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Group Insurance Commission outlines plan‑level steps to contain rising health costs
Summary
GIC staff told commissioners they have pursued procurement changes that saved an estimated $16 million in FY24, maintain a PBM contract with 100% rebate pass‑through, and are exploring site‑of‑care payment models and standardized out‑of‑network payments while preparing communications about a potential Point32 provider network dispute.
At the November meeting of the Group Insurance Commission, GIC staff described plan‑level actions and tools the commission is using and considering to limit rate pressure for its membership of roughly 420,000.
Jim Rust, GIC chief financial and procurement officer, said recent procurement work likely yielded about $16,000,000 in savings in fiscal 2024 and that the GIC’s PBM contract with CVS includes a 100 percent pass‑through of rebates that helps blunt drug pricing pressure. "We do benefit from the 100% pass through of those rebates," Rust…
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