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<br />Health Risk Assessment: <br />This is a lengthy questionnaire that is a tool that allows the employer to determine the <br />health state of the workforce and offers personal assistance in dealing with health related <br />issues or concerns. We want to reduce shock claims. <br /> <br />Centers of Excellence: <br />These are primarily transplant organizations. <br /> <br />Comment Robert Swanagan: <br /> <br />I noticed in Centers of Excellence Humana provided information that showed they <br />discounted 50% ofthe billed charges. Nobody else provided that information. <br /> <br />Answer Kathy Clark: <br />No they didn't. We don't go into transplant services and try to pull more information <br />out because not many people in your plan are going to be a candidate for transplant. <br />That's why we didn't try to pull this information. <br /> <br />Shared Rebates: <br />As you know there is considerable concern about Kick -back dollars by pharmaceutical <br />companies in the medical arena. Most companies will share their rebates with the City <br />which will lower the Administrative cost. <br /> <br />Wellness Programs: <br /> <br />This is a preventive action. <br /> <br />Flex Spending Accounts: <br />This allows active employees to put aside pretax dollars for various medical <br />expenditures. All employees in the Flex Plan will receive a Flexible Spending <br />Account Statement. <br /> <br />Question George Van Dyke: <br />The Flexible Spending Account statement. What is that? Is it how much they have <br />accumulated in the account, how much they have spent in the account? <br /> <br />Answer Kathy Clark: <br />This is a statement that is sent out to employees that will show what kind of account <br />balance they have, what they have spent and provides details of what has been deducted <br />from the account. <br />