Scott Haas exemplifies health plan excellence and stewardship.
Rosie Award winners are chosen from plans recommended by benefits advisors, solution providers, or clinical leaders who meet two important criteria: a high Plan GraderTM score and excellent use of their Health Rosetta Dividend.
The Plan Grader™ is the first comprehensive independent plan assessment to measure and improve your health plan strategy. Plan Grader is an independent 360° health plan risk assessment that provides actionable insights to create an effective 2-3 year strategy to lower costs and improve benefits. Plan Grader is built on the Health Rosetta’s eight components that have been modeled on the successes of hundreds of high-performance plans. Employers and unions can evaluate how their health plan benchmarks to other employers or union plans adopting a Health Rosetta-style health plan. Reach out to Scott Haas to get your Plan Grade today.
Health Rosetta Dividend refers to the well-documented over $1 trillion of industry waste that can be reinvested back into an organization or community to improve wellbeing and build the foundation to restore the American Dream. Examples of Health Rosetta Dividend reinvestment include free college education, advanced primary care services, free or subsidize healthy food, pay increases, Dream Manager, $0 medications, or other tangible improvements that have a direct impact on the health and wellbeing of their workforce, dependents, and communities.
Scott has more than three decades of experience in employee benefits, and his background includes prescription benefit management (PBM) solutions; provider network evaluation, valuation, and negotiation; and underwriting. Scott started and operationalized a third-party administrator (TPA) and a PBM platform from scratch, and he has worked in alternative funding for the majority of his career. He currently focuses on support of PBM and Managed Care/Provider Excess national practices that transcend to self-insured plan sponsors, and he has served as a trustee for both union and non-union health and welfare and pension plans. Scott frequently shares his consulting expertise speaking at national events hosted by organizations such as the International Foundation of Employee Benefits, the Health and Welfare Plan Management Conference, the Western Pension and Benefits Council and the Self-Insurance Institute of America.
- 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