Scott Haas
Senior Vice PresidentUSI Insurance Services
scott.haas@usi.com
971.413.6053
Health Rosetta Advisor since 2017
Scott has over 33 years of experience in employee benefits. His background includes developing Prescription Benefit Management (PBM) solutions; evaluating, valuing, and negotiating provider networks; and underwriting. He launched and operationalized both a Third-Party Administrator (TPA) and a PBM platform from the ground up. Much of Scott’s career has centered on alternative funding strategies. At USI Insurance Services, Scott supports the PBM and Managed Care/Provider Excess national practices, serving self-insured plan sponsors. He has held officer-level roles within Blues plans and TPAs, including Vice President of Sales and Marketing, Vice President of Underwriting, and President.
Scott has also served as a trustee for union and non-union health and welfare and pension plans. He is a frequent speaker at national conferences hosted by the International Foundation of Employee Benefits, Health and Welfare Plan Management Conference, Western Pension and Benefits Council, and the Self-Insurance Institute of America. He has authored and co-authored numerous industry articles. Scott earned a B.S. in Business Administration and Economics from the University of Nebraska at Kearney and holds the Chartered Life Underwriter (CLU) and Registered Health Underwriter (RHU) designations.
- Industry: Hazardous Waste Collection
- # of Employees: 1140
- Location: Arkansas
They're in their third year of RBP strategy and is moving toward a capitated primary care strategy, adding Stellus Rx pharmacy care management, and Converging Health chronic care management.
- TPA: Web Tpa
- PBM: Optum Rx
- Stoploss: Usi Insurance Services
- PrimaryCare: N/A
- Individual Stewardship: Zelis Healthcare
- Other Solutions: N/A
- Industry: K-12 Education
- # of Employees: 700
- Location: Montana
Kalispell Public Schools has created a Tier 1 benefit structure that either waives or steps down member out-of-pocket costs if members utilize designated Tier 1 providers. KPS has also embarked on a primary care strategy that includes a district-sponsored near-site clinic, virtual primary care and virtual behavioral health for which there is $0 out-of-pocket for members. KPS has created a direct contract with a specialty hospital that provides pre-determined case rates in which all services and costs are known in advance of service delivery. Out-of-pocket costs are waived for services at this facility and travel expenses are reimbursed up to an annual limit.
- TPA: Allegiance
- PBM: ProvidenceRx
- Stoploss: HCC
- PrimaryCare: Premise
- Individual Stewardship: Allegiance
- Other Solutions: Integrated specialty drug management between near site clinic, PBM and medical management. Reviewing Medication Therapy Management opportunity and using Federally Qualified Health Center access to 340(b) distribution and pricing
- Industry: Business Services
- # of Employees: 53
- Location: Oregon
TGG pays 100% of the DPC fee or HSA contribution plus $0 out of pocket for DPC services.
- TPA: Providence Health Plan
- PBM: ProvidenceRx
- Stoploss: N/A
- PrimaryCare: Nexterra Health
- Individual Stewardship: N/A
- Other Solutions: Translucent HC; Health Rosetta; USIi: Portland
