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Board hears Brown & Brown briefing on self-funded health plans; directs staff to continue study
Summary
Brown & Brown presented alternatives to traditional fully insured health plans, including a self-funded model with stop-loss, transparent PBMs, bundled payments and advanced primary care; the board directed staff to further investigate and gather pricing comparisons.
Consultant Greg Kaldewai of Brown & Brown gave an extended briefing to the Southwest ISD Board about employee health-plan options and the drivers of rising costs, and the board directed staff to continue exploring a self-funded model.
Kaldewai identified four primary cost drivers: commercial insurers' market dynamics, escalating hospital costs, the PPO "discount game," and pharmacy benefit managers (PBMs). He described techniques Brown & Brown uses to contain costs, including…
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