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District hears self-funded insurance review; MMA team outlines data-driven health-management services
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Summary
Consultants for the district’s self-funded health plan reported a year-end surplus and presented data-driven health-management options and vendor sourcing to the Santa Rosa County School Board on Feb. 4.
The Santa Rosa County School Board received a report on the district’s self-funded health insurance at its Feb. 4 meeting. Consultants from MMA presented December and year-to-date results and said the district finished the year with a surplus in its health and wellness fund, and they reported favorable net claims relative to budget.
Presenters described tools the consulting team uses to analyze claims data (an analytics platform the presenters called Artemis and an Rx Center of Excellence) and recommended targeted, data-driven interventions focusing on chronic conditions, emergency-room utilization and point solutions (third-party vendor services) that align to the district’s population needs. MMA said it compiles an annual RFI to evaluate point-solution vendors and can bring a set of recommended vendors to the district when a need is identified.
MMA representatives said the district’s premier PPO plan continues to have a high concentration of employees and that the consulting team will work with district risk management to develop a multiyear (1–3–5 year) health-management strategy. The consultants introduced staff who will be assigned to Santa Rosa’s account and described a Well-being Resource Hub of curated, on-demand content for risk-management staff to deploy to employees.
Why it matters: A sustained surplus and closer claims management can affect the district’s budget and employee benefits long-term. The consultants said they saw no reason the district would not demonstrate solvency for audit review; the district’s auditor was still finalizing figures at the time of the presentation.
Board response: Board members asked questions and heard that MMA’s health-management team includes data analysts, clinical consultants and health-management consultants who will deliver population-health programming and identify vendor solutions when the district’s claims data indicates targeted needs.
Ending: MMA emphasized a holistic well-being approach linking financial, social, physical and mental health and said it will present recommendations customized to Santa Rosa staff needs.
