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2014-04-15Special April 2014 Meeting THE STATE OF TEXAS § COUNTY OF CALHOUN § Held April 15, 2014 BE IT REMEMBERED, that on this 15th day of April, A.D., 2014 there was begun and holden in the Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00 A.M., a special meeting of the Commissioners' Court within said County and State, and there were present on this date the following members of the Court, to -wit: Michael Pfeifer County Judge Roger C. Galvan Commissioner, Precinct #1 Vern Lyssy Commissioner, Precinct #2 Neil Fritsch Commissioner, Precinct #3 Kenneth W. Finster Commissioner, Precinct #4 Desiree Garza Deputy Clerk Thereupon the following proceedings were had: 9:00 AM, TEXAS ASSOCIATION OF COUNTIES CONSULTANTS WILL PRESENT INFORMATION REGARDING HEALTH CARE REFORM AND HOW TO CONTROL BENEFITS COSTS WITH HIGH IMPACT WELLNESS STRATEGIES. TAKE ANY ACTION DEEMED NECESSARY: Charlotte Collings and Mark Zollitsch, both of Texas Association of Counties did a presentation regarding health care reform and proposed several ways to control benefit costs with high impact wellness strategies. NOTICE OF SPECIAL MEETING The Commissioners' Court of Calhoun County, Texas will meet in workshops on April 15, 2014 beginning at 9:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Port Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: 9:00 A.M. Texas Association of Counties Consultants will present information regarding Health Care Reform and how to control benefits costs with High Impact Wellness Strategies. Take any action deemed necessary. (MP) 2. Consider and Take Necessary Action on Prioritized Project List for the County Transportation Grant Program. (MP) 3. 1:30 P.M. Meet jointly with members of the City of Port Lavaca City Council to discuss County Road 101. Take any action deemed necessary. (MP) 4. Public discussion of County matters. Michael J. P fifer, qunty Judge Calhoun County, Texas The above is a true and correct copy of the original notice, which original notice was posted by me at a place convenient and readily accessible to the general public at all times, to -wit: on a bulletin board by the front door in the County Courthouse in Port Lavaca, Calhoun County, Texas on April 11, 2014 at h 11 a.m. Anita Fricke, County Clerk By: q `/" Deputy Clerk i Page 1 of 1 4/11/2014 Healthcare Reform and Controlling Your Costs with Wellness Charlotte Collins & Mark Zollitsch 0-1 Healthy County .. mzll^rcarif+^'MVTrrMamlo65Fspeemrc N nre�.���.rrne Ya;aspslysm knmmrral mrmm,.l zJlssaaP��rea me ROi6rrtlnae P111Ara1ebrolw115 Iapated mgenerAe5z0.5i Billivnmxr 3}v�arl^riaL ey...e<1.sea,.1,—.1 aroma. I.,Ss— �1 ,v ear Ir�u, r ,.. 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Cliniud Teals enmsia8rrvm nemna(nurmrdm !,,Erna-1, Pi— Mptramrmlrez.zlrwla Wpyn NlnmaP—I10'--mdv,I,s —if"'.'rvws,mlle - u. I. -If ,, 11CNrris.m.rl:elms^W=ar,rq.x,rrr.;r„vrmrcr.mra^iez.mdnrehrs rmaerllCR I...... m.ran.ylau ©11 x,n n\ Yre rr ir�varl ar 4/11/2014 2018 cost threshold Wx2WeR,5ob, n1) foremplolceenl) 11age,$29,500 r52x11hemold firz famdpmvemge Calculation:$ Amount Over threshold x 40%x mmherof Fr full bineenryloyees -$ Excisetax Amount Thresholds to be adjusted in 2019, indexed at CPN 1% in 2019 and thereafter jf Affordable Benefits ...., , f ,� Lower Out of Pocket expenses — Premiums, Deductibles, Co -pays, Co-insurance • Fewertlower claims in pool = lower premiums = less cost to county and less cost transferred to employee • Uncertainty of Health Care Reform, rationing, federal subsidy amounts, future coverage • Average American will spend >$150,000 out of pocket between retirement and death, above and beyond Medicare Yearly Tax $600,000 $600,000—_-_--_-_--_...........-<.$498,853 $400,000 - - - /,439 $300,00 322,716 _. 246,756 "-Yearly Tax $200,000 - 186,353 --- $100,000 '029 �519 2018 ems zozo zozl zozz 2623 2024 zazs -,.- Ivtv„i • Maintain Quality Benefits for as long as possible • Long term vision & cost control strategy (Health costs double every 10 years at 7%) • Avoid "Cadillac" or Excise tax in 2018 • Stewardship of County resources & budget • Wellness programs have been shown to reduce lAbsenteeism, ?Productivity Canaea Stroke Heart Disease Diabetes (Adultenaet) `c I'll, ,,.,, , ,,. .,�,,. 2 4/10/2014 A review of 72 studies on wellness programs revealed the following Return on Investment (ROI): - ROI on health care costs only: $3.48 per $1 spent - ROI on health care costs andabsenteeism: $4.30 per$1 spent aa„-� c.-..w.I.•.IIc,.,e—a-,,,.s:roaa:o. ®I ra Hsi pit .nf •. ti' Tht NEW ENGLAND � JOURNALofMED ICING REDUCTION IN THE INCIDENCE OF TYPE 2 DIABETES WITH LIFESTYLE INTERVENTION OR METFORMIN anABEIEs PREVENTION PROGRAM RESEARCH GROUP) 40 Plvcobe 30 a? M.Ho1mN um:nle sew reaumianin Lifestyle Group .2 o 20 (P<0.001 for each A p c .Panne.) ° 10 U 0 0 0.5 1.0 1.6 2.0 2.5 3.0 3.5 4.0 �a eJ coca u•+ NCoelJont ilpS1]1880. n�rri,n.wu. Much of healthcare cost increases in last 4 years driven by medical cost increases rather than usage • Employee buy -in & consumer education • Benefits Value Advisor • 24/7 Nurse -line Condition Management I 122,000 Nurses followed for 16 years 5 Lifestyle Traits Lowered Cardiovascular Disease Risk by a Stunning 92e/! 1. BMI <25 3i - 2. 30 minutes of exercise per day 3. 2Z5 grams of alcohol per day 4. No tobacco use 5. Healthy Mediterranean diet rna Meallartanaan diet Is a been -healthy AaU, plan mat amphaslzes WHA, vepelables, vhele grains, beans, Rule, seeds, and healthy fate. Benefits Value Advisor (BVA) utilization data from 2012 for 2,000 members from BCBS of Illinois and Texas was analyzed by the Health Care Service Corporation. Key findings include: More than 90 percent of Members who opted for members who contacted an alternative saw an a BVA found they were average savings of eligible for savings approximately$2,000 through other health care per claim options by pursuing care a with a different provider 4/10/2014 1. Empowered Employee Onsite Seminars - Help employees understand how their lifestyle, health care choices and comparison shopping can impact their costs, quality of life anc preserve their high quality benefits 2. High Value Incentives Targeting Key Activities • Premium Incentive or Deductible Discount • Spouses included with incentive Separate Tobacco Surcharge concurrent with quit program and medications at copay only Recommendations - Option A Annual Physical Health Assessment Engagement with Condition Management if Eligible Physical Activity tracked with pedometers • Separate Tobacco Surcharge 0 4/10/2014 Recommendations - Option B 1. Amount and Method of Incenting Action 2. Requirements to receive incentive 3. Separate Tobacco Surcharge Recommendations - Option C Thank You TAC Healthy County (512)478.8753 • (800)456-5974 www.county.org/healthycounty Follow us on Facebookl www.ta cebook.cornITAC Hea IthyC ou my CONSIDER AND TAKE NECESSARY ACTION ON PRIORITIZED PROJECT LIST FOR THE COUNTY TRANSPORTATION GRANT PROGRAM: The commissioners discussed the way the billing should be itemized. They came to conclusion that they each will have $99,219.00 to spend for their projects. They decided they need to bring their prioritized road list to the next meeting. CALHOUN COUNTY, TEXAS Summary Budget Comparison - MO.RPT-CAPPROJ-BG2013-CB - Unposted Transactions Included In Report 5185 - CAPITAL PROJ.-COUNTY ROAD 101 From 1/1/2013 Through 4/15/2014 Type Account... Account Title EXP Q SUPPLIES 53510 ROAD & BRIDGE SUPPLIES 999 NO GRANT 53540 GASOLINE/OIL/DIESEL/GREASE 999 NO GRANT 53992 SUPPLIES -MISCELLANEOUS 999 NO GRANT Total Q SUPPLIES R SERVICES 63920 MISCELLANEOUS 999 NO GRANT Total SERVICES U TRANSFERS IN 91010 TRANSFERS FROM GENERAL FUND 999 NO GRANT Total U TRANSFERS IN Total 5185 - CAPITAL PROD: COUNTY ROAD 101 Report Difference Percent 0.00 120,000.00 120,000.00 100.00% 0.00 29,998.00 29,998.00 100.00% 0.00 1.00 1.00 100.00% 0.00 (149,999.00) 149,999.00 100.00% 0.00 1.00 1.00 100.00% 0.00 (1.00) 1.00 100.00% (150,000.00) (150,000.00) 0.00 0.00% 150,000.00 150,000.00 0.00 0.00% 150,000.00 0.00 150,000.00 0.00% 150,000.00 0.00 (150,000.00) 0.00°% Date: 4/15/1411:49:03" case: I , 15 44 4 a 0 1 , "I 91 IT I . g b 18 8 T77 7 I " NOW9 1i t3 CL � I O o 0 p t� 41 IT 91 91 91 T x j "FlU All "Tl I 9 IMMUNE! I oleo BREAK FOR LUNCH 1:30 PM, MEET JOINTLY WITH MEMBERS OF THE CITY OF PORT LAVACA CITY COUNCIL TO DISCUSS COUNTY ROAD 101. TAKE ANY ACTION DEEMED NECESSARY: Bob Turner greeted everyone and thanked Judge Pfiefer and the court for the offer that has been made. He continued to thank everyone and informed that they are willing to do anything possible to help make this project successful. Ben Galvan introduced the product GEOGRID type 1 and 2 and gave a small explanation on how it preforms. He stated it reduces cracks, water penetration and pot holes. Judge Pfiefer asked Ben what is going to be done with the road that's there now? Mr. Galvan said they can grind it and stockpile it and use it wherever it's needed. He then explained the construction process that they have planned from beginning to end. Commissioner Lyssy asked if anything would be done with the ditches? Mr. Galvan stated no, the crown is staying where it is so the ditches will stay exactly where they are. He also explained the different options for the project to be completed in phases and what season might be best for the project to commence. Commissioner Lyssy then asked about the traffic routing and who will be in charge. Darren Gurley said they could close CR 101 from HWY 35 to the EMS station until they get that part done and traffic will enter and exit from the other side of CR 101. Once they get to the other side of CR 101, they'll work in small sections. The road won't be shut down completely because of the residency and the EMS station on the road. The commissioners and Henry Barber then discussed the detour everyone had in mind regarding the EMS station due to the emergency vehicles entry and exit. They came to conclusion that they would make something temporary from around the back of the station to exit from. Judge Pfiefer, the commissioners, Ben Galvan and Darren Gurley all discussed who would be in charge of everything on both ends, the cost of material and when the project would take effect. They all agreed for the project to begin on June 16, 2014. An interlocal agreement will be drawn up and signed between both parties very soon and they will follow up on more details at the first meeting in June. Commissioner Galvan and Commissioner Lyssy agreed to take charge of this project on the counties end. Commissioner Finster made a motion on Commssioner Galvan and Commissioner Lyssy to take charge of the County Road 101 project and Commissioner Fritsch seconded his motion. PUBLIC DISCUSSION OF COUNTY MATTERS: N/A COURT WAS ADJOURNED AT 2:20 PM