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Welcome Employee Benefits Committee · EBC meetings at BHS Lecture Hall 3:30 to 5:30 EBC Nov 15 new...

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Hosted by: Clovis Community Medical Center Welcome Employee Benefits Committee February 7, 2017 1
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Page 1: Welcome Employee Benefits Committee · EBC meetings at BHS Lecture Hall 3:30 to 5:30 EBC Nov 15 new members EBC Dec 1 EBC Jan 19 EBC Feb 7 at Clovis Community Medical Center EBC March

Hosted by: Clovis Community Medical Center

Welcome Employee Benefits 

Committee

February 7, 2017

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Page 2: Welcome Employee Benefits Committee · EBC meetings at BHS Lecture Hall 3:30 to 5:30 EBC Nov 15 new members EBC Dec 1 EBC Jan 19 EBC Feb 7 at Clovis Community Medical Center EBC March

Mission of the Employee Benefits CommitteeEmployees and retirees working to provide

all of our benefitted employees and retirees with:

The Best Possible Benefits 

With The Best Possible Service 

At The Lowest Possible Cost2

Page 3: Welcome Employee Benefits Committee · EBC meetings at BHS Lecture Hall 3:30 to 5:30 EBC Nov 15 new members EBC Dec 1 EBC Jan 19 EBC Feb 7 at Clovis Community Medical Center EBC March

EBC meetings at BHS Lecture Hall 3:30 to 5:30

EBC Nov 15 new members

EBC Dec 1EBC Jan 19EBC Feb 7 at Clovis Community Medical CenterEBC March 23 Delta Dental & VSPEBC April 27 CVSEBC May 11

All dates subject to changeTBA  Additional EBC & SBC meetings 3

Attendance is critical.You are the representative for your site/department

SBC ECCSep 1 Nov 2Sep 20 Oct 27 Dec 19 Dec 12Jan 12 Jan 26Jan 31Feb 22??March ?? April ??

Page 4: Welcome Employee Benefits Committee · EBC meetings at BHS Lecture Hall 3:30 to 5:30 EBC Nov 15 new members EBC Dec 1 EBC Jan 19 EBC Feb 7 at Clovis Community Medical Center EBC March

EBC Topics for Today

Distributing EBC Meeting ‐ Talking Points

CVS Prior Authorization for High Cost Generics 

Update: CUSD Primary Care Health Center

Presentation: Clovis Community Medical Center 

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Page 5: Welcome Employee Benefits Committee · EBC meetings at BHS Lecture Hall 3:30 to 5:30 EBC Nov 15 new members EBC Dec 1 EBC Jan 19 EBC Feb 7 at Clovis Community Medical Center EBC March

Meeting Talking Points – Share with Your Colleagues

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Page 6: Welcome Employee Benefits Committee · EBC meetings at BHS Lecture Hall 3:30 to 5:30 EBC Nov 15 new members EBC Dec 1 EBC Jan 19 EBC Feb 7 at Clovis Community Medical Center EBC March

CVS Caremark Cost Mitigation Updates

Identification of High Cost Generic Drugs Recommendations:

Prior Authorization Plans to Address these Products

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Page 7: Welcome Employee Benefits Committee · EBC meetings at BHS Lecture Hall 3:30 to 5:30 EBC Nov 15 new members EBC Dec 1 EBC Jan 19 EBC Feb 7 at Clovis Community Medical Center EBC March

Generics: Fortamet / Glumetza vs. Glucophage XR

Fortamet / Glumetza (metformin ER) :Metformin ER (extended release) is an oral medication used to treat 

diabetes. The extended release version of the drug Metformin is available under 

three different brand names, now available generically.

• Glucophage XR ‐ Cost per Rx $5 to $10 PA requires generic Glucophage XR first

• Fortamet and Glumetza ‐ Cost per Rx $4,000 

3 months Cost ‐ 22 utilizers costing approximately $82,0001 year Projection ‐ $330,000 to $400,000 as this is a maintenance Rx

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Page 8: Welcome Employee Benefits Committee · EBC meetings at BHS Lecture Hall 3:30 to 5:30 EBC Nov 15 new members EBC Dec 1 EBC Jan 19 EBC Feb 7 at Clovis Community Medical Center EBC March

Generic: Zegerid vs. Over the Counter SolutionZegerid (omeprazole/sodium bicarbonate):Omeprazole/Bicarbonate is a high cost generic stomach acid medication 

called ZegeridMany options* available, including regular Omeprazole (generic 

Prilosec); significantly lower cost; available Over‐the‐Counter (OTC)*Stomach acid reducers called Proton Pump Inhibitors (PPI’s)

• Zegerid ‐ $500 to $1,000• Individual ingredients ‐ (Omeprazole and bicarbonate) are available 

OTC at $5 to $10PA requires trial of three less expensive generic PPI alternative(s) prior to Zegerid

3 months Cost ‐ 6 Zegerid utilizers costing approximately $21,0001 year Projection ‐ $80,000 (not a maintenance Rx, but often used as if 

it is a maintenance Rx)8

Page 9: Welcome Employee Benefits Committee · EBC meetings at BHS Lecture Hall 3:30 to 5:30 EBC Nov 15 new members EBC Dec 1 EBC Jan 19 EBC Feb 7 at Clovis Community Medical Center EBC March

Clovis Unified Primary Care 

Health Center Building

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Page 10: Welcome Employee Benefits Committee · EBC meetings at BHS Lecture Hall 3:30 to 5:30 EBC Nov 15 new members EBC Dec 1 EBC Jan 19 EBC Feb 7 at Clovis Community Medical Center EBC March

Health Center location - Former ITT Building SW Corner Herndon & Clovis Avenues

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Opening Late Fall

2017

Page 11: Welcome Employee Benefits Committee · EBC meetings at BHS Lecture Hall 3:30 to 5:30 EBC Nov 15 new members EBC Dec 1 EBC Jan 19 EBC Feb 7 at Clovis Community Medical Center EBC March

EBC Action Items Provide updates to your colleagues Work with your supervisor to determine a

plan for dispensing information to your site/department

Kelly Avants will provide talking points

Next EBC Meeting: Thursday, March 23rd

At BHS Lecture Hall

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Page 12: Welcome Employee Benefits Committee · EBC meetings at BHS Lecture Hall 3:30 to 5:30 EBC Nov 15 new members EBC Dec 1 EBC Jan 19 EBC Feb 7 at Clovis Community Medical Center EBC March

Clovis Community Medical Center

Team Presentation

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