City of Los Angeles 2018 Annual Review Executive summary Exceeded - - PowerPoint PPT Presentation

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City of Los Angeles 2018 Annual Review Executive summary Exceeded - - PowerPoint PPT Presentation

Dec 22, 2022 145 likes •273 views

AUGUST 1, 2019 City of Los Angeles 2018 Annual Review Executive summary Exceeded vision exam utilization goal of 27% Attendance at City wellness events grew by 10% in 2018 Participated with Service Provider Outreach/Engagement Summit

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City of Los Angeles

2018 Annual Review

AUGUST 1, 2019

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Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

Executive summary

Key activities

  • Exceeded vision exam utilization goal of 27%
  • Attendance at City wellness events grew by 10% in 2018
  • Participated with Service Provider Outreach/Engagement Summit
  • Delivered 5 weeks of Popup Clinics – 96% Member satisfaction
  • Attended Summer Lunch & Learn series – focus on eye exam and link to overall

health

Vision plan assessment

  • Met or exceeded wellness objectives in 2018
  • 3% increase in exam utilization vs 2017
  • 31% increase in high-risk condition capture vs 2017
  • 18.9% response rate to High-risk mailers

Summary

Wellness and engagement strategies resulted in an increase in eye exams over prior

  • year. EyeMed saved City of Los Angeles members $5.2MM over retail in 2018; this

represents a 7% savings increase over the prior year. On average members saved 71% ($241) on routine vision services and materials in 2018.

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Utilization review

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Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

Performance to vision exam goal

City of Los Angeles target exam utilization: 27%

Key initiatives to attribute to success:

  • Focus on wellness
  • Popup clinics increased visibility of the vision program
  • Member education lunch & learn to reinforce eye health

Fiscal Year Members Exams Utilization July 2015 - June 2016 Blue Shield and Kaiser 56,012 13,972 24.9% July 2017 - June 2018 EyeMed and Kaiser 57,243 18,133 31.7% July 2018 – June 2019 EyeMed and Kaiser 57,038 18,060 31.7%

Exceeded overall exam utilization goal by 4.7% during fiscal 2017/18

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Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

23.4% EyeMed 8.3% Kaiser

30.8% 31.7% 28.3% 27.0% 0% 20% 40% 2017 2018 Peers EyeMed*

Utilization

  • 3% increase in exams in 2018 vs 2017
  • City of Los Angeles exam utilization exceeds that of

peers and EyeMed* book of business

  • EyeMed exam utilization increased by 2.6% in 2018

Exceeded utilization of peer group

Materials Exams

Based on your 2018 calendar year. * EyeMed employer paid client book of business.

24.2% 26.2% 27.3% 25.1%

0% 20% 40%

2017 2018 Peers EyeMed

  • Wellness emphasis on eye exams also resulted in

31% increase in high-risk capture

  • 219 members identified/referred with markers

for Diabetes

  • 320 members identified/referred with markers

for High Blood Pressure

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Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

4% 8% 11% 21% 57%

Out-of-network Target Other retail LensCrafters Independent

Based on your 2018 calendar year data

EyeMed Insight network choices

A network with convenience and choice

Where your employees are going Your in-network utilization

Retail 24% Independent 76%

EXAM & MATERIALS UTILIZATION COMPOSITION

96%

America’s Best and For Eyes Optical most utilized 2% OON eye exams utilization

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Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

$206 $173 $143 $153 $148 $120 $180 $0 $50 $100 $150 $200 $250

Independent LensCrafters Sears Target JCPenney Other retail Overall

How choice connects with savings

Based on your 2018 calendar year data; frame only, does not include lenses

Your average frame price by location

Value of integrated system:

  • $150 annual frame allowance
  • 40% purchase frames within

their allowance

  • EyeMed providers are contracted

to maintain and display a minimum of 100 frames at a $130 or less

  • $150 allowance provides access

to over 500 frames covered in full, on average, across the network

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Maximizing your vision experience

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Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

Results from your Pop-Up Clinic

  • 5 clinic weeks
  • City Hall (2)
  • Public Works
  • Figueroa Plaza
  • Garland Building
  • 324 exams performed
  • 73% utilization of appointments
  • 96% member satisfaction

13% of patients were overdue for an eye exam before the Pop-Up Clinic₁

1) Based on survey results for 2018

  • 2019 Popup schedule
  • Figueroa Plaza
  • Central Library
  • Public Works
  • City Hall East
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Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

Less than 10% of EyeMed book of business includes coverage for Retinal Imaging

Continued support of wellness initiatives

Engagement Retinal Imaging Diabetic Benefits

  • Continued participation with

Service Provider summits

  • Support of wellness workshops
  • Participation during wellness

fairs

  • Working group with Summit on

Diabetic communication

  • Covered with $10 copay
  • Maps inside of the eye in

detail, assists with early detection of high-risk conditions

  • Received by 21% of City of

Los Angeles members in 2018

  • NEW! For 2020
  • Office visits and diagnostic

testing once every 6 months

  • Gonioscopy
  • Extended ophthalmology
  • Fundus photography
  • Scanning laser

8% of EyeMed book of business and

  • nly one of the

City’s peers

  • ffer Diabetic

Benefits

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Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

Met or exceeded key performance metrics

100% of ID cards mailed in 10 days

100% of eligibility files updated in 2 days

100% claims financial accuracy

100% claims processing accuracy

99% of claims paid in 10 days

10 seconds average speed of answer

0.8% call abandonment

100% complaint acknowledgment in writing within 3 business days

100% complaint resolution within 30 days

100% utilization reporting delivered within 30 days of end of reporting period

96% member satisfaction

Direct impact on member satisfaction

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In closing …

  • We appreciate your business
  • We invest in innovation to make the plan better for your members
  • How can we improve?

NOW LET’S JUST TALK