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Commissioners review CareFirst proposals; HR recommends budgeting for ACA‑eligible hourly employees
Summary
Human resources presented three CareFirst renewal scenarios and options to comply with the Affordable Care Act; commissioners signaled support for HR’s recommendation and asked staff to budget for offering the HMO to eligible hourly employees.
Human resources staff walked commissioners through three CareFirst renewal scenarios and three options the county can use to meet Affordable Care Act (ACA) large‑employer obligations.
HR reported CareFirst initially proposed an 18.3% rate increase for FY17, returned with a 16.6% option after benefit changes, and then proposed a 12% option after additional plan design changes. HR explained the 12% proposal included moving the PPO to a Blue Choice Advantage (an HMO‑style network) and changes to prescription coverage and copay structure designed to steer members to lower‑cost care sites.
Catherine Preps, the county’s Human Resources director, summarized member impacts and policy mechanics: “The change to the PPO plan … to become a Blue Choice Advantage Plan has limited or minimal changes to our employees and to the people who are on the plan. It is designed more like an HMO where…
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