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Warren County reviews 2026 benefits proposals: pharmacy strategy, GLP-1 coverage debate, Samaritan Fund, eligibility and contribution changes
Summary
County benefits consultant Hub presented a 2026 renewal proposal including a recommended 2.5% all-in budget increase, pharmacy cost-containment results from a new PBM, debate among commissioners about coverage of GLP-1 weight-loss drugs, continued use of a Samaritan Fund for catastrophic support, a trailing-spouse eligibility recommendation, and a
Warren County benefit consultants from HUB presented the county's 2026 benefits funding and design recommendations during a work session, outlining an overall proposed 2.5% increase in the all-in benefits budget and a suite of cost-containment measures the firm recommends to preserve long-term plan stability.
Allison (benefit consultant, HUB) told commissioners the county's long‑term trend in claims has been below market and that several 2025 changes — including a new pharmacy benefit manager relationship and other utilization-management tactics — helped limit the 2026 funding need. She said HUB and county staff propose a 2.5% budget increase for 2026 that incorporates administration fees, claims, stop‑loss premiums and other benefits costs.
Pharmacy and specialty drugs took a large portion of the discussion. HUB described switching PBMs and pharmacy partners in 2025 with the goal of removing high‑cost specialty drugs from the county's net plan cost by leveraging manufacturer assistance and international sourcing. HUB estimated first‑year gross savings from the PBM change in the range discussed…
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