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DOA seeks larger actuarial role as self-insurance costs and pharmacy access drive contract work
Summary
DOA told the committee it is expanding the scope of actuarial consulting and seeking multiyear third-party administration for the government'wide self-insurance program, citing rising pharmacy costs and the need for pharmacy benefit management; DOA estimated total government-wide self-insurance costs near $190 million as part of negotiations.
Department of Administration officials told the finance committee on June 19 that the self-insurance program and associated third-party administration (TPA) contracts are under active negotiation and that actuaries will be asked to perform a broader scope of work in FY26.
Theresa Rivers said DOA has asked actuaries to perform audits of providers, assess whether the government should enroll in Medicare Part D to reduce pharmacy expenses, and validate rebate calculations.…
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