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Aetna/CVS presents self-funded health plan proposal to Hillsborough County evaluation committee
Summary
Aetna, part of CVS Health, presented a proposal in response to RFP ARMP2424 912 to administer Hillsborough County's self-funded group health plan, highlighting pharmacy pass-through rebates, on-site clinic enhancements, care management and projected savings; committee asked implementation and compliance questions but took no formal action.
Aetna, a CVS Health company, presented a proposal on RFP ARMP2424 912 to the Hillsborough County Bid Presentations and Evaluation Committee on a virtual meeting held via communications media technology; the presentation outlined pharmacy pricing and pass-through rebate terms, proposed on-site clinic staffing and wellness services, and a three-year fee guarantee with implementation funding.
The proposal emphasized pharmacy integration through a National Association of Counties (NACo) coalition pharmacy agreement and a pass-through rebate model. "We are passing through 100% of rebates," Andrew Conroy, who leads Aetna's pharmacy team, said during the question-and-answer session; Conroy also answered "Yes" when asked whether Aetna is fully compliant with Florida's PBM law, SB 1550.
Why it matters: the county's choice of an administrator for a self-funded plan affects employee access to providers, out-of-pocket costs, and the county's health benefit expenditure. Aetna told the committee its proposal aims to lower specialty pharmacy spend and increase…
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