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FRIC meeting notes
September 6, 2013
Meeting started at 11:32 am
The committee started its AY14 year with introductions of members of the committee and guests. Members in attendance were Steve Bernholtz, Nancy Davin, Katherine Dudley, Sheldon Kurtz, Daniel Katz, Amber Seaton, Bernard Sorofman, Katherine Tachau, Anand Vijh. Sue Buckley, Richard Saunders, Rick Borchard, Gary Gussin, Terri Hein, Suzanne Hilleman, Debra Hughes, Susan Klatt, Christine Miller, and Joni Troester.
Approval of the May 2013 minutes (Davin; Tachau) was unanimous.
UIChoice ACO Discussion. A substantial discussion lead by Chris Miller, UIHC, about Accountable Care Organizations took a large part of the committee time. Ms. Miller gave an overview of ACO initiatives at UIHC and how UIHC and to a minor extent UI beneficiaries are impacted through ACO activity nationally (i.e., quality measures) and locally (i.e., Wellmark programs). The UI plan does not completely fall under the ACO activities of UIHC and Wellmark, however, the quality monitoring and measures used for the ACO at UIHC are applied to UIChoice members by Wellmark. There was a lot of discussion. Ms. Miller proposed that UI and FRIC consider developing an ACO for the benefit of UIChoice participants. The committee was interested in continuing the discussion and encouraged Ms. Miller to come back to the committee with more specific ideas about such a plan.
Discussion of 2014 insurance rates. It was recommended with a motion that rates for UIChoice and Dental II (our only plans) remain the same as last year. This was approved unanimously (Tachau/Dudley). It should be noted that this is the second year in which rates have remained the same. Costs that are increasing in some areas are being balanced by reduction in expenses in other areas. Discussion noted the positive impact of the UI Wellness program and it was decided a more formal presentation of the Wellness program and its impact will be at a future meeting. AY14 begins the second year of the new, single dental plan. Once there are two full years of data, the plan and rates will be assessed. For now the data indicated that we can wait for a second year before the assessment is done since the first year rates came out very close to the estimates.
Defense of Marriage Act (DOMA) – the federal impact of Supreme Courts ruling against DOMA is slowly emerging. As information becomes available and as rules are promulgated to address DOMA, UI will implement as appropriate and communicate accordingly to our same sex married couples.
Infertility benefits – Influenced by the Accountable Care Act, rules changes were proposed and then modified related to infertility benefits. At the moment the UI fertility treatment benefit limit is $25,000 and will be retained but only for treatment costs, the aspects of care associated with the diagnosis costs will not have a limit for UI beneficiaries. This is a small change in UI benefits.
Meeting adjourned at 12:56 pm.