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International Association of Sheet Metal Air, Rail and Transportation Workers. HEALTH FUND REGIONALIZATION The Need to Press Forward NCCMP September 2013. Overview of Objectives/Concerns. We have been focusing on the spiraling cost of Health care Find ways to help control costs

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International Association of Sheet Metal Air, Rail and Transportation Workers

HEALTH FUND REGIONALIZATION

The Need to Press Forward

NCCMP September 2013


Overview of

Objectives/Concerns

  • We have been focusing on the spiraling cost of Health care

    • Find ways to help control costs

    • Reviewed other successful models of merged plans

  • Prepare for the implementation Affordable Care Act

    • Meeting with Health Fund professionals

    • Members of Congress

  • At every level we needed to be proactive

  • Consolidate into Regional Health Plans


We Must Remain

Competitive

  • Developed a presentation for Sheet Metal Councils across the country

    • The rising cost of health benefits over the last decade

    • The average yearly cost per family

    • Projected trends make current practices unsustainable

    • Rising cost of health care impacts contract negotiations

    • No longer afford these trends and be competitive

  • We need control to maintain and expand our market

  • Construction hours/contributions continue to be down


Advantages of

Flagship Funds

  • Increase purchasing power and negotiate more favorable terms

    • Improved our prescription drug contract with additional savings

    • Consolidate and reduce cost by eliminating redundant services (e.g., number of fund professionals)

  • Ability to research and implement various cost-cutting measures, then verify the efficiency

    • 17% of participants consume 85% of the expenditures

    • Ensure chronic patients have appropriate doctors


Advantages (Cont’d)

  • Large funds can spread out risk for large catastrophic claims

    • ACA remove plan limits

  • Better able to compete in the marketplace established by the Affordable Care Act

  • We will use a best practices approach and draw on our collective knowledge

  • Have labor/management secure job opportunities

  • Trends continue to be high without relief


What Has Happened

  • 8 Health Care Region’s, Merger Exploration Committee

  • Sample documents and merger agreements have been drafted

  • Monetary contribution for feasibility studies and due-diligence has been established

  • Meetings with large national insurers on regional or national model

  • Developed a road map for locals and regions

  • Expanded our Medigap plan and offer a new alternative Medicare Advantage Prescription Drug “MAPD”

  • Assisting Local’s with EGWP – Employer Group Waiver Plan

  • Next HRA’s


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