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Brown County reviews options to curb rising employee health costs after consultant briefing
Summary
County commissioners heard a detailed presentation from a benefits consultant showing pharmacy spending and several fiscal levers — including closed formularies, Medicare education and captive pooling — that could reduce plan costs and build reserves over 5–7 years.
The Brown County Commission on May 11 heard a detailed presentation from the county’s benefits consultant on rising costs in the county’s self‑funded health plan and directed staff to gather concrete proposals for cost‑containment and reserve building.
The consultant told commissioners that pharmacy now accounts for about 40% of Brown County’s health‑plan spending and that the county’s pharmacy cost per member per month is $2.33 versus an industry reference of $1.59. “Pharmacy is the active cost pressure that we have right now,” the Presenter said. The consultant also said the county typically receives about $20,000 per quarter in prescription rebates, projecting roughly $80,000 in rebates for the year.
The presentation…
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