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USI consultant urges Dickinson County to consider partial self‑funding, drug‑cost strategies
Summary
A USI consultant told Dickinson County commissioners that shifting to a partially self‑funded health plan and changing how specialty drugs are managed could cut long‑term costs; the presentation was informational and generated several follow‑up questions from staff and commissioners.
Steve, a USI consultant, told the Dickinson County Board of Commissioners on July 24 that the county could reduce health‑plan costs by adopting alternative funding and prescription‑drug strategies, including partial self‑funding and pursuing biosimilar purchasing programs.
Steve said USI used a working estimate of roughly 150 covered employees at an annual average cost of about $14,000 per employee, producing a plan cost “about $2,000,000” annually; he also said the county’s employee‑only plan runs about $643,000 a year. He told commissioners prescription drugs — especially specialty medications such as Humira — are a central driver of plan cost and described rebate and manufacturer coupon mechanics that can yield large savings under a self‑funded model.
The presentation focused on two points that…
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