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ASSOCIATION COUNTY COMMISSIONERS OF GEORGIA - GROUP SELF-INSURANCE WORKERS’ COMPENSATION FUND Columbus Consolidated Government May 14, 2013. Presenters Ben Pittarelli, ACCG John Smith, ACCG Ashley Abercrombie, Marsh.
Ben Pittarelli, ACCG
John Smith, ACCG
Ashley Abercrombie, Marsh
176 county governments and authorities participate in this fund
CCG participates in the Large Deductible Option with 12 other large Georgia counties and consolidated governments
CCG obtains benefits of being self-insured as well as having managed services by ACCGOverview
Claims administration services
Access to state-of-the-art claims system
Excess Workers’ Compensation coverage (Statutory)
Subsequent Injury Trust Fund Assessment
Workers’ Compensation Board Assessment
Banking, actuarial, financial auditing, claims auditing services
Unlimited professional loss control / safety consulting servicesWhat’s included in the GSIWCF program?
Over 2/3 of cost for CCG’s workers’ compensation is in losses within the City’s deductible.
The Estimated Ultimate Losses within the Deductible have increased by 51% and the Pure Loss Rate has increased by 31% since 2007. (BYNAC Actuarial Report - July 6, 2012.)
Rising medical costs
Cost of treatments
Medicare Set-Asides include Pharmacy as of 2006
Experience modification continues to increase, but NCCI formula change may benefit CCG in 2014Issues at Hand
√ Hire a risk manager to be CCG’s advocate
√ Review CCG’s posted panel of physicians
√ Improve communication with those physicians as well as department heads & Claims Unit; continue…
Adjust posted panel if necessary to control costs
Explore triage service through the ACCG Claims Unit
Review and improve Return-to-Work program
Analyze focus areas for loss control efforts, including policies, procedures and training and implementRecommendations on Reducing Costs
Telephonic and field nurse case management, including Utilization Review: GENEX
Medical Bill Review / PPO: MCMC
2012 savings for CCG: $1,393,296; 48% below charges submitted
Pharmacy: Express Scripts
2012 savings for CCG: $36,249; 22.25% below GA Fee Schedule
Physical Therapy: Align Network
2012 savings for CCG: $87,889; 31% below GA Fee Schedule
CCG currently utilizing most cost-effective and efficient workers’ compensation insurance funding method thru the ACCG-GSIWCF
ACCG is committed to collaborating with CCG to improve its’ total cost of risk for workers’ compensation by assessing results and bringing needed resources to CCG
Implement new “Team Focused” loss control initiatives
Columbus Consolidated Government is a valued member and we will continue to earn your business.Executive Summary