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Employee Clinic Update

Employee Clinic Update. Questions From Last Presentation. Obtain more information on Chattanooga savings claims Provide specific areas where we anticipate clinic savings Evaluate clinic without fitness center Provide information on clinic location.

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Employee Clinic Update

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  1. Employee Clinic Update

  2. Questions From Last Presentation • Obtain more information on Chattanooga savings claims • Provide specific areas where we anticipate clinic savings • Evaluate clinic without fitness center • Provide information on clinic location

  3. Chattanooga, TN ClinicFrom Governing November 2012

  4. Chattanooga Clinic Statistics(From Governing and Times Free Press) • Self insured for 2500 employees/7000 lives • 10% annual increases until 2007 • $10 million savings over last 5 years • Health care now 8.7% of General Fund budget or $17.4 million • CCG has 2700 covered employees/5300 lives with $24 million in projected claims

  5. Potential Clinic Savings • Based on 60% participation (1600 employees) • $873,768 HMO Plan Savings (1400 emp.) • $345,142 HMO Capitation Fee Reduction • $177,144 POS Plan Savings (200 emp.) • $671,603 Prescription Savings • $2,067,657 Total Estimated Savings • $926,072 Clinic Operating Expense • $1,141,585 Net Clinic Savings

  6. Additional Savings Opportunities(Not Quantified at this Time) • Employee Physicals & Drug Testing • Workers’ Compensation Medical Treatment • Contracting for Discounted Services • Prescriptions and Diagnostic Testing • Urgent Care and Specialist Treatment • Hospital In-patient and Out-patient Services • Additional employee participation (over 1600) • Underwriting projects additional $615,110 medical claim savings not used in estimates

  7. Clinic Operating Plan • Employees/Retirees must enroll to use clinic • Clinic services provided at no cost • New POS health plan designed for clinic • Copayments encourage clinic usage • Discounts provided for clinic referrals • No change for pediatrics and OB/GYN • Premium same as current HMO premium • Love it or leave it – return to prior plan at any time first year; thereafter open enrollment

  8. Fitness Center & Clinic Location • Fitness Center deferred at this time • Suitable site was not located • Lease or Purchase Decision • Cost estimates based on lease option • Site located with lease, lease-purchase and purchase options available • Optional sites for lease only available in class A and A/B medical office buildings • All sites in vicinity of Health Department

  9. Next Steps • Permission Requested to Move Forward with Contracting Clinic Operations • Will return to Council with lease/purchase recommendation • Aggressive education campaign for employees and retirees then enrollment meetings • Phased entry into clinic program to avoid service delays and patient dissatisfaction

  10. QUESTIONS?

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