As healthcare costs continue to soar, and access to quality healthcare becomes more rare, many employers and multiemployer plans are bringing healthcare directly to the worksite. Especially for sponsors with self-funded health plans, offering primary care onsite is a strategy to improve employee health and reduce health costs. But there are a handful of key strategic decisions every plan sponsor must make before launching an onsite clinic. This session will help sponsors navigate the major considerations associated with bringing healthcare onsite.

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Webcast held in partnership with the New England Employee Benefits Council (NEEBC)
Employers are increasingly turning to value-based reimbursement arrangements. In fact, according to an August 2017 NBGH survey 21% of companies are planning to contract with accountable care organizations (ACOs) this year and the NBGH predicts the number of employers offering ACOs could double by 2020. The federal government (Medicare) and many states (Medicaid) have also been transforming to value-based reimbursement models.
The purpose of the webinar is to help benefits professionals understand what value-based reimbursement is, how it is transforming health care delivery, and how the transformation could help reduce costs and improve quality. This knowledge will help them better understand the potential implications for their organizations and employees, what to look for and expect from their payers/carriers and providers, and potential strategic opportunities.

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A Special Edition Webcast brought you LIVE from Washington D.C.—Please join us for EBRI's 83rd Policy Forum. This Policy Forum will examine the latest EBRI research on Retirement, Health and Financial Wellbeing.?

Sessions Include:

• The Intersection of Wellness and Financial Wellness
• Exploring the ‘Gig Economy’ and the Future of Benefits
• Student Loans: Is it Time for Employers to Step In?
• Fireside Chat: Word from the Legislative Front

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Webcast held in partnership with the New England Employee Benefits Council (NEEBC)
With retirement plan fees serving as the centerpiece of fiduciary breach lawsuits, understanding the dynamics of retirement plan fees is critical for plan sponsors. This webinar will explore what fees should be reviewed and how frequently; what benchmarks should be used when comparing fees; and the options for allocating recordkeeping fees to participants.

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Join this webcast to review workplace efforts for preventing prescription drug (Rx) misuse from both the supply and demand sides.

There is a strong tendency to overemphasize (and spend money on) the supply side through analytics of utilization, PBMs, policies, drug testing, PDMPs, etc. In contrast, raising employee awareness is often treated as a given or incidental part of a strategy. In fact, there are systematic and evidence-based tools that can not only increase employee awareness but also influence wellness, and the culture of health at the same time. Instead of thinking of a drug-free workplace or employee assistance program as a “check the box” strategy, it’s time to think more mindfully of ways to re-imagine these tools and change the culture of addiction that impacts employee well-being. This highly interactive webinar will provide participants with experiential tools and tips to help spark a broader and more mindful approach to prevention.

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With an ever-changing medical marijuana legislative landscape across the United States, and a growing evidence-base on the effectiveness of marijuana in certain disease-state areas, plan sponsors across the country need to consider how they will address coverage issues.

This webinar will outline the following key considerations for the audience of professionals responsible for managing health benefit plans:

• Fact vs. Fiction: where evidence currently exists for the effective use of medical marijuana and where it does not
• Legislative consideration and key differences that exist across the United States and why in the near-term coverage will need to be considered regionally
• How plans sponsors are balancing access to marijuana with workplace safety concerns
• Workplace accommodation considerations
• Impact of recreational markets on medical marijuana demand.

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Live Stream held in partnership with the Employee Benefits Research Institute (EBRI)

A Special Edition Webcast brought you LIVE from Washington D.C. This Policy Forum will examine the latest EBRI research on Retirement and Financial Wellbeing.

 Sessions Include:

• Do Older Americans Have More Income Than We Think?
• Worker Reactions to State-Sponsored Auto-IRA Plans
• Financial Shocks Put Retirement Security at Risk
• Can/Should We Build Emergency Savings Through Employer-Sponsored Accounts?
• Introducing the Inside Employees’ Minds™ Survey - Financial Wellness Edition
• Financial Wellbeing and Employer Benefits: Findings from CFPB’s Financial Wellbeing Survey
• Defining and Measuring Financial Wellness

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Join us to hear exclusive findings from the International Foundation's first-ever new surveys on paid leave and flexible work arrangements. Learn how organizations in the U.S. are designing policies to meet the work/life needs of their workers. Topics covered include:

• Paid leave for:
  • Vacation
  • Holidays
  • Sabbaticals
  • Bereavement
  • Sick time
  • Parental/family care
• Paid-time-off (PTO) banks
• Paid leave arrangements for midcareer hires
• Flexible work arrangements:
  • Compressed workweeks
  • Flexible work hours
  • Job sharing
  • Part-time hours
  • Seasonal work
  • Summer hours
  • Telecommuting/working remotely

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Planning the distribution stream during our retirement years requires comprehensive analysis. First, we need to get to a balanced position that we know how much we should limit our distributions so we will not run out of money. Second, we need to get a solid grasp on our expenses, both initial and anticipated spikes. We then need to determine all sources of income and see where our withdrawal rate needs to be from our investments in order to balance the budget.

This all assumes that we are adequately funded. In order to measure our individual funded status, we should determine today’s value of future expenses vs. the sum of today’s value of future income streams (such as Social Security and pensions) and our current assets. This equation gives us the ability to adjust our expenses to make sure we are in balance.

We then need to position our assets so they are liquid enough to meet our immediate and short term needs.

Lastly, we need to consider which asset class from which we will take the distributions and determine if rebalancing of the portfolio is required.

This presentation will provide a guidepath to determining each of these stages.

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Webcast held in partnership with the New England Employee Benefits Council (NEEBC)
Millions of employees are at or near retirement age. By age 65 most have qualified for both Medicare and Social Security. How much do you know about these bedrock programs? This webcast explores their intricacies including:

• Medicare's 4 main parts
• Limits on incentivizing employees to take Medicare
• Why it rarely makes sense for aged active employees to elect Medicare...but how they can safely enroll later (Pssst: Why your Medicare Part D filings matter)
• Special traps for the unwary involving health savings accounts
• Issues to consider before starting Social Security retirement benefits

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It’s been nearly a year since the City of Dayton opened an offsite employee health care clinic. The road from conceptualization to fruition was long and arduous. The City of Dayton is located in the rustbelt and operates in a heavily unionized environment where they had a lot to overcome before opening the clinic doors. Come hear a case study of the lessons learned and valuable considerations for other employers researching their options.

Takeaways:

• Human Resources cannot make a clinic by themselves, how do you encourage the necessary employee cooperation?
• The essentials of planning and preparation to avoid inevitable hurdles and avoiding negative impact
• How to integrate with other wellness initiatives.

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Currently, specialty medications represent 35 to 40 percent or more of pharmacy-related costs for employers, despite treating just one to two percent of eligible participants. Within the next couple of years, specialty drugs will comprise 50 percent of total drug spend, with only two-to-three percent of the population driving this trend.

The industry has traditionally focused on a volume strategy- the larger the PBM or the more members a plan has - the greater their leverage is to negotiate lower drug prices. But now, with specialty drugs poised to upend drug spending, more plan sponsors are looking toward value-based solutions - clinical programs and high-touch care models, for example - to help control spending and improve quality of care. Additionally, most pharmacy trend numbers are missing prescription drugs dispensed through the medical benefit.

As specialty drug spend continues to rise, one-size-fits-all pharmacy benefits management won't help plan sponsors control trend or better understand how to provide enhanced care at lower costs. Experts in the area of Specialty Pharmacy and Clinical Programs will discuss three key things plan sponsors can do to effectively manage this growing area of pharmacy spend.

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Webcast held in partnership with the New England Employee Benefits Council (NEEBC)

The battle for employee engagement in health has been long fought and yet not won. Employees are engaging through digital and other means on nearly all other aspects of their lifestyle in unprecedented ways, but health remains a largely untouched bastion. And yet we know engagement in health makes a material difference as upwards of 50-70% of the health care cost dollar can be attributed to lifestyle factors. This talk will highlight lessons learned from out of industry and from select health innovators on how to create a magnetic offering that engages employees in a way that improves their experience and enhances affordability.

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Catastrophic medical claimants, in the wake of several years without any annual or lifetime dollar limits under the ACA, are becoming larger and increasingly more common. Claimants in excess of $5 million are no longer uncommon. Over one in five respondents to the annual Survey report a million dollar or more claimant in the last two years. Medical stop loss remains the primary vehicle to protect plan sponsors against this unpredictable financial risk, which can impact not just the plan, but the entire financing and financial position of the plan sponsor. The presentation will highlight these claim dynamics, share the Survey findings on stop loss expense and provisions, and discuss key renewal and coverage strategies. Its timing is well situated as many are reviewing or obtaining their January 1 renewals.

Three Takeaways:

1. Awareness of the severity and key drivers behind catastrophic medical claimants in the current health care environment.
2. Understanding of current stop loss premium expense, per Survey, and prevalence of coverage components, claims frequency, and other risk management strategies. 
3. Discussion of recommended strategies on your own stop loss renewal or initial review of coverage, in light of the current claims environment and stop loss market.

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Join us at this webcast to learn more about:

• Combining participant behavior into financial education
• How does behavior dictate communication plans?
• How are decision making and behavior affected in a digital environment?

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