HomeMy WebLinkAboutCOUNCIL - AGENDA ITEM - 06/03/2014 - FIRST READING OF ORDINANCE NO. 083, 2014, APPROPRIAgenda Item 10
Item # 10 Page 1
AGENDA ITEM SUMMARY June 3, 2014
City Council
STAFF
Amy Sharkey, Benefits & HRIS Manager
Kelly DiMartino, Assistant City Manager
SUBJECT
First Reading of Ordinance No. 083, 2014, Appropriating Prior Year Reserves in the Benefits Fund for the
Employee Wellness Center.
EXECUTIVE SUMMARY
The purpose of this item is to appropriate funds from the Benefits Fund reserves for facility/infrastructure
enhancements to 256 West Mountain and start-up costs for the Employee Wellness Center (commonly
referred to as an Onsite Clinic). Advantages to offering a Center include:
anticipated reduction in health care cost trends
greater ability to manage health risks through coaching and onsite disease management program
integrated medical records
established medical home for employees and dependents making health information available to providers
enhanced wellness efforts by supporting proactive health care management.
STAFF RECOMMENDATION
Staff recommends adoption of the Ordinance on First Reading.
BACKGROUND / DISCUSSION
In 2009, Benefits staff began exploring the concept of a Wellness Center with the submission of a Budgeting
for Outcomes (BFO) offer in the 2010-2011 budgets. The offer was not accepted with the understanding that
further research was needed. Since that time, the healthcare landscape has changed significantly, and staff
has conducted extensive research regarding the feasibility of a City Wellness Center.
In August 2012, Hays Companies, the City’s Benefits Consultant, met with the Executive Lead Team and
presented a conceptual analysis regarding implementation of a Center. The concept was determined to have
merit, and staff was directed to more fully research a potential Center.
In order to fully evaluate the feasibility of a Center, it was necessary to select a specific vendor with whom we
would be working. In May 2013, the City of Fort Collins posted a Request for Proposal (RFP) for an Onsite
Employee Wellness Center. Staff worked closely with Hays Companies to construct a RFP that identified the
potential needs of a Center with many different options for services. Nine proposals were received. Three
vendors were interviewed. Marathon Health has been selected as the potential vendor to provide the City with
an Employee Wellness Center. Additionally, the City explored partnerships with other entities who already
have onsite Wellness Centers, including Larimer County and the cities of Loveland and Greeley. Staff
determined this was not a viable option; however, valuable insight was gained that was utilized during review
of the vendor proposals.
Agenda Item 10
Item # 10 Page 2
After working through a specific proposal with Marathon, staff determined that an Employee Wellness Center
would help the City to better manage health care costs. In March 2014, Benefits staff met with the Council
Finance Committee to review the proposal. At the Committee’s request, staff provided additional information
about the type of incentives that would be used to increase participation rates and a 5 year ROI projection
beginning in 2015. The Finance Committee voted unanimously to recommend that staff move forward with the
appropriation request and implementation of the Employee Wellness Center.
The Employee Wellness Center will be located at 256 West Mountain, in a building already owned by the City,
providing central and convenient access for City employees and their family members. The Center is intended
to augment primary care, not replace it. However, many employees may not have a primary care physician, so
the Wellness Center will provide primary care resources for those employees.
FINANCIAL / ECONOMIC IMPACTS
As a self-insured entity, the City seeks to strategically manage our health care costs. One way to do this is by
influencing employee consumerism/behavior as to how they use their health plan; another is to drive
preventative care and wellness to develop a healthier workforce and lower risks. Since 2008, City claims have
risen, on average, by 6.1%, which is lower than national averages. In 2013, claims rose by 9%, exceeding our
projections for the first time since 2007.
The City has conservatively managed benefit costs, and our Benefits Fund reserves are solid. During the past
two years, the City intentionally drew down reserves by just over $2 million in 2013 and projecting $1.9 million
in 2014. An additional $565,820 was used in 2013 as a result of higher than projected claims costs. Managing
costs continues to be a priority. In 2015, Healthcare Reform is projected to increase benefits costs by
approximately $405,470, and overall healthcare costs are anticipated to rise at a rate of 5%.
The cost for the Employee Wellness Center in 2014 includes Marathon’s implementation (start-up) costs of
$147,700 for Center equipment and $241,000 for facility/infrastructure costs, for a total of $388,700. Attached
is the Wellness Center 5 Year ROI claims projection with the implementation of the Center in January 2015
(Attachment 1). The ROI is based on the following assumptions:
Projected participation rate in first year is 50% and 60% in the second year. Participation rates are based
on data collected from other local government clinics.
The City anticipates growing to an 80% participation rate in year five.
Not including productivity savings, the analysis demonstrates the City will break even early in year three.
The cost recovery model for the Employee Wellness Center is based on two factors: lowering claims costs
reducing the overall cost trend and employee/dependent participation.
ATTACHMENTS
1. Cost Feasibility Analysis (PDF)
City of Ft. Collins
Wellness Center Costing Analysis - 5 Year ROI Projection
If clinic implemented 2015
Marathon Health 2015 2016 2017 2018 2019 Total
EE/Dep Penetration Rate 50% 60% 70% 75% 80%
Total Non-Occ. Visits 6,013 7,216 8,418 9,020 9,621
Expected Occupational Visits 0 0 0 0 0
Total Onsite Visits 6,013 7,216 8,418 9,020 9,621
Avoided Costs/Claims $682,102 $769,846 $898,154 $962,308 $1,026,462 $4,338,871
Clinic Expenses $734,223 $770,934 $809,481 $849,955 $892,453 $4,057,046
Direct Savings/Costs -$52,121 -$1,088 $88,673 $112,353 $134,009 $281,825
Employee Copays $0 $0 $0 $0 $0 $0
Direct Savings/Costs After Copays -$52,121 -$1,088 $88,673 $112,353 $134,009 $281,825
Productivity Savings $216,468 $270,152 $327,785 $365,246 $405,179 $1,584,829
Reduced Trend ROI Analysis*
Projected Total Plan Cost As Is - PPO Plan only (Assumes 5% Trend) $17,244,098 $18,106,302 $19,011,618 $19,962,198 $20,960,308 $95,284,525
Projected Claims Using Reduced Trend For Improved Risk Factors* $17,933,862 $18,561,547 $19,211,201 $19,787,537 $75,494,146
Projected Savings $172,441 $450,071 $750,998 $1,172,772 $2,546,281
Total Savings/Costs $164,347 $441,505 $866,528 $1,228,596 $1,711,960 $4,412,936
*Reduced trend is attainable through improved risk factors achieved by active engagement in the clinic.
ATTACHMENT 1
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ORDINANCE NO. 083, 2014
OF THE COUNCIL OF THE CITY OF FORT COLLINS
APPROPRIATING PRIOR YEAR RESERVES IN THE BENEFITS FUND FOR THE
EMPLOYEE WELLNESS CENTER
WHEREAS, in 2009, City staff began exploring the concept of providing an on-site
medical clinic (“Wellness Center”) to provide basic healthcare treatment for City employees and
dependents who participate in the City’s healthcare plan and has researched the economic
feasibility of a Wellness Center; and
WHEREAS, staff has also explored developing a partnership with another governmental
entity to jointly provide basic healthcare services to the entities’ employees and has determined
that this is not a viable option; and
WHEREAS, in 2013, staff posted a request for proposals and selected a vendor to
provide basic healthcare services at a Wellness Center; and
WHEREAS, in March 2014, staff met with the Council Finance Committee to review the
selected vendor’s proposal to establish a Wellness Center for the City, and the Council Finance
Committee voted unanimously to recommend that staff move forward with the steps necessary to
establish a Wellness Center; and
WHEREAS, staff anticipates that providing a Wellness Center for employees and
dependents who participate in the City’s healthcare plan will reduce the City’s healthcare costs;
and
WHEREAS, the Employee Wellness Center will be located at 256 West Mountain in a
building owned by the City; and
WHEREAS, the total cost for the Employee Wellness Center in 2014 is $388,700 which
includes the selected vendor’s implementation costs for center equipment ($147,700) and facility
and infrastructure costs ($241,000) with a projected five year return on investment; and
WHEREAS, staff has determined that sufficient funds are available in the reserves of the
benefits fund to fund the facility and infrastructure costs for the Wellness Center; and
WHEREAS, Article V, Section 9 of the City Charter permits the City Council to
appropriate by ordinance at any time during the fiscal year such funds for expenditure as may be
available from reserves accumulated in prior years, if such reserves were not previously
appropriated.
NOW, THEREFORE, BE IT ORDAINED BY THE COUNCIL OF THE CITY OF
FORT COLLINS that there is hereby appropriated for expenditure from prior year reserves in the
Benefits Fund the sum of THREE HUNDRED EIGHTY-EIGHT THOUSAND SEVEN
HUNDRED DOLLARS ($388,700) for an Employee Wellness Center.
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Introduced, considered favorably on first reading, and ordered published this 3rd day of
June, A.D. 2014, and to be presented for final passage on the 1st day of July, A.D. 2014.
__________________________________
Mayor
ATTEST:
_______________________________
City Clerk
Passed and adopted on final reading on the 1st day of July, A.D. 2014.
__________________________________
Mayor
ATTEST:
_______________________________
City Clerk