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i think there's a lot of interest in today's fed today's meeting
we are going to you get started with me
health benefits are aimed at helping fix
the pension and health benefits committee
and the first quarter
of business this role call
free-market could meaning george dear here
michael bilbrey
power transfer chile chapman
claim acquire johnson
rap and
j_j_ johnson
anti-japanese
trish win for bill rockier
okay we have a quorum orkut actually move the executive report and
too little bit later in the age and uh...
and so we're gonna move right onto the consent items the agenda item number
three is secured i'm sorry we have
yesterday retreats consent agenda for action items
motion is in order to prove all of the action items
sons
most thing made by debris and second and back here
any special election
cement on favor please say aye
tonight and for a second santa jennifer information items and gerry's and no
motion necessary are there any evidence that a book
committee member which is to take up the consent
seeing that we will move on to edge and i am
five phasing in the impact of the change discount rate
alpinestars
annual meeting activesync appreciate and respect for and the consent items there
was that one i am on uh...
recruitment and retention and uh...
public agencies
and and if you want to make a brief statement about what our plans are
yes uh... over the years i think there's been uh... as you know we are all
continually concerned about population in the risk profile of our population at
large
and staff will begin a process that that valuating uh... if the reader year or so
look back at uh... the public agencies who have joined uh... our pool and
report back to you and i do not have a time for you for that report we'll be
able to provide that to apologize to report back to you on the risk profile
uh...
uh... public agencies that have joined over the past three to five years so
that you could have a sense for how that uh... may be impacting our overall pool
okay thank you
now this two million
thank you liane and good morning
uh... last month uh... we brought to you an agenda item regarding various uh...
economic assumptions
and uh... i recommended some changes to those economic assumptions and those
were adopted
by the board
also at that time the board directed me to
bring back an agenda them looking at phasing in the impact of the simpson
change
so not facing in the assumption change itself but just facing in the impact
on public etc one
on employers employer contribution rates
uh... and this agenda item is that
the response to that uh...
direction
there are forty points i'd like to make a legacy before i get to that
this is just facing in the
impact of the assumption changes on employer rates it is not about phasing
in the impact
on member calculations either service purchase or option factors
uh... we
have developed a recommendation and i were recommending that the phase-in be
implemented by an adjustment to the amortization schedule
the recommendation will result in approximately
half of the increase
in the employer contribution rate
occurring in the first year that it is apopka ble
which would be the thirteenth so the twelve thirteen fiscal year
for state and schools from florence
and the thirteen fourteen fiscal year
for a local publications simplest
the other half of the increase
will be will occur in the second here
which would be thirteen fourteen for the state school boards and fourteen fifteen
for local publications
it will not be exactly half
and some of the floors particularly employers with very little
past service
uh... will see higher portion of the increase of current first-year
passed because we're not we're we're asking for us to pay the full increase
in the normal cost
in the first year
employees with very little past service almost all of the increase is just the
change in the normal cost
i would point out that those employers are ones with lower
the lower increase a smaller increase then other employers so even though
they're gonna see most of the increase in the first year
it's still going to be last day
and other employers
the second point i'd like to make it is that the we're not changing
the overall time period for are paying off the increase in the unfunded
liability due to the assumption change current board policies to amortize
uh... assumption changes
over a twenty-year period we're still going to ask that of course continued
pay off the unfunded liability
over twenty years we're not extending that in any way
so that means that there will be slightly larger payment in years to
three twenty
in order to
pictures fully paid off
in that same twenty year period
we are also recommending that there be an opt-out provisions for
employers other than pooled public agencies
uh...
we have had some
into in
some interest in uh... committing an opt-out provisions
we can accomplish it before
non-polluting c so that no cool
public agencies and the state very easily
for pulled agencies we have to set a single rate for everyone
uh... and
there's really no way that we can accomplish that for
unknown pool public agencies uh... there's something that we can do
uh... through basically cut an additional or payment to the side fund
that will allow them to accomplish much of the same
ends although show up that way in the valuation report
employers who wish to gold of course who wish to uh...
avail themselves of that opportunity will need to contact their actuary
and help us to some calculations for
for the school
school
that is one big call
uh... i thought was to allow the department finance the option
make that
decision
on behalf of school employers
the finally final thing i'd like to point out to the uh... committee is that
view there could be some coming up on implications form plotters
uh... d
payment on for some of course the payment on their unfunded liability may
be less than the minimum required under the county provisions
that will means that uh... they will have to
book a pension expense that is larger than the actual contribution
this is something that we have attempted to avoid in the past however
is going to become
the way of life
once the uh... current accounting changes that the uh... government can
extend its board it was uh... working on
become my final
com which we are expected to release their final standard
uh... in the middle of middle of this calendar year something just a few
months
we're going to have a final standard that will essentially compose
regime
on paul public
of course sponsor on antunes
uh... we have a
this is an action item we
have a recommendation for without because take any questions
thank you very much mister downs
thank you madam chair
the allentown arnold indirect use do indicate at the end of the stickers
twenty years
in and decide transaction
but there are others data thirty years so it should for general information
could you just explain when we used one and only use thirty
shirt um... we use twenty year amortization
for benefit improvements
for sumption changes and method changes
so any change to an unfunded liability due to any of those factors is amortized
over twenty years
we use a thirty year amortization four
gains and losses
uh... and we also use a thirty year amortization anytime the
plan is in surplus
uh... so
those thirty year amortization if if it's a payment
only occurs in respective gains losses
thank you
this is an accident
the students
amo staff recommendation
mentioned items second-grade here and discussed her sister to one sec
european the staff recommendation
uh... member to their city for tomorrow
for schools
it would be up to the park france to decide peso
is
is that
still part of the scholarship her
that denny's staff's recommendation i was just recommendation
that but now would not a big part of the motion
clarifying alan therefore subject may wish it
personal character
it soon
do i need to make an amendment to the motion then in order to save it
schools will in fact
purchase spring facing
an amendment to devotion before your item to would be in order
to accomplish that yes
uh... i wouldn't want too
make such a motion maybe step to help me
with with them
for a solitary but i want this port to make the decision that schools will in
fact expansion phase
kit the issue of richard are finance
your commission is that schools into space
schools will be replacement export speed and then
surrealist
well i think there's no opt-out option for schools correct
so is their second notes wicket we have a clear we have have language that you
uh... uses a substitute for that
for state plans and then called public agencies allow employers the option to
elect not to phase in indian they increased employer contribution right so
it's changing the first part of that item two
from its current structure
uh... by just merely saying for state plans and non called public agencies ice
is taking at ar into schools altogether
and kids and that's on
okay so that there's a
substantive nation on the florist in seconded by debris
uh... any discussion on that mission on this mission
mr jones
yeah
contaminations and
stepped in motion here's
is right now with doctor says this
the schools
would and
have the
option
phrasing
finds their ***
phase
so simplifies doesn't take any action then what happened
okay so maybe arrest after clarify yet so that's exactly the point of the
clarification said that
it's clear
that there is no decision that is being made by the department of finance around
us that the committee is exercised his private events determining
the senate determining that schools will purchase the in the face n
cadets
and under the substitute motion
the uh... schools would participate in the
under the original motion
the schools would participate in the phase-in unless
the former finds it too difficult
picked okay
uh... mister schwartz
mother speaking in support of the substitute motion
uh...
think it's appropriate uh... the sport taken upon itself this committee
taken upon itself to make a decision here now
uh... that would give school districts greater flight
and uh...
this trainees and would make it easier for
to accommodate the financial impact of this particular
move uh...
who knows whatever partner
finance my duiph
given the opportunity to make a decision but its
uh... frankly
uh...
probably more prudent we
ourselves
cannot so i support the substitute motion i appreciate
i think you can
thank you sanctions and as a practical matter for school district one x
pay it up in advance they certainly
could still do that on the side is that correct
com for school districts it's actually almost impossible tokyo
to occur if they do if they did so the funds would go into the school pool as a
whole
and see and the that school district with essentially
lose the benefit of the extra payment
i think it would have been just a gift to the other school districts i see
pinky predicted his recovery
if you'd like it
thank you madam chair uh... yes on right now with all of the budget cuts that
have happened in school districts that are not able to
actually opt-out impaled for so this will definitely be a option
uh... i would see all school districts that are in the funds and uh... begins
to johnson further
thinkin singer for discussion on the motion on paper c_i_a_
khana outpost
motion passes
wilmut middle move on to the executive corporate this time slot quake
nine-thirty ticket
alex especially attend item six that judges retirement signed a lease in
that time to move on that
okay and preserve the book on the amendment as a vote on the set situation
that you made of yes
into the past and you can do it
thank you good morning ***
i have with me barbara where who is the actual are for the judges retirement
system
uh... also known as judges retirement system one although the official name is
in fact the judges retirement system
uh...
this is a uh... mandatory report com it is somewhat unusual in that this is the
only sistema calpers that is not
point peter at calpers that is not the increase funded
um so the actual valuation and view
perhaps less so
has less force than the other uh... other systems were working pre funding
mostly what we're documenting in this report is
what you wouldn't it be contributing if you were making
actuarial contributions as and just generally
documenting what's happened scoring on the system
we have not uh... included in any case the end of the effect of the assumption
changes
because they're ignoring all of our funding recommendations of the first
place
um... says no uh... no pre funding of the benefits there's no need to discuss
with the doctors of racism
uh... i think it is important to us identify the this uh... system is
actually rapidly approaching the peak benefit payouts
uh... on page six of the actuarial valuation report i think that's a page
thirty one of eighty nine on your ipod
and we include a a graph that shows how those uh...
contributions
are going to uh... played out over the next few years and you can see that
uh... i think it seemed that twenty sixteen twenty seventeen that we expect
the peak benefit payments and that is only a eight percent more than the
current painful
so this is uh...
this is strap italy approaching that point and this does offer an offer to d
should the state be interested
to start some pre funding uh...
once we get those people payments it's probably going to be it would probably
be easier to leave the benefit payments at that level
rather than
increasing
payments
uh... in some year two-star pre funding and uh... so i'd like to uh...
repeat the offer the staff has made uh... in previous years to meet with the
department of finance and to discuss what or finance or anyone else for that
matter
to discuss uh... convincing proof running this system
this is an item we do need uh... this about the by the board with instructions
to file it
and with that i'd be pleased to take any questions thank you mister wants it
if uh... if the state word listened to you
which would you be willing to re-use the actuarial
brings us up to above
one half percent
might that creates distant
listen to you
um we would certainly has part of any discussions would have to talk about
well how exactly are we going to invest the any assets that are pre-planned
uh... and if they're invested in a way that will produce a higher ed returned
and don't be reflected in the election
the and
quite frankly if they
did start reforming we would
it's handling likely that we actually would
invested such with you have a higher expected return
one-half separate
i think that's that's true one word of caution is that because the system
those components you know
and declining in terms of membership and benefit payments
we would probably have this being more conservative with this
plan in terms of asset mix
then we are with an open ongoing
but it's likely to be more than just cash
uh... i would certainly hope so
thank you but that's not a prob
pistols that did you want to something else that pushed the wrong
this is an action items there much lately
mission but atlantic second by women
any discussion on the motion scene and all those in favor say aye
all opposed motion passes
so you should be
she move on to to move on to eight she wanted to your ticket but i think what
you want me to date
uh... so it looks like
three degrees my were questioning if they're trying to get at ten thirty at
nine thirty four interviews for long-term care administrators
okay agenda item the exp eleven ninety six hernandez
morality and uh... madam chair a committee members dana brown cal pers
stuff
uh... as b eleven ninety six by senator ed hernandez builds on
a provisional the affordable care act that is intended to improve health care
transparency under the a c a and final income
implementing regulations issued in december two thousand eleven the
medicare claims database will be made available for use
in producing public reports on the performance of health care providers
uh... espy eleven ninety six
wed
basically remove the barrier
from preventive health care plans from providing their claims data
to uh... eh
an entity certified by this cm s to generate public reports on performance
of health care provider specifically it would basically prohibit healthcare
plans and providers from restricting this release this information their
contracts
um... this bill supported by blue shield of california pacific business group on
health california school please association
uh... san diego electrical pension trust in small business of california
currently has no opposition
unless the eleven ninety six insurers that consumers have access to better
information about health care cost and outcomes therefore staff is recommending
that the aboard
adopt a sport possession necklaces my presentation
think you constituency
is there any reason that we would not
support this bill
i can't think of any reason why we went on sport
mister schwartz
here
uh... gangs earning opposition to spell
uh... no restaurant owners to opposition
cake and this is an action item
lessons in eight by ten fifty did in fact that there have to pull these
missions attitude today
okay any discussion on the motion
thing than others in favor say aye uh... allah post
motion passes
there at nine twenty five
but do you agree we or should we should go from here you think
well i think it might work
port
we could talk amongst yourselves for five weeks i think that it did not
suffer
fetuses opportunity to clear the realm of of the uh... the proposed first
activity and when i discovered two and
into the attend item number seven
said today the pension and health benefits committee a signify nls steps
toward the contract for the long term care administrator request for proposal
number two thousand and eleven six two six nine
at this time i would like to ask in boeing deputy executive officer for
benefit programs policy and planning
provide a summary of the art p activities and the logistics of the
interview process
i will she'd at this time so i ask because it's just uh... why don't we do
that now and i'll get my comments once that cleared the room and i was
safely secured an eleven forty cell and let this time ask other proposes to and
clear the room and we can relive info re
until it is return to be
there should be someone at the back of the road
direct use of the two don't get lost in my life is as a courtesy to the other in
a viewer's said make sure that you stay in eleven forty until
it is your time
sickening
on this model connect the old pictures
and well yes mister schwartz
thank you in
cannot let the record reflect out for this particular agenda item are ralph
compass point behalf director tra thank you very much
well
okay
looks like we're ready to go
i had this plane
good morning at committee members mentor
hand if roll twenty eleven the board approved issuing an orthopedist solicit
proposals from qualified firms to provide long-term care administrative
services
calpers
before a five-year term beginning january one twenty thirteen
evaluation team consisted of
sixteen staff members who evaluated spent scored each bidders proposal
the score was reached by consensus
breaks proposer for both the technical and fee proposals
the paper posters are
uh... number one the c_h_ seo services inc
number two long-term care partners l l c and the reality that inc
today's tonight a miss for the purpose but implementing the arc de procedures
which state the professors who was successfully evaluated on their
technical and p proposals andreas satisfactorily in all categories but the
background reference checks
will be required to appear for an oral interview with pension health benefits
committee
pensioner help that benefits committee members will individually support each
proposer at the end of the interview
allocating a point score at zero as an acceptable one
poor to fair
every good
for very good
and five
excellence
after that
ph bc scores all other professors
score sheets will be collected by sap and each proposal will be ranked from
highest to lowest using the trend average methodology
it's propose there's interview scores will be combined with the technical api
proposals
proposal s who have committed to more than the man three three percent dvbe
participation requirement
will receive a three to five percent
incentive as outlined in the art p
incentive scores will be combined with the technical fee and ph bc scores
the proposal with the highest
total score will be presented to the ph pc as the selective proposer
at which time the committee and it will announce its intent to award
the page pc will recommend approval of the selected proposer having the highest
total score to the board on people eighteen
and a contractor word be subject to final negotiations uh... better
satisfactory and satisfaction of all requirements
negotiations are expected to be completed within
a reasonable time frame after contract award notification
should negotiations not be successful with the selected proposer calpers main
based on a the boards explicit just their discretion negotiate with the
purpose or having the second-highest total score
after successful contract negotiations the committee will recommend to the
board to make a final word at the june twenty twelve meeting
gonna take a moment to go over a copy interview logistics so that we're all on
the record with that interviews will be conducted alphabetical order
starting with c_ h_ csr besos
followed by a long term care partners and that obviously in it he is being
there at the last
the interviews will consist of a times ten minute presentation by each proposer
followed by at times twenty minute period to respond to a series of
questions
uh... from the committee
at the conclusion of all the interviews and at the discretion of the hpc
thirty minutes would be uh... p_h_d_'s pension health benefits on this one sts
shame on me
uh... can expect it will be allotted for follow-up questions should you desire
the committee's assistant will be the designated time keeper
and will provide timid warnings for representation period and the question
and answer period at the start of each interview the assistant will indicate
the green light
uh... prior to the interview ending missus will provide at two minute
warning for the yellow lights and then of course the dreaded red light when
time has expired
in addition the warning lights of the committee chairperson will also announce
the warning times so that the record reflects the timelines
headlines of the strictly enforced andrea sui last uh... each finalist here
to this time limits
at this time staff uh... dis will distribute
have distributed to you you said the scoring sheets
yes good it's always get one
you don't know
thank you
uh... a good in your packet of information that is a list of suggesting
questions uh... that you may wish to consider for the finalists
before we proceed are there any questions
don't see any questions at this time
so that's begin with roll call and i just remind all the committee members
had to bring the remain
here resent
for all the interviews in order to ensure that
at this process is and
unimpeachable
prima
george dear
michael bilbrey visit
ralph concrete really chapman
reform passing for john chen
profit mac
digital insight
anti-japanese tricia win for bill market
read everyone's presents a life
we will be kidnapped and i would like to invite all representatives of see to see
a services to come for again ask that all other proposes their teams
remain out of the room
s
good morning welcome
so uh... i well and in just a minute ask you to begin your presentation pets
artists to let you know i will
did you any
act because they said time keeper in front of you week our and brit services
representative will be
keeping the time
and it will turn yellow when you've two minutes and bread when time has expired
and you write me and how many minutes today have to
ten minutes
ten minutes here opening comments and then we will move into questions
so and at this time
please began injections
i think turn on your microphone actually
certificate
commutes that they're going to give na
uh... you know
no no
tech i don't know
yes excellent very good we follow again if i keep madam chair members more thank
you so much for having us in the last present today
uh... my name is happy girl and i'm headed to gay services
four c_a_ csn anti-gay caught me
uh... with me today
to my left is our president ceo finish mari
to has left is to head of north american um... for insurance and health care on
ganesh hires
to my right was bartlett's was our sales director
to her right to check ukrainian who's the head of our care management program
and to her right to stand pages to head of operations
uh... in fiscal receipts yes
uh... with that uh... electronic finish for our first live
tectonic
good morning
we are billion-dollar company uh... in space enterprise value about putting off
billion dollars we have roughly twenty six thousand employees globally
and of p_r_ headquartered in fremont in california which is model not an offer
right now
from him
of most of our clients uh... are large clients in the insurance pays so
we have uh...
aquired significant amount of expertise uh... by working with companies like
general
metlife
large of the largest auto insurance fraud or guardian etcetera
and i'll be writing wonderfully
uh... maybe a couple of parties in the sql in the u_s_ who have come look at
more than fifteen million policies
platforms
we already approved just permit you that uh... we have the expertise
the revel
uh... and motivation pre calc was like a very strategic line ten
that's why i'm here uh... from a cure that
and uh... will that uh... the team tickets with the full detail offerings
okay technician
so cc of services has basically two decades worth experience on we were very
specialized in senior helped her market a long term care being one of our
specialties
uh... we currently have thirty-one clients uh... from full service to using
our care management program and and other services that we have
uh... lecture we paid over six point five million claims uh...
we do
full-service administration which is what we're offering to calpers here's
part of our presentation for over three hundred if the house of policy-wise
we actually touch almost a million
policy applies to our clients
uh... we haven't claimed care management program
discounted provider network
and in our call centre are specialized in moscow caring senior approx
specifically and we took over three-quarters of million calls last
year
or calpers specifically we are actually offering our full services so that when
you're ready to actually do your new business and launcher your i'm open
enrollment again
were actually there to support you from a full new business to include data
entry
new policy issuance of policy filament
we actually have a full suite of risk assessment with underwriting telephonic
assessments based basis x means we're capable of doing all that when you're
ready to have that happen
as part of what the initial pricing is a sport policy or services that we have
which is paired anything for your members at their needs are
uh... changes contact centre a premium
everything
really around your members here
uh... we ought to do the premium processing for you will handle all that
for about an individual as well as group
uh... claim service from being taken eligibility to care management all
included in what we're doing an offering to calpers is part of our services
and one of those to stress that we bring as a company is our
broad um... capabilities around high teen conversions support that comes from
our parent company i get putney and we have the ability basically to to mike
richard data and do this in the timeframe that it would be required
calpers
our customer service center again where were senior market specialist
uh... we're trying to specially in long term care medicare supplement
uh... art we don't have a lot of attrition eric also we have an average
of five year tenure
with our reps
we will actually customize our program very specifically to what your needs are
so we do not actually give you a cookie-cutter approach we give you a
list buys approach that that specific to watcher aides are
uh... we actually have complete workforce management
uh... that enables us to monitor the agents make sure calls are answered
correctly we actually record one hundred percent of the calls we take this
company
um... again we we have the ability to provide secondary language support and
we use currently optimum language interpreters for that if indeed does
exist we are willing and able to recruit specifically for that where we have that
members of our staff as well and that may be a need for part of what happens
our claims management zero plus program
uh... it starts from the intake process to where we actually
take a call and we actually
order requirements we will actually have one of our nurses actually go out to
face face assessments
um... and will do a review of the antidotes building after we do plants
appear exactly reid make sure the members in fact it was both for the
benefits as it's being presented
claim adjudication based on authorized plans of care they actually are able to
go through based on our care management program how we are brought their plants
of care
and actually compare at the claims coming in to ensure that we are paying
the proper plane dollars associate with health and spirit have negotiate with
providers
we have full reporting dom is part of that uh... image were reporting to where
it can be monitored would
we're doing our performance
actuarial reporting state reporting in reinsurance reporting which obviously
isn't something that's made here
fraud detection is very robust and what we do and again if you look at how we
actually work are our programs and developer plans care we actually were
able to go with him on after that to make sure that we're actually paying two
dollars appropriate
and we actually do verification calls to ensure that members are in fact it care
as as working built for
and then we have a very robust quality program through this but for all our
services we provide
our care management program his an award-winning program
uh... did it basically we have a whole person do you
of our philosophy and care management starts with r_ care force network which
is registered nurses that or a contractor to us we train them
they go out and they perform the assessments on our behalf
our care managers are trained and seasoned and they're actually there to
develop the appropriate care to get the member of the best experience they can
possibly get
we have a national provider network that's our network its contract id
uh... we actually do the credentialing we validate that uh... provider is
quality provider we checked or licensure
and actually we get guaranteed savings from them that document
we have scheduling support team that actually follows up and does everything
specific to that checks with member checks to make sure that were officially
getting out from the member doing assessments and do it won't work
we're asking them
and again award-winning program we won the armed oracle systems but in case in
point
award for overall care management last year it was a nunnery
we actually got to receive it national press club
and washington
uh... and documented savings
that we have with program
as you can see here our provider of care force network doesn't act provides
very good coverage
uh... in in the state here
and so we we feel that our program as well set up for calpers and four foods
it needs a good numbers
compliance is very important to us we take a holistic view of that
uh... we have clock compliance department that monitors state laws
we actually compliant with socks at the cm aso fact money-laundering fraud waste
and abuse programs this is something that we take very seriously as an
organization
and it's built into our culture
we're pleased to have a partnership for your marketing program
with k_p_m_g_ health
their leader in and marketing and this space and health care insurance
uh... when germany's contracting
too much like it
when you're ready in fact to to do this program this will be the partner that
will bring to that
also for our dvd partnership we have a using america llc which i'm sure you're
older familiar with and they'll be providing portion of staffing
for your pro
our conversion different shares we we have a transplanted experience and were
able to provide to you and guarantee you that we're able to take your data from
your current admin system and actually
get that to our systems and able supported within your timeframe
we've done over twenty million
policies converted
you can see a list of our clients with done that with uh... with successfully
been able to do that
and very quickly going through here's our timeline for anticipating
implementation that we've been able to see that based on our experience we're
very confident we can get this timeline
you can see that our performance guarantees we
running an attacker
ascetic quickly so um...
you you you're familiar with this i'm sure you've actually read you this but
uh... i think we're very competitive here and we're berwyn promotion about
this
and go
basically we're we're were experts at what we did
uh... we have the death breakfast experience at sea it's just that allows
us to be able to provide you the quality program that you need to run
uh... we're back by i get caught me and we have a significant my resources for
everything that you need and everything that we need to invest forward planning
we have a proprietary network uh... of nurses and providers ours fragments of a
time booth it shouldn't stick
a ten minute presentation typing has expired
and we'll now proceed to the oral interview
i'll begin by asking first question
canyon
talk a little bit advance innovations that you've developed within your
organization had a better provide
caring
into or benefit structures
that's actually alternative to jackie because i think
one of our different river specifically as our camera electrocute optimistic
alum yeah i think one of the
the biggest things that we've developed over the years as i understand it to
your program
and uh... it's meant to provide information
to are uh... members
at the families that are dealing with these situations
and dealing with the elder care com
process
on it provides its web based system that provides them with information
they can go in and perform assessments and give them a good idea where they
stand
they can come
get to information regarding caregiving situations
and they can also access our network feel that program
terrific thank you
illness linked
thanks very much uh...
account purse is very concerned about test you know customer service could you
please path
explained how your organization well um... insure that member questions are
answered accurately and timely
absolutely advancement about
we we actually have a very robust training program for our contact centre
com employees to where they actually go to uh... over eight weeks of training
um... and and we do our training very specific to the programs that were
managing so if you can imagine
every client that we do business with has different
needs to different programs different nuances with them that we actually train
our reps very specific to your program
uh... we have uh... again workforce month monitoring we have a a very robust
quality program
that i i tell them all the time i said i don't know if i could pass it
quite frankly it at that they had put me on cell
um... we have the very robust quality program again and again we we monitor
next feedback and if you look at within our organization that's uh... typically
what we do across everything that
we applied this
measuring
monitoring feedback retraining and process improvement throughout the
organization
thank you mister jennings
i think you know i don't care
yes could you please comment on
any litigation or investigations current or pending
uh... your organization is involved in and what changes or post changes have
you made in your business practices has picked up
mr jones we we get absolutely dependent litigation organization there's nothing
that we have actually been important specific to seize services
and is that also includes last
stuff for years that that's correct yes sir
thank you
doctor didn't yet thank you like many long-term corporate we've had some
segovia premium increases and we will
we will probably have more
uh... ideas innovations even though we're going to set the benefits of of
ways that we might
uh... reduce those rates of premium increases of ranging from
benefit changes cautious whatever you do
absolutely like doctor uh... we we actually uh... are very good at what we
do from the standpoint of rate increases we do it across all products lots of not
just long term care but
every other health my product that we deal with
uh... were very good from the standpoint of
based on our experience we understand how to roll it out to best serviced
members so for instance if you have rate increases that you're gonna plot prachi
retire
population base and you want to be able to provide the answers and support we
will actually require a recommend to you that
he stage applications to them that way it's better able that'll be managed
through their jammed is there anything you would like to add to that
forgive her cells on looking individually
to help reduce
benefits perhaps uh... benefit periods as opposed to daily benefits
being reduced
perhaps some writers being
uh... deleted from the plan so that it's the best program for that person on an
individual basis
in order to our premiums to work in the horrible time
in q restaurants etc
if if you were to get contrast
would what would you anticipate to be
the biggest challenge
and how would you try and address challenge
the request of mr wants
you know with with anything that uh... in each program that we bring on on
board has its own unique set of challenges to it
uh... with copper specifically the conversion activity obviously is going
to be one challenges obviously we we have to be able to work through
and with your current administrator
uh... we have to be able to uh... sittin take that they don't get that done in a
timely period obviously you're looking to have this implemented by the end of
this year be ready to go by at the first of next year of where we were very good
at doing that were used to doing that is not a fact of our clients have come to
us because they're current administrator has not been able to live up to their
their satisfaction so were very good at doing that and and with this program
specifically did the unique needs that calpers has amino
we we don't do that as a challenge but we do that as an opportunity to be able
to develop
programs to specifically do that and where we are were not
currently hitting that mark we want a razor a bar
to to do that and that's what really look to for appliances stat
it we take our programs we actually develop them to wear
again this unique but when we raise the bar we graze for about a week and so
while we think we have a very good program and we think that uh... by
frankly are set quite high in our organization
we always look bad other class can help challengers in fact to distract that i
think
but that was saying the largest
challenging all of these
is just the commotion
and typically you'll find that pin our experience we found that going to pick
up the policies of that about sticks between five and six months to promote
sources within the timeframe but you have realty
***
if conversion is
in fact going to be the biggest problem
uh... do you have any idea what it would
conversion cultured likely to be and or you
absorbing it in your bidder
so we we actually again until we do know the details but not actually given
expressed for conversion in this week we have an idea of what steps would be and
what that cost would be based on our experience
and what we're proposing is to actually either you could up front that cost we
can actually spread out over the duration of uh... the engagement with
you
uh... at the good news is that uh... we have experience with your your curtain
in a strange platform uh... so that that would actually help uh...
allow us to do this a lot more rapidly which option for example cost for caps
cube this without sin
culture
bility and
and interesting interfacing to health services
with long term care special so that a person can stay in the home
and and your support system to allowing person to stay in the home for a
response possible
actually taking this whole process by which i think that's really the hallmark
of our our program polytechnic
yeah on that
v
i think that uh...
the majority of the numbers that we work with com in arctic air management
program
are home-based
and became managers are uh...
are very good at working with them uh...
on regular basis
to make sure that they're safe
uh... our in-home assessment process where we send one of our care force
nurses and
to review the member and make sure that everything is star
is appropriate at home
is where the process starts and then the q managers are in touch with the member
with the family on a regular basis uh... depending on the particular situation on
they may be following up every few weeks or once a month at at least to make sure
we we have these two uh... once a month touch base call to make sure that things
are are going smoothly at home
on the net there really is a big part of our program as well as working with the
home care providers indeed in the communities
to comic should without appropriate
care in the home
american managers work very closely to manage that relationship and help the
family with the caregivers and with the providers uh... the homecare provider
you can
in particular lisa and what about interfacing with health care services
that the person is
receiving
right uh... so the chem energies will work with positions if this position
on that's willing to do that and talk with them
uh... they will also work very close to the family member honest as a family
member it you know closely involved in the case um... on the onset of claim
we're gonna find out what other services they have available to them
and we'll work with that to make sure that uh... we know you know what what
other uh... opportunities they have prepares on for paying for services that
that that the person may need
uh... so that you know weakened
appropriate to coordinate that
uh... between physicians or uh... any other uh... let me know medical services
again he paid for by medicare other state programs
think you mr khan
looking at here a provider network
non-minority calpers has a really large world population
and i just wanted to get an idea
uh... how c csk is about
uh... credentialing and an improving providers
especially
uh... out in the areas where uh...
members may want to
exercised uh... policy right here
for having and i'm credit anime credential unlicensed provider occurred
what like mister cobb actually that's that's very good that's really how r
network has developed over time amala check it kinda wants more details on
that
radar network has been developed on all the last fifteen years
based on the needs of our clients and their members arm so we have providers
indications where of course most of the population resides
in that situation we're dealing with a girl situation where there isn't a
provider and person has to use a credit caregiver then we have programs in place
to evaluate the private caregiver so will go out with someone of a rain a
cure for some nurses into the home to do a caregiver assessment to violate the
person make sure that they are appropriate on and they can provide that
the required care to remember
on and then out we will also follow up
we require that that caregiver
on provide us with karen it's just like a an agency caregiver has to provide us
with cannons
that's how we interpret
you'll think you've got to be heard
uh... you try going to do suback after persons and long-term care program where
you can experience of working with health care
uh... plans insurers and so on but that
teach people
from reading the long term care of her i'm experienced workers of drug has
increased incidence of
of
dementia which obviously and leads to long-term care and and
maybe could be
that situation could have been
conquered edward leary have there been some
jackie
uh... week work with carriers today
that have wellness programs included as part of their benefit
um... fortune in the long term care industry not everyone has adopted that
we would love to work with a provider who's willing to adopt a wellness
program on in the way we handle it for the current carrier
it's a telephonic assessment is performed by one of our care for some
nurses over the phone so it
reduces that costs a little bit batson reviewed by one of our care managers and
even before can be sent out to remember giving them submitted by some things
they can do to
you know help with their current health situation remains safe in their home and
things like that
and and in addition to that we we have our nurse navigator product which is
actually uh... good informational resource tool that members can use part
of the women to care
that they can actually get this exact type information that your trip to
describe it
and that's obviously parkour calpers
so use spent little time with our long-term care program and you know
there are some challenges that we're facing right now how would you go about
nobody csr kind of most significant challenges about what you do to help us
address that
aspirate question you know i think most carriers have challenges in the long
term care uh... arena and i think there's a lot that can be done
you know specifically what we can do immediately obviously for your members
that are working on care we can do the evaluation see nose or something we can
do for change buyers we can go out and do three assessments there's a number of
things we can do for a members are running care
for members that are not care and obviously that's really what you want
target you know dedication programs that we provide with our website and other
things that we can set up from a wellness program perspective
specifically would calpers will stressed that and and those who really dissect
those are the challenges but the industry general much just shoppers
thank you mister bilbrey
the convention and what would you consider to be your talk
three different readers read
uh... there is pressure had and
our care management program stopped
okay i'll stack up against weeks very robust uh...
hits will develop the dover fifteen years it it's it's something that you
know we're very proud of this matter fact of the thirty one members there's a
lot of people who use specifically district care management program
and not use a sports full term restriction
um... that would be one the fact that we have our own vs
that go out to assessments that we trained and we don't use vendors to go
out and do it where we don't know the status going into the member's home
these are our nurses they're trained by us their contract that by us
we actually do full quality assurance on every cessna that comes back in to
ensure that deaf captured the what they're looking for that there's nothing
that's within their report that doesn't seem to make sense
and then you have provided
yaha provider network is something that is very very first this unique us you
know we don't go look up on the website to get some
some review from uh...
people who may have used the facility would actually go out in the contract
with them we actually review the credentialing these are
our contractor providers there if there are people in our program that we have a
value-added for clients in the past where their members are sitting in
facilities that we would never use because they're such so you'd know that
your members going to want silty and then
the biggest difference here ball is our parents like a party
we have a tremendous matter resources that are backing us not only have we
been in business for twenty years and we're very solid
we have also i get pagi backing yeltsin their high teen conversion expertise is
and recognized in the industry so uh... i think that that whole package mister
bilbrey is something that he will find a competitive price
but just to think that i get to destroy the little point
be also i think in this case have some of the deepest pulpits to be able to do
this before in seventy five million dollars of cash on our balance sheet
saudi king listing booming
promotions are every people
split this or multiple years if that's your preference sawed off from ***
doesn't make straws
so we have enough resources and people scapegoats
main starcraft
in the beginning your presentation you mentioned that
uh... you had one he sits down syndrome believes globally a prison that are you
getting hole
highgate umbrella
um... what proportion of uh...
of those are here in the united states
we have roughly about twenty to agree to present a for a place in the united
states
okay
and then how
how many employees right there with seats the
cc s currently has a including our our vendor partners factual bites on the
services of we have over three hundred
staff currently within states yes if you look at the the group that were part of
which is to be p_o_ organization which again provides
one all services are able do think there's over five thousand believes this
is the number for that
you guessed it seemed like in the corporate materials that were included
in your
submission
that uh... there's an awfully big emphasis on
global outsourcing in overseas operations so i'm just trying to figure
out how
acquiring an account like calpers that requires
uh... all other services to be provided in the united states kind of fits in
with the broader business model this is very strategic was p actually have two
centers here in the united states though
one is in uh...
pensacola and other one is there a bustling texas
and uh... reheat is uh... we have we plan to do all of that were probably
that it states there's a lot of bank
and insurance work also which mouth is because of compliance reasons of
security reasons we have to do more and more in the united states
so therefore uh... if i look at all that miss when summer arising
uh... or the next two years of largest miss hanson actually within the united
states purely from a
confidentiality security uh...
perspective
that we have to do more and more of our work in the united states
and possum the fact that we had a
california-based company couples will be the dream company to work with the as a
template
we thank you in q missile talks and
anticancer
walk me through what happens on elderly couple
my husband has early signs of dementia unknowing upon tenncare i don't know how
to use a computer
uh...
all right now is okay we have just want to care policy and guests are sustained
hundred-number caller whatever
what happens
checking tickling
uh... yet the first place again that colin tears are eldercare specific call
center so
uh... senior specific as as pat
had explained
and mom they were walking through the intake process and and explain to you
what the process for starting be um...
the claims process so the fact that uh... we will have to gather some
paperwork in some benefit eligibility information to make that decision if you
need to have an immediate need for me here
omg you have access to our care managers telephonically and we would also go
ahead recommend providers to you from our provider network um... if you want
to wait till you benefit eligibility determination is made we can also give
you on some information regarding community resources a might help you in
the meantime all while you're waiting for that
and then that we will be kenny eligibility process uh... we will send
arent park air force nurse out to your home to perform the benefit of its
ability assessment
on all of that information will be gathered back in our in our home office
and our claims team well actually review all of that
uh... power care manager will review the assessment as well undeveloped an
initial recommended plan of care
and their claims team reviews all the information except benefit eligibility
decision and also give you some kind of carefully came manager's perspective to
make sure that it's reasonable
uh... once that eligible you decisions made the can enter will contact the
family or the the member again and explain to them that they have been
approved and that they can start care and then they came in to work with them
to get the care started with the provider if the care is not a restart
and so
how long
distract
processed taken
uh... calling answer like on my gosh what'll i do and now i'm waiting two
weeks three weeks a month
s_s_ somebody who's gonna tell me to come right and are you giving me a bunch
of phone numbers that in half
to call somebody else who
brendayeeeeeeee out connie
intently served by that outside time has expired
several activity
at the constant review to request
uh... but excellent question that i'm which i really think that cancer hod for
that
i'd like to thank the representatives from see h_c_f_a_ services for their
time
and all represented and ask you out of place at this time for the room
uh... and i would also attempt by a cover senators long-term care partners
interim
thanks except for the year