Scheduled for Discussion at Council on September 29, 2004
The Committee on Personnel Benefits of the University of Pennsylvania met five times over the academic year. The issues discussed were as follows:
1. Caremark's "Care Patterns," a disease management program, was thoroughly discussed and recommended. It will be available starting July 1, 2004 to those with the following chronic conditions: asthma (adult or pediatric), chronic obstructive pulmonary disease, diabetes, heart failure and ulcer. Participants will be identified based on pharmacy utilization and will receive specific and confidential mailings on their conditions. The hope is that with personalized counseling, the program will improve the health of our employees and their families and possibly reduce our health care costs in the future.
2. After some discussion of Retiree Health Benefits, it became obvious that the subject needs more extensive deliberation with appropriate representation from all the involved parties. The new Medicare law (Medicare Prescription Drug, Improvement & Modernization Act signed December 8, 2003) will also have to be considered in the analysis of possible changes. We agreed to the formation of a task force to study this issue. The first meeting of the task force is scheduled for April 29, 2004.
3. The committee discussed the switch from Magellan to Penn Behavioral Health for PENNCare and the Point of Service Plan. This change should vastly improve the service to the employees because of the integration with the Employee Assistance Program (EAP) and seems to be a real enhancement of the behavioral health services. The committee asked for certain revisions in the communications piece on the subject to clarify the intent of the groups involved.
4 .The plan design modifications for FY 2005 include the following:
a) For the Penn Faculty Practice Plan (PFPP) (Dental): implement a $3,000 annual maximum and introduce a lifetime maximum of 2 for implants; and
b) For the prescription drug program: increase the out-of-pocket benefit maximum from $750/$2,000 (single/family) to $1,000/$3,000 (single/family).
5. Our benefits consultant, Hewitt Associates, gave their annual benchmarking report comparing the University to local, national, and peer group employers. In general we are in line with local and national employer data, but above our peer group of Universities in the institutional subsidy of medical plans and total costs.
Initiatives for Fiscal Year 2005:
1.Track the Caremark Disease Management Program.
2.Examine Long Term Care Insurance (LTC) Program.
3.Continue to monitor benefits and other standing charges of the committee.
2003-2004 Committee Members
Chair: David B. Freiman (radiol/med); Faculty: Kathleen Boesze-Battaglia (biochem/dent), Charles E. Dwyer (educ), David B. Freiman (radiol/med), Andrew Metrick (fin), Gerald J. Porter (math), Margaret Stineman (rehab med), Ingrid Waldron (biology); Graduate student: Ian Simmonds (Wharton); PPSA: Anna Loh (Wharton HR), Anne Mickle (Stouffer College House Dean), Julie Vick (Career Svcs); WPSA: Candice Milbourne (Affirmative Action), Mike Wisniewski (Libraries); Ex officio: Elenita Bader (dir, benefits), John Heuer (vp, human resources), Walter Wales (interim associate provost).
Almanac, Vol. 51, No. 5, September 28, 2004
September 28, 2004
Volume 51 Number 5