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Chairman Macht noted his recent personal experiences with HealthSouth and a physician of <br />long standing who are no longer accepting Blue Cross/Blue Shield insurance payments. He had <br />talked with Jeff Susi at Indian River Memorial Hospital and was informed that Blue Cross/Blue <br />Shield is being dropped by many providers because of the paperwork involved and the low <br />payments they make. <br />Assistant County Administrator Joe Baird stated that the County is self-insured and Blue <br />Cross/Blue Shield is merely the administrator for our health insurance coverage. It is to the <br />County's advantage for BC/BS to negotiate the lowest possible payment contracts with the <br />healthcare providers. The County bid the administration contract 2 years ago and will go out to bid <br />again next year. <br />Chairman Macht asked for a survey of which providers accept BC/BS and which do not. <br />Assistant Administrator Baird mentioned that the Chamber of Commerce is working with <br />small businesses to set up a small business health network because of the enormous problem <br />everyone is having in obtaining healthcare coverage that is affordable. <br />CONSENSUS was reached for staff to explore the options available for a flexible spending <br />plan and bring their recommendations back to the Board. <br />14.A. EMERGENCY SERVICES DISTRICT <br />None. <br />14.B. SOLID WASTE DISPOSAL DISTRICT <br />The Chairman announced that immediately upon adjournment, the Board would reconvene <br />as the Board of Commissioners of the Solid Waste Disposal District. Those Minutes are being <br />prepared separately. <br />14.C. ENVIRONMENTAL CONTROL BOARD <br />None. <br />JUNE 24, 2003 18 <br />