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Houchens Group reviews county health plan; coalition data shows Dubois County’s plan is most expensive
Summary
Houchens Insurance Group reviewed the first four months of the county employee health plan and suggested a PBM RFP; Patoka Valley Health Care Cooperative data presented by Alyssa Brosmer showed Dubois County was the most expensive plan among 15 employers in 2023, prompting discussion of savings opportunities.
Max Bawel and Dan Davis of Houchens Insurance Group updated the commissioners on the county employee health insurance program’s first four months (plan year began Nov. 1, 2024), including an Aggregate Stop Loss report and RxProtect performance. Houchens said it is exploring a near‑site clinic option and invited commissioners to a Lunch & Learn on April 24, 2025 to discuss a per‑employee premium that would give employees access to the clinic. The group also suggested issuing a Request for Proposal for the Pharmacy Benefits Manager (Foundational Pharmacy Strategies) in the summer to evaluate potential changes to pharmacy benefits.
Alyssa Brosmer, director of Patoka Valley Health Care Cooperative, presented 2023 per‑employee medical costs across 15 employers and said Dubois County’s plan was "by far" the most expensive and described it as a "very rich plan." Brosmer and Houchens discussed plan savings opportunities and how members are being steered from Memorial Hospital to Deaconess Memorial, with referrals required for Evansville Deaconess.
Commissioners discussed the Working Spouse Rule and potential contract or PBM adjustments; no formal action was taken beyond scheduling follow-ups and a suggested RFP.
