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Citrus County board hears Fleet pitch for multi-district health trust; asks insurance committee for more analysis
Summary
Fleet executives told the Citrus County School Board their multi-district health trust can deliver scale savings (they cited 7–13% over 1–3 years) but that the district would pay a $10,000 participation fee and about $22.25 per employee per month; the board asked its insurance committee to vet the numbers before any enrollment decision.
Ted Rausch, executive director of Fleet, and Dave Stevens, Avail Analytics program manager, told the Citrus County School Board on Feb. 24 that Fleet is a "non profit, educator health trust" designed to pool purchasing power and stabilize health-plan costs for member districts. Fleet staff said the trust now includes 17 districts covering more than 44,000 employees and that member districts have typically seen pharmacy and stop-loss savings that contribute to a projected 7–13% reduction in health-plan costs over one to three years.
Rausch described Fleet’s mechanics as a combination of bulk pharmacy contracts, competitive stop‑loss placement, a shared data warehouse and active repricing of pharmacy benefit manager (PBM) contracts. "We reprice annually the pharmacy programs of fleet member districts," he said, and pointed to a prior example in…
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