Anchorage School District The Search for High Value

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Anchorage School District The Search for High Value Benefits to Sustain Competitive Compensation Prepared

Anchorage School District The Search for High Value Benefits to Sustain Competitive Compensation Prepared by Anchorage School District Office of Management & Budget 2013 State of Health Reform Conference Friday, October 4

Overview • Quick Financial Overview • Anchorage School District Health Coverage Challenges – –

Overview • Quick Financial Overview • Anchorage School District Health Coverage Challenges – – Review of basic cost drivers/allocations Health Coverage/Medical Care price escalation challenges K-12 Education Investment Benchmarks Anchorage School District Response to Cost Driver Analysis • Health Coverage Opportunities – Consumer Value – Employer/Retiree Life Cycle Alliances ASD OMB Page 2 4 Oct 2013

State Foundation Formula Basic Demographics (FY 14 Projections) Kenai JNU FAI Mat. Su ANC

State Foundation Formula Basic Demographics (FY 14 Projections) Kenai JNU FAI Mat. Su ANC Source: Legislative Finance Division, FY 14 Projection of K-12 Funding, August 2013 ASD OMB Page 3 4 Oct 2013

History of Educational Investments in Anchorage K-12 Education Investment Levels (2012$/student ADM, cpi-u adj.

History of Educational Investments in Anchorage K-12 Education Investment Levels (2012$/student ADM, cpi-u adj. ) ASD OMB -30 years -20 years Source: ASD Audited CAFRs Page 4 4 Oct 2013

History of Educational Investments in Anchorage Compare Cost Drivers – Real Compound Annual Growth

History of Educational Investments in Anchorage Compare Cost Drivers – Real Compound Annual Growth Rate (2012$/student baseline) Source: ASD Audited CAFRs ASD OMB Page 5 4 Oct 2013

Educational Investments in Alaska Medical Care Cost Driver Effects All Sectors and Is Well

Educational Investments in Alaska Medical Care Cost Driver Effects All Sectors and Is Well Above Benchmarks Source: MAFA Memo to Alaska Health Care Commission ASD OMB Page 6 4 Oct 2013

Education Investments Benchmarks Considerations in Responses to Excessive Medical Cost Inflation Sources: Mc. Kinsey

Education Investments Benchmarks Considerations in Responses to Excessive Medical Cost Inflation Sources: Mc. Kinsey (2010), ASD OMB Analysis ASD OMB Page 7 4 Oct 2013

Educational Investment in Anchorage Current Realignments in Response to Anchorage Cost-Driver Analysis and Classroom

Educational Investment in Anchorage Current Realignments in Response to Anchorage Cost-Driver Analysis and Classroom Effectiveness Assessments - Strategic Pivots to Realign on High Value Direct Classroom Instruction Source: ASD OMB Analysis ASD OMB Page 8 4 Oct 2013

Educational Investments in Anchorage Near Term Strategic Realignment in Response to ASD Cost-Driver Analysis

Educational Investments in Anchorage Near Term Strategic Realignment in Response to ASD Cost-Driver Analysis Bonus + 1% ASD OMB Migrate medical benefits from ½ to ¾ FTE Page 9 Eliminate waiver payments; Freeze medical 4 Oct 2013

High Value Health Coverage Opportunities Distribution of Cost/Value across the covered population Enhanced Wellness

High Value Health Coverage Opportunities Distribution of Cost/Value across the covered population Enhanced Wellness Reference Pricing Employer Coalition(s) Bundled Pricing ASD OMB Page 10 4 Oct 2013