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Mercedes ISD reviews health plan performance and rising prescription costs
Summary
Texas Health Benefits Pool presented a year-to-date review of Mercedes ISD’s health plan, reporting lower total medical spend in the 2023–24 plan year compared with 2022 but flagging rising utilization of high-cost GLP‑1 drugs and higher early-year per‑employee costs for 2024–25.
Texas Health Benefits Pool and district consultants reviewed Mercedes ISD’s employee medical claims and benefit utilization, noting a lower total medical spend for the 2023–24 plan year compared with 2022 but higher early‑year costs for the district’s 2024–25 plan.
In a presentation to the Mercedes Independent School District Board of Trustees, Keisha Rollins Contreras, account manager with Texas Health Benefits Pool, said the full reporting year for comparison ran Sept. 1, 2023, through Aug. 31, 2024, and the district’s current utilization figures covered Sept. 1–Dec. 2024. Rollins Contreras said the district’s medical payments for the 2022 plan year under UnitedHealthcare were about $4,325,037.90; for the 2023–24 year under Texas Health Benefits the medical spend was $3,476,261.78. For the first three months of the 2024–25 plan year, the pool reported $1,354,484.29 in paid medical claims and an early-period per‑employee‑per‑month (PEPM) of about $492.72.
The presentation…
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