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Commissioners weigh shifting county employee clinic from lump‑sum to per‑visit model to save costs
Summary
County commissioners discussed moving from a $500,000 annual lump‑sum agreement with IU Health Clinic to an a‑la‑carte per‑visit payment and eliminating onsite medication management to capture pharmacy rebates; staff estimate a potential ~$300,000 annual savings based on 2024 usage but requested a formal contract for the alternative model.
Delaware County commissioners on July 7 discussed changes to the county's master agreement with the IU Health clinic that provides no‑cost primary care to county employees and their covered dependents.
The discussion matters because the county currently pays roughly a half‑million dollars per year for the clinic contract while reported utilization is low; staff presented a per‑visit alternative that could reduce county costs if the commissioners approve a contract change.
Commissioner Brand summarized 2024 use data from IU Clinic: "If we look at 2024 data, 81% of the visits were employees. That means 19% were…
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