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Consultant urges Medicare Advantage for retirees and governance overhaul; bills expected

State Board of Finance · November 17, 2021
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

The Employee Benefits Division presented the Segal group final report recommending moving retirees to Medicare Advantage on an opt‑out basis, seeking a new pharmacy benefit manager, and establishing a new governance board; staff said draft bills are in progress and timing may be the next fiscal session.

Jake Lee, administrator of the Employee Benefits Division (EBD), told the State Board of Finance that the Segal group’s final report includes a set of recommendations aimed at stabilizing the employee and public school health plans long term. Three main recommendations Lee highlighted were: (1) move retirees to a Medicare Advantage plan on an opt‑out basis; (2) issue an RFP for a new pharmacy benefit manager to increase rebates and reduce plan funding needs; and (3) consider combining the ASC and PSC plans.

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