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Council hears detailed Aetna plan review as consultants recommend pharmacy audit
Summary
Consultants from 1Digital/Robinson Bush reviewed the city's contracts with Aetna and recommended negotiating upcoming renewals and conducting a pharmacy claims audit, citing rising pharmacy spend and changes from Florida Senate Bill 1550.
Robinson Bush/1Digital benefits consultants briefed the Titusville City Council on March 11 on the city's Aetna contracts and plan-management history, urging the council to renegotiate upcoming terms and consider an independent pharmacy claims audit.
The presentation, given by benefits consultant Gina Lucchini, recapped procurement history going back to 2011 and explained why Aetna was selected for the city's administrative services-only medical plan in 2019 and for dental and COBRA services more recently. "Hello. Good evening. My name is Gina Lucchini and I am your benefits consultant with 1Digital Robinson Bush," Lucchini told the council as she outlined RFP work, contract term dates and the consultant team's role.
Why it matters: consultants said recent legal and market changes — notably Florida's Senate Bill 1550 requiring greater PBM transparency and a pass-through of rebates — affect the structure of pharmacy rebates and administrative fees. Lucchini recommended negotiating…
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