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DOA seeks expanded actuarial work as self-insurance costs rise; officials consider multi-year contracts
Summary
DOA told the finance committee it is expanding actuarial and third-party administration work for the government’s self-insurance program to audit providers, assess Medicare Part D enrollment for pharmacy savings, and evaluate pharmacy benefit management options.
Department of Administration officials told the finance committee that the government’s self-insurance health program is under active review and that actuarial costs are rising because DOA is expanding the consultant scope.
Senators asked why the proposed actuarial contract line rose from about $433,333 in FY25 to $716,000 in FY26. Director Edward Byrne and CFO Theresa Rivers said the increase reflects additional scope: audits of medical providers, assessment of whether the…
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