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Based Insurance Design (VBID) Pilot Program with the goal of improving

         health outcomes while lowering overall costs through copayment waivers

         or reductions.
            (a) The JCHB will work with the State to look at a copayment waiver

         program for office visits and prescription drugs when related to chronic
         conditions.   Should the VBID Program prove successful, and be expanded

         to other disease  states, the copayment reductions  or waivers, including
         copayments for prescription medications, will be evaluated for inclusion in

         any future VBID programs.
            (13) The JCHB will work with the State to develop a voluntary Pilot

         Telemedicine Program.  The purpose of the Telemedicine Program is to
         increase access to health care services by establishing a program to use

         telecommunications to provide healthcare.
            (14) The JCHB will work with the State to explore the implementation

         and oversight of a voluntary Healthy Back Program and Bariatric Surgery
         Management Program.  Nutritionist coverage will be  available when

         clinically appropriate.
            (15) The JCHB and the State will regularly review the ongoing role of

         nurse practitioners and convenient care clinics (also referred to as “minute
         clinics” or “retail clinics”) as providers in the Empire Plan.

            (16) The JCHB will work with the State to solicit a health risk assessment
         program and implement a voluntary, incentivized program as well as

         development of educational endeavors to influence healthy lifestyles.
            (d) The Joint Committee's area of review and counsel shall include but

         not be limited to the following areas:

              (1) Development of health benefit communication programs related to
         the consumption of health care services provided under the Plan.
              (2) Development, as appropriate in conjunction with the carriers, of

         revised benefit booklets, descriptive literature and claim forms.

              (3) The CSEA Joint Committee on Health Benefits will work with the
         State to develop a "report card" which will include objective quality data

         to assist employees in selecting the health benefit plan that best meets the
         needs for the employee and their dependents.

              (4) In  cooperation with the State, the Joint Committee on Health
         Benefits will review the implementation and ongoing oversight of an

         Annual Health Insurance Enrollment Opt-out.


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