
Key medical High-cost Utilization Gaps in Risk Add wellness
conditions claims patterns care stratification
1 1
Executive Dashboard Sample Three-Year Strategic Plan
2020 (current) 2021 2022 2023
Medical self-insured Assessand recalibrate stop- loss Implement co-pay / MandateCOE facilities and
Purchasing Rx self-insured risk transfer strategy coinsurance differentials providers for designated
services
for using COE facilities
Efficiency Stop loss reinsurance Reassessself-insured TPA/PBM and designated high
terms and provider network(s)
quality providers
Broad national PPO Implement telemedicine service Adopt local narrow Consider ACO
Healthcare network Validate effectiveness of Rx network options where plans/networks by market
where proven cost effective
available
Delivery Mandatory Rx mail-order mandatory mail-order and
adjust as needed
for maintenance
medications
EE annual discounts: Continue biometric testing Continue biometric Continue biometric testing
testing
Health and $40 per month for Add spouses to biometric testing Implement outcomes- Continueoutcomes-based
completing health
contribution differentials
Risk
differentials based on
biometric screening
Improvement evaluation and based contribution based on health risk factors
73% employee health risk factors
participation
1.38 covered dependents Amnesty dependent audit Engage third party for
Eligibility per covered employee Assessand recalibrate employee dependent eligibility
audit
Management 300 estimated covered contributions for adding spouses
as needed to mitigate risk
spouses
4-tier contributions exposure
HDHP / HSA option Eliminated HSA seed and require Reduce dental plan Only offer one medical plan
78% coverage value employee contributions to subsidy to 50% option that is HSA qualified
PPP option receive any XYZ Company match Reinvest savings into Make dental plan 100%
Participant 80% coverage value Start process of implementing a medical plan employee paid
Experience Sample company total defined contribution strategy;
medical plan premium
subsidy at 70%; total cost cost neutral to XYZ Company
regardless of plan elected by
subsidy at 57% employee
1 37
Touchstone Communities — Lockton Total Rewards Practice overview 21 Lockton Companies