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Commission approves 10-year Cigna contract for county health plan despite PBM concerns; board asks administrator to report back on Rx alternatives
Summary
County commissioners approved a 10-year contract with Cigna Health and Life Insurance Company to administer the self-funded employee health plan, 6–1. Several commissioners and the county consultant flagged pharmacy benefits manager (PBM) pricing and asked staff to analyze alternatives and report within a year.
The Hillsborough County Board of County Commissioners on Feb. 19 voted 6–1 to approve a 10-year agreement with Cigna Health and Life Insurance Company to administer the county’s self-funded group health plan, estimated at $26,401,000, while authorizing annual Cigna-funded wellness programming and an additional $150,000 per year for group-health-related services if the administrator deems them beneficial.
The vote followed a lengthy discussion about prescription-drug pricing and pharmacy benefits manager (PBM) practices. Commissioner Joshua Wostel (recorded in the transcript as an outspoken critic) presented specific examples from county claims data and urged the board to direct staff to analyze alternative PBM models that could reduce pharmacy…
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