Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Horton Group: LaSalle County health plan costs rose in 2024 as large-claim activity spiked; committee accepts insurer briefing
Summary
Horton Group consultants told the LaSalle County Insurance Committee that plan costs rose about 12.5% in 2024, driven largely by an uptick in high-cost claimants and specialty pharmacy; the committee accepted the presentation and placed the health insurance report on file.
Beth Ishmael and Mike Gulich of the Horton Group summarized the county health plan's 2024 performance for the LaSalle County Insurance Committee and recommended cost-containment priorities including continued use of the HealthJoy navigation app, monitoring specialty and gene-therapy costs, and reviewing pharmacy and reinsurance options.
The Horton Group reported the plan's year-over-year increase from 2023 to 2024 was roughly 12.5%, mainly because the plan had more high-cost members: 36 members had claims over $75,000 in 2024 versus 22 the prior year. The county's specific stop-loss (reinsurance) deductible is $150,000; Horton reported about $3.0 million in claims were reimbursed by reinsurance in 2024 and emphasized that the county's protection likely…
Already have an account? Log in
Subscribe to keep reading
Unlock the rest of this article — and every article on Citizen Portal.
- Unlimited articles
- AI-powered breakdowns of topics, speakers, decisions, and budgets
- Instant alerts when your location has a new meeting
- Follow topics and more locations
- 1,000 AI Insights / month, plus AI Chat
