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IIIA reports $4.3 million in program savings, highlights screenings and mental‑health uptake

McCall City Council · November 21, 2025

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Summary

The IIIA self‑funded health trust told McCall council it covers benefits for roughly 2,600 employees (6,500 members), runs a $42.5 million budget, and recorded $4.3 million in program savings and increased EAP use that led to fewer inpatient behavioral‑health stays.

Amy Manning, executive director of the inter‑municipal health trust IIIA, presented the trust's annual report to the council, emphasizing enrollment metrics, cost‑control efforts and wellness screening outcomes.

Manning said IIIA served 124 participating agencies, about 2,600 employees and roughly 6,500 total members, with an annual budget "right at $42,500,000." She described program changes in 2025 including a switch of pharmacy benefit managers from ProAct to SmithRx, a 3% lift in prescription rebates (nearly $2 million), a 5% reduction in prescription cost per employee per month, and $4.3 million in savings tied to new pharmacy and care‑coordination programs.

Manning highlighted the trust's wellness screenings: 95% of participating agencies hosted screenings but only 37% of individual members participated; screenings found elevated PSAs, positive Cologuard results, elevated A1Cs and identified two stage‑1 melanomas and 31 other skin cancers. "We bring a physician assistant on‑site that specializes in dermatology," Manning said, and the trust covers 100% of skin biopsies.

She also described behavioral‑health services launched in 2019, an in‑network EAP of about 300 providers and a 40% drop in inpatient substance‑abuse or mental‑health admissions among members. Manning urged agencies to increase screening participation and noted trustees made one program mandatory going forward to increase engagement and savings.

Council members thanked Manning and asked staff to pursue local dermatology connections for screenings; Manning offered to coordinate. No council action was required for the informational report.