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Commissioners approve amendment cutting per-transaction fees in county prescription program
Summary
The Vernon County Commission approved an amendment to its Managed Prescription Drug Program agreement that lowers claims adjudication and TPA service fees, effective April 1, 2025. The motion passed unanimously on Sept. 3, 2025.
The Vernon County Commission voted Sept. 3 to approve an amendment to the county's Managed Prescription Drug Program Agreement, originally signed March 10, 2022, that lowers multiple per-transaction fees effective April 1, 2025. Commissioner Cindy Thompson moved to approve the amendment; Commissioner John Shorten seconded and all voted yes.
The amendment reduces the electronic claims adjudication fee from $7.75 to $6.25 per transaction and lowers the direct reimbursement adjudication fee from $8.00 to $7.00. It also restructured third-party administrator (TPA) service fees: the prior arrangement to Mutual Medical Plan, Inc. was amended to allocate $0.50 per accepted transaction to 40 Health LLC and $2.50 per accepted transaction to Preferred Health Plan of the Carolinas. The document in the record notes the board approved the fee adjustments and the motion carried unanimously.
County records show the original agreement was signed by Joe Hardin on March 10, 2022. Commissioners did not record amendments beyond the fee changes in the meeting minutes; staff follow-up on contract implementation and the county's payment processing timetable was not specified.
