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County weighs expanding no-interest payroll credit for health costs and a preventative-screening incentive
Summary
Duchesne County staff presented the Patient pay-card program (no-interest payroll-deducted credit used primarily by high-deductible plan participants) and proposed opening it to all insured employees; staff also proposed a $50 preventative-screening reimbursement to boost biometric uptake. Commissioners requested more usage data and outreach before deciding.
County staff on Sept. 15 described the Patient program — a no-interest, payroll-deducted credit card available to employees on the high-deductible health plan — and presented options to expand eligibility and to add a preventative-screening reimbursement.
Jamie Burke (speaker 3) said the county currently offers a $2,000 credit limit on the Patient card for high-deductible plan participants and pays a per-employee administrative fee; her 2026 estimate for current users was about $3,036 in county fees, and expanding the program to all insured employees would raise the county’s annual fee estimate to about $5,487.
"It’s a credit line that Patient offers for employees...it has no interest," Burke said, describing how payroll deductions repay charges and how the employer pays a modest per-employee fee.
Commissioners pressed for usage numbers and concern about cost-effectiveness. Burke said she would run reports and return with the number of employees signed up and the number who actually used the card; she also offered to test interest through outreach at the county wellness fair and to provide a short tutorial video for employees.
On preventative screening, staff proposed a $50 reimbursement for insured employees who submit qualifying preventative-care receipts (or $25 for other staff); staff estimated the insured-only option would cost about $7,750 if every insured employee participated and the broader program would be roughly $11,175.
Commissioners asked staff to provide the definitive list of qualifying preventive services, run usage reports for the Patient card, and perform outreach before making a final decision. Jamie Burke will return to the board with uptake numbers, a cost breakdown for alternative credit limits (for example, returning to $1,000 limits), and plans for employee outreach before the board’s Oct. 15 decision timeframe.
No vote was taken; staff follow-up was requested.
