NBCH All-Member Meeting June 28, 2016 Chicago, Illinois
WELCOME & OPENING REMARKS
Agenda 8:30 Welcome and Opening Remarks Karen van Caulil Mike Thompson 9:00 NBCH Initiatives and Priorities Mike Thompson • Highlights of Member Survey • Innovator Hall and Showcase • Well-being Institute • Reengineering eValue8 10:15 Break 10:30 Member Round Robin (3 minute highlights!) Coalition Leaders/Staff • Best practices managing data • New efforts to manage utilization and cost • Strategies to increase member engagement • Employer communication/marketing strategies 12:00 Lunch 1:00 Future Potential Member Coalition Collaborations Open Discussion • Improve value to Middle Market • Serving national employers across markets • Leveraging coalition initiatives (e.g. PVN) • Engagement with national organizations • Affinity groups 2:30 Summary and Close Mike Thompson
NBCH Mission & Objectives Improve Health, Well-being and Value in our Companies and our Communities • Develop and support core national infrastructure, communications and programs for regional coalitions across the country • Promote and facilitate collaboration, networking and sharing among member coalitions • Execute strategies that allows our “regional infrastructure” to be more relevant to “national stakeholders” – help us to be more than the sum of the parts • Serve as national face of coalitions publicly and help to lead and coordinate our collective interface with national stakeholders • Engage with others to help to define “next generation” strategies for our coalitions, companies and communities
NBCH Strategic Priorities • Rebuild and extend relationships • Navigate the current financial situation and develop sustainable business model • Consistently deliver value to diverse coalition members and stakeholders • Build flexible infrastructure to support mission • Develop and promote distinctive national brand
NBCH INITIATIVES & PRIORITIES Highlights of Member Survey - Innovator Hall & Showcase - Well-being Institute - Re-engineering eValue8 -
NBCH MEMBER SURVEY HIGHLIGHTS
NBCH Member Outreach Highlights • We have a diversity of strong talent across the country • Environment and approach varies General Support significantly by geography • Business models vary based on history for NBCH and nature of market • Coalition leaders are generally optimistic Coalitions are about the future Seeking more • Some concerns about direction over past value-add few years • Concerns about recent impact on beyond networking stakeholder relationships and engagement • General support for NBCH but want to see more “value - add” to coalitions beyond networking
NBCH Membership Highlights • Small businesses arise primarily out Our Estimated Aggregate Impact of FLHCC retail association and NEBGH small business PIX Size of Estimated Employer Estimated Number of (Number of Number of Individuals • Middle market is where many of our Employees) Employers Covered coalitions succeed with Value Based <500 11,080 3,450,000 Purchasing models 500-1000 480 860,000 • Large businesses come in many 1000-5000 360 2,950,000 forms: • Federal (OPM – 8 Million) 5000-10,000 190 3,040,000 • States (e.g. TN, CALPERS) 10,000+ 260 31,190,000 • Cities (e.g. NYC) TOTAL 12,370 41,480,000 • Public Programs (SC Medicaid, Covered CA) • 90% Private Employers (e.g. Walmart, Boeing, FedEx) • Taft Hartleys
NBCH Coalition Revenue Breakdown “Typical” Breakdown of Revenue Membership Dues 39% Affiliate Dues 7% 11% 7% Conferences/Education 9% 7% Coalition Provided Services 39% 8% Network Access Fees 5% 4% Pharmacy Revenue 3% 3% 4% Other Service Access Fees 5% Rx Grants 7% 8% 11% 9% Non- Rx Grants 7% Other 7%
Coalition Business Models Vary Significantly 40% Sources of Revenue – Largest vs Smallest Coalitions 35% 30% 25% 20% 15% 10% 5% 0% Largest Coalitions Smallest Coalitions
Member Survey Highlights (cont.) • Our coalition leaders have diverse backgrounds • Multiple roles in health systems • Medical societies and industry associations • Population health management, managed care, Our coalition • Public health, public policy • Benefits, consulting, sales & marketing leaders have • The military diverse backgrounds • Almost half of our coalition leaders have worked at their coalition for 5 years or less while about a third have worked at the coalition for over 15 years. • The coalitions were almost universally started by groups of employers who were motivated to stem the tide of health care costs and improve quality and health
Member Survey Highlights (cont.) • The major turning points for our coalitions have been when they have been able to demonstrate: • Influence on their local marketplace, • Value through joint purchasing, • Improved focus on quality, safety and transparency, Major Turning • Leadership on local health initiatives, and Points for • Successful multi-stakeholder engagement. Coalitions were • Geographic expansion and ACA have also been unifying Demonstrated forces Results • The biggest challenges faced by our coalitions have been: • Funding resources and sustainability, • Market leverage, and • Engaging their members to influence change and innovation.
Member Survey Highlights (cont.) • Most coalitions defined their service area “regionally” while others defined their service area as “national”. • Almost three out of four coalitions described a service area that covered over one million people. • About half felt their service area overlapped with other coalitions. • Coalition legal structures vary 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 501(c)(3) 501(c)(6) For profit (please specify)
Member Survey Highlights (cont.) • One third of our coalitions have only one FT person and two thirds have three or fewer FT people on staff. Collectively we • Collectively, across the coalitions, we represent about 170 full-time staff and represent about another 40 part-time staff. 170 full time staff & 40 part time staff • Contractors are also often used on an across the country! ad hoc basis or to support: • special events, • communications, • grant projects or • administrative or technical support.
Member Survey Highlights (cont.) • Educational webinars • Benchmarking surveys • User groups Coalitions offered • Web-sites that their resources • Data management • could be leveraged Administrative offerings • Toolkits by NBCH or other • Publications coalitions in the • Vendor contracts following areas: • Claims repricing • Health services research • All-payer data • Insights on working with journalists and legislatures
Members Survey Highlights (cont.) Types of Services Offered Educational programs 97.6% Community health related collaboratives 85.4% Annual conference 78.0% Peer roundtable 65.9% At least two out of three coalitions Employer based patient education 65.9% Public reporting on health care services 56.1% offer: Hospital level quality programs 51.2% • Educational programs Consulting for members 48.8% • Structured learning collaboratives 46.3% Annual conference Wellness, prevention or chronic disease • Peer round tables 43.9% management • Employer-based patient Pharmacy network 39.0% Data warehousing 36.6% education Policy advocacy/Lobbying 34.1% • Representation in community Physician level quality programs 26.8% Carrier contracting or negotiations 22.0% health collaboratives Provider network (independent from carrier) 19.5% Vision or Dental programs 17.1% Provider round table advisory group 14.6% Health system access (independent from carrier) 14.6% Behavioral health network or EAP 14.6% Employer sponsored health clinics 9.8% Stop loss coverage 7.3% TPA services 4.9% Utilization review or case management 2.4%
Member Survey Highlights (cont.) Areas of support that coalitions would value from NBCH and other coalitions included support related to. • "what programs work” • "knit together for large companies" • • local data collaborative "grants that many coalitions can • annual conference support participate in" • • direct purchasing coordination of activities for broader • centers of excellence influence • • education resources education and networking • • marketing and funding joint peer round tables • • eValue8 and related spinoffs access to webinars • • benchmarking surveys access to key coalition leaders and • speaker bureaus and related directors • evaluations national position statements • • new ideas, concepts, best practices "genuine respect and collaboration • access to vendor contracts across all markets" • • notice of grant opportunities ad hoc assistance
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