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County hears detailed health-plan briefing; consultants propose PBM/formulary changes and optional KanaRx program to curb pharmacy spending
Summary
Benefits consultants told the Harrison County Board the county's employee plan is being driven by high-cost pharmacy claims and proposed formulary changes plus an optional KanaRx mail-order program with a $3 per-member monthly fee and guaranteed ROI.
County benefits consultants from Gallagher Benefit Services and SAS outlined escalating costs in the self-funded employee health plan and proposed several interventions focused on pharmacy spending.
The consultant said the county's net paid claims were about $7.8 million and, without changes, the plan could run roughly 10% higher next year. To reduce pharmacy-driven expense, they proposed a closed/formulary model that would encourage switching to…
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