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Lockton review urges Grain Valley R‑V to secure claims data, re-evaluate PBM and stop‑loss terms
Summary
An independent Lockton review advised Grain Valley R‑V to obtain its own claims warehouse, target claim audits, re-examine PBM arrangements and consider repricing exercises to control rising pharmacy and medical-pharmacy costs. The district benefited from consortium stop‑loss coverage but should continue active negotiation and oversight.
An independent benefits review presented to the Grain Valley R‑V School District board on Monday urged the district to secure independent access to its medical and pharmacy claims, tighten audit controls and re-evaluate pharmacy contract structures as costs shift toward specialty and medical-pharmacy treatments.
A Lockton consultant told the board the firm examined Grain Valley's contract with Cigna through the SIPGKC consortium and focused on medical, pharmacy and the district wellness center. The reviewer said the district currently carries a $300,000 stop‑loss attachment point and that while…
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