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Actuary: drug costs and deferred care shaped 2020 plan experience; board weighs rate impacts
Summary
Aon presented 2020 claims experience showing medical claim suppression during the pandemic and rising prescription drug and specialty drug costs; the board heard concerns about deferred care and approved recommendations on stabilization use that will lower 2022 rates modestly.
Mike Clark of Aon presented detailed 2020 claims and utilization analysis for Blue Shield HMO plans and the PPO city plan (administered by UnitedHealthcare in 2020 and scheduled to transition to Blue Shield on Jan. 1, 2022). Clark said the combination of pandemic‑related suppression in medical services and increased prescription drug costs produced mixed results: overall plan expenses per member rose modestly while prescription drug…
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