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  • 00:01 - 00:05

    Welcome to our 2021 Medical Plan Recap.

  • 00:05 - 00:10

    This video will bring you through our 2021, playing your performance.

  • 00:10 - 00:15

    Then we'll look ahead to strategies that we can use to beat the healthcare industry.

  • 00:16 - 00:20

    Finally, we'll announce our 2021 engagement contest winners

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    To get started. Let's look at our 2021 plan year performance

  • 00:26 - 00:30

    each year we set rates for our medical plan premiums which serve as a

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    forecast for what we expect claims and payments to be for the calendar year.

  • 00:36 - 00:44

    Our 2021 actual planned funding level came in at $6,000,000,.

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    Our actual expenses came in slightly lower than

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    that for a 99.50 plan performance level.

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    While our forecasting was spot on,

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    our goal is to come in under our forecasting so that we can return a portion

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    of planned savings back to employees and maintain

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    planned structures and premiums for future years.

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    We want to do this without having to pass along

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    further increases to employees or for the plan in general.

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    We then go to our refunded contribution.

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    In 2021,

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    we introduced our refunded contribution which returns a portion of

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    planned savings to eligible employees based on planned performance.

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    Since our plan performance level ended at 99.50% for the plan year.

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    We will not be able to give a refund a contribution to employees this year.

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    In order for this contribution to be made in

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    2023 based on 2020 to plan your performance.

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    We need to save at least 5% of our forecasted funds for the plan year.

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    Looking ahead as we continue the 2022 plan year.

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    There are some key strategies that we need to strongly focus on to achieve our goals.

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    Our 2022 goals is to be able to achieve a refund a contribution in 2023

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    maintain plan premiums

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    and maintain planned structure.

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    This means that we can keep deductibles and out of pocket maximums.

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    The same next year

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    strategies to help us get to our goals include the right health care setting,

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    utilize Teladoc or your primary care physician instead of the

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    urgent care or emergency room for non emergent needs.

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    We also encourage you to make and take the call,

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    continue to engage with Prairie States and Scout

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    Rx for your healthcare and prescription drug needs

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    and utilize high value providers.

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    This can earn you an incentive and you can receive higher quality care.

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    Remember, make and take the call.

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    We also encourage you to utilize Scout our Brexit

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    strategies specifically when it comes to specialty medications.

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    If you have a specialty medication,

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    make sure you are utilizing the strategies through

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    Scout Rx that can help you receive your

  • 03:24 - 03:27

    medications for a far lower price and cost

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    compared to the rising prescription drug costs in America

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    for any prescription needs.

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    Make sure you are connecting with Scout Rx at the number below or

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    on the screen for any emergent needs and email them for general questions.

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    Remember to make and take the call with Scout Rx as well as Prairie States.

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    Other options for prescription medications include using the 90 day fill

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    option at the pharmacy or through Mail Service for greater savings

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    and researching which pharmacies offer the lowest price per fill.

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    The healthcare industry can be tough, but we can beat it.

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    There are many impacts that are out of our control,

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    but we can use certain strategies to help control some of the costs.

  • 04:18 - 04:21

    Let's look at Covid impacts on your care.

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    Covid may have made a lack of available care for you and your family.

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    So we encourage you to not delay preventative care and

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    to maintain a strong relationship with your primary care.

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    Physician

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    preventative care can help catch concerns early and

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    avoid costs for you and the plan.

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    Long term.

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    We also encourage you to utilize Teladoc or telemedicine when possible.

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    This allows you to avoid the busy hospital settings

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    and receive care from the comfort of your home.

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    Also be smart about covid tests that you

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    purchase that are covered through the medical plan.

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    We want to buy these in a smart way to avoid major plan impacts.

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    We also have our high value provider program.

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    High value providers may be able to see you sooner than your local hospital can,

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    especially with hospitals potentially being busier than normal

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    cash incentives are then available for you to use on whatever

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    you would like to just for using that high value provider.

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    We have high value provider location sheets available in red zone

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    and you can call Prairie States and be connected with their partner really.

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    Theus to learn about the high value provider and cash incentive program,

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    Savings for the plan in 2021 were over $185,000.

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    Savings for the plan were great this year for high value providers,

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    However, there was $185,000 in MS.

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    Savings from 55 members not seeking care at

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    a high value provider when they could have

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    This alone could have lowered our planned performance level by over 2%.

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    Then we have the rising prescription drug costs.

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    Again, talk about the specialty medication strategies.

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    Look for the lowest cost at different pharmacies in your area

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    and compare drug costs with good Rx and costs plugged

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    plus drug companies,

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    some of these are not covered under insurance,

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    but they could save you money out of pocket for

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    medications depending on the plan that you are enrolled in.