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HomeMy WebLinkAbout3/2/2010 - RegularMarch 2, 2010 73 Roanoke County Administration Center 5204 Bernard Drive Roanoke, Virginia 24018 The Board of Supervisors of Roanoke County, Virginia met this day at the Roanoke County Administration Center, this being a special meeting for the purpose of conducting a work session to discuss fiscal year 2010-2011 budget development. Audio recordings of this meeting will be held on file for a minimum of five (5) years in the office of the Clerk to the Board of Supervisors. IN RE: CALL TO ORDER Chairman Church called the meeting to order at 2:05 p.m. MEMBERS PRESENT: Chairman Joseph B. "Butch" Church, Supervisors Michael W. Altizer, Richard C. Flora MEMBERS ABSENT: Vice Chairman Eddie "Ed" Elswick, Supervisor Charlotte A. Moore STAFF PRESENT: B. Clayton Goodman III, County Administrator; Daniel R. O'Donnell, Assistant County Administrator; Diane D. Hyatt, Assistant County Administrator, Paul M. Mahoney, County Attorney; Becky R. Meador, Clerk to the Board; Teresa Hamilton Hall, Director of Public Information IN RE: WORK SESSIONS 1. Work session on implementing a wellness program for Roanoke County employees (Joseph Sgroi, Director of Human Resources; Rebecca Owens, Director of Finance; Anita Hassell, Assistant Director of Human Resources; Rob Light, Purchasing Manager; and Tom Revels with Living Well) The work session was held from 2:06 p.m. until 3:20 p.m. Mr. Sgroi introduced the team from Living Well Health Solutions: Tom Revels, CEO; Charles Fitch, Client Services Specialist; and Eliza Shevenell, Business Development Specialist. Mr. Revels gave a brief history of their company. Staff presented a PowerPoint (a copy is on file in the Clerk's Office) summarizing the benefits to both the County and employees of implementing a wellness program. The program would be for County employees only at this time; however, 74 March 2, 2010 statistics provided were based on County and School employees as a whole. Ms. Owens highlighted the increases in health coverage costs over the past few years. A wellness program would provide an opportunity to decrease costs while enhancing access to health care for employees. Ms. Hassell stated the primary emphasis would be on prevention and wellness. The two primary goals are a proactive culture of prevention and personal responsibility, encouraging employees to have their annual screenings. She outlined how the program would work and emphasized that compliance is not based on results, only participation. Mr. Revels explained that each employee would have their own compliance plan based on their personal health assessment. Statistics reveal that approximately 50 percent of the employee base does not have a primary care physician and/or does not have annual screenings. Currently, $3 are saved for every $1 spent per employee. Living Well has an 83 percent average participation with incentives. The lowest participation they have encountered has been 53 percent. Mr. Light reviewed the costs involved with this type of program. There has been preliminary discussion of having the City of Salem join the County under one program. Living Well offers a guarantee of savings based on the program selected by the County. The program is anticipated to support itself through premium savings by retarding the growth in premium rates; however, the first year would be funded through the health insurance reserves. There was discussion of how the program interacts with the employee's family physician. The employee can authorize a report of any service provided be sent to their family physician. The program would not override a current plan of care an employee may be following through their primary care physician, but support that plan. The Board requested more detailed cost analysis of the program. Living Well does have the capability of providing this information and staff will compile to bring back to the Board at the March 23, 2010, meeting. Supervisor Altizer advised he will not support nonparticipating employees shouldering the cost of the program. The difference in premium is usually $25 to $45 per month. Employees who do not participate would payer a higher premium. Supervisor Flora inquired whether the County would be penalizing nonparticipating employees, or rewarding employees who do participate. He felt the penalty would be paying for the reward. Chairman Church called for a brief recess. March 2, 2010 75 2. Work session on public transportation -County of Roanoke Transportation Program (CORTRAN) (B. Clayton Goodman III, County Administrator; Laurie Gearheart, Assistant Director of Finance) The work session was held from 3:32 p.m. until 4:24 p.m. Staff presented a PowerPoint (a copy is on file in the Clerk's Office). Curtis Andrews and Jim Atkins from RADAR attended the work session to answer questions from the Board. Ms. Gearheart reviewed the history of CORTRAN and the changes made since the inception of the program in 1985. The current rate for participants is $3.50 per one-way trip. It was estimated that approximately 40-50 percent of participants pay cash and do not purchase tickets in advance. Grants help to off-set expenses; however, the County's cost has increased each year. The County currently pays $38 per hour for services. The County has initiated additional data requirements (i.e. birthdates and Americans with Disabilities Act (ADA) status) to begin better tracking of participants. Ms. Cochran is in the process of purging the database to make it more manageable. Ms. Gearheart reviewed options for cost containment. Staff recommended implementing and enforcing a No Show Policy and increasing the participant fee from $3.50 to $4.00 per trip. There are 80-100 no show appointments per month. RADAR averages 18 vehicles used each day for the County program. Supervisor Flora noted that the County may need to look at a need-based policy considering income, ADA status, employment status, etc. The Board felt the taxpayers should not pay for participants that really do not need the service. The Board asked staff to look at ways to tighten the criteria to qualify for CORTRAN and bring that information back at a future work session. 3. Work session to discuss fiscal year 2010-2011 budget development (Brent Robertson, Director of Management and Budget) The work session was held from 4:24 p.m. until 4:28 p.m. Mr. Robertson reported there have not been changes from the State since the last budget work session. He hopes there will be some clearer information at the next meeting; although, it will most likely be later in the month. 76 March 2, 2010 IN RE: ADJOURNMENT Chairman Church adjourned the meeting at 4:28 p.m. Submitted by: Approved by: . ~' ~ ~~ Becky R. eador Joseph B. "Butch" Church Clerk to the Board Chairman 7 7