President & CEO
Independent Colleges and Universities Benefits Association
Mark began his current position in 2003 as CEO of the non-profit, self-insured Independent Colleges and Universities Benefits Association (ICUBA), www.icuba.org, regulated by the FL Office of Insurance Regulation. Mark has led ICUBA from a fledging $23 million annual enterprise into an annual $100 Million+ community juggernaut with an average daily cash balance more than $35 Million. Under Mark’s leadership, ICUBA membership has more than doubled, currently covering 16,000+ people in the consumer directed, value based, member centric medical, prescription drug and wellbeing employee benefits plan growing from eight not-for-profit, private Florida education employers in 2003 to 26 employer members now in 2020, with average annual premium increases of 4.5% per year over year since inception, and administrative costs consistently less than 9% of premium.
Telemedicine will be a bigger part of how people receive healthcare, at a quicker pace, than anyone could have previously imagined.
A robust EAP that integrates well with mental health benefits.
We have been able to reduce the cost, and improve the quality of care, for non-emergent surgeries by carving out this benefit to a specialty provider that administers this service with a concierge approach, and a network of surgeons that perform at the top quartile. On a spend of $4 PEPM, we have been able to recognize an ROI of about 4:1
Specialty drugs. Catastrophic claims. Emergency room services.
Reference based pricing for advanced imaging.
We seek a corporate culture that supports overall worker health and wellbeing that goes beyond focusing on health-related costs (insurance premiums) and that supports the employee family/community in being the best they can be. This means that we strive to implement well-being initiatives that go beyond mere programs for covered employees/families and actually reach into the communities where employees live. To be fully transparent this is more of aspiration of where we want the focus of wellbeing efforts to be rather than actually having implemented well-being activities in the communities where employees reside.
More than 25% of covered members have accessed telehealth services not generally available prior to the pandemic with more than 90% of those members engaging in services not related to a COVID-19 related diagnosis. In addition, there was a 31% increase in the number of unique members utilizing Teladoc when compared to the same time frame in the prior period and a 37% increase in the number of visits. Without these telehealth options being available to members, we are concerned that members might have foregone access to engage in addressing health needs, prolonging care to the point of becoming more severe.
Telehealth has been more widely used by a larger portion of the population than would have been otherwise, leading to reduced cost of the delivery of care, and more trust going forward in continuing to access telehealth services.