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
Pacific Steel & Recycling leadership are pioneers in seeking alternatives to traditional delivery and financing of healthcare services. They moved from a traditional PPO network to RBP in 2014 and have never looked back. The former CEO has participated in Health Rosetta events and has openly shared their approach within the National Association of ESOPs.
- Industry: Other Nonferrous Metal Rolling, Drawing, & Extruding
- # of Employees: 780
- Location: Montana
Pacific Steel & Recycling is an ESOP, and every dollar saved in healthcare goes directly to their employees’ equity in the company.
- TPA: WebTPA
- PBM: Optum Rx
- Stoploss: USI Insurance Services
- PrimaryCare: N/A
- Individual Stewardship: Zelis Healthcare; Direct Contracts; Rbp Network Open Access; Asserta Health
- Other Solutions: Zelis Healthcare; The Phia Group, LLC; Stellus Rx
- 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
The Phia Group talks the walk. In addition to the work it does on its own plan, ensuring that it is spending the most appropriate amounts on the highest quality care, and implementing various incentives to reward participants for their efforts, the Phia Group also develops services and products meant to enable other plans to replicate their success. They also publish free podcasts, webinars, blogs, and vlogs, with thousands of industry entities in attendance. They are also acclaimed for their published works appearing in numerous industry periodicals and are frequent speakers at industry events, including Rosetta Fest! The Phia Group works tirelessly to improve its own plan, beta testing new solutions and helping other service providers to improve their offerings, before educating others about these opportunities, with no compensation in return. Their vision is to empower every plan to offer the best benefits for the lowest cost; something their own plan has accomplished.
- Industry: Legal Services
- # of Employees: 180
- Location: Massachusetts
The Phia Group’s health benefit plan and company leadership are committed to the Health Rosetta Dividend. In 2016, when most employers and self-funded plan administrators saw sharing savings with members as far-fetched, the Phia Group made headlines in The Boston Globe by offering free diapers and wipes for a year to new parents who chose to deliver at a Center of Excellence, facilities with top-tier quality and lower costs. This was just the beginning of many efforts to “share the wealth.” Phia soon launched a policy that rewarded participants for identifying billing errors and choosing lower-cost, higher-quality providers, even for prescriptions. Participants who used urgent care or free-standing diagnostic facilities instead of hospital-owned offices received care with no co-pay.
As Phia applied cost containment strategies and promoted healthcare consumerism, it eliminated all deductibles as a reward for participant cooperation. In 2020, Phia deepened its commitment by announcing that employees with five or more years of service could enroll in the health plan at no cost, $0 contributions. While many companies responded to COVID-19 with layoffs, Phia responded by giving long-term employees free health coverage. These efforts continue today, made possible by a cost-conscious plan design and a culture that emphasizes smart, engaged healthcare choices.
- TPA: Blue Benefit Administrators
- PBM: Prime Therapeutics, LLC
- Stoploss: Symetra Stop Loss
- PrimaryCare: Action Medicine; Hint Health
- Individual Stewardship: Blue Card PPO
- Other Solutions: MediOrbis; Quantify Specialty Care; Hyperion; EsoGuard/LucidDx; Dr. Keith Smith/Oklahoma Surgical; Bexa
