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Insurance consultant: eight large claims and rising inpatient stays pushed Montgomery County health plan costs up this year

Montgomery County Board of Commissioners · December 23, 2024
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Micah Bollinger presented a financial review showing the county—s self-funded health plan is about $500,000 higher year‑to‑date than last year, driven by eight high-cost claims and increased inpatient days; he recommended targeted renewals, provider negotiation and Medicare outreach to shift risk.

Micah Bollinger, the county—s insurance presenter, told the Montgomery County Board of Commissioners that its self‑funded health plan has seen a sharp rise in high‑cost inpatient claims this plan year. "We're up about a half a $1,000,000 from last year at the same time period to this year," he said, attributing most of the increase to eight large claims and higher inpatient stays.

Bollinger showed commissioners plan-year numbers through November 2024 that put total paid claims near $2 million versus $1.55 million last year in the same period and said inpatient hospital charges rose from approximately $29,000 to about $296,000. He added that five of the eight largest claims had…

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