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Adams County reviews health-plan claims, eyes pharmacy and TPA changes to curb costs
Summary
At a commissioners meeting, USI Insurance Services reviewed the county's health-plan claims through April and recommended deeper review of pharmacy contracts, third-party administrators and wellness incentives to manage rising fixed costs.
At a meeting of the Adams County Board of Commissioners, Jordan, a USI Insurance Services consultant, presented the county’s health-plan claims through April and urged further review of pharmacy contracts and third-party administrators to control costs.
The presentation showed expected year-to-date claims of $622,585 and a net performance to date of $604,308, which Jordan described as “performing relatively well as it relates to expected claims cost at 97.1%.” The county’s enrollment was 67 employees; USI calculated a per-employee annualized claims cost of $10,888 and a total per-employee-per-year cost including fixed expenses of $17,699 if current trends continue.
The report highlighted three drivers: a small number of large claimants tracked separately from…
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