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Board of County Commissioners <br />Meeting Minutes - Final June 18, 2019 <br />Commissioner O'Bryan and Director Boyll shared their personal experiences <br />related to consumerism, and agreed that the members need to be educated on <br />the best way to save money. Chairman Solari mentioned the possibility of <br />changes that could result from the hospital being sold to Cleveland Clinic. He <br />also inquired about a pricing tool or "member's app" that would provide pricing <br />information to the consumer. Ms. Amin confirmed that Express Scripts does <br />have an "app" for members to download. <br />County Administrator Jason Brown stated his opinion regarding the difficulty in <br />trying to be a good consumer, making note that he felt the health insurance <br />companies designed the system to be complex for their own financial benefit. <br />Commissioner Flescher spoke regarding his concern for Formulary <br />Optimization, how offering in -network benefits to out -of -State users increase <br />the cost of the plan, and the high dollar claim review program process for <br />pharmacy claims over $1000. Ms. Amin provided clarification of the high <br />dollar claim review process, stating that 90% of prescriptions are processed <br />digitally, appearing seamless to members. <br />Commissioner O'Bryan inquired and received feedback from Administrator <br />Brown regarding the establishment of a floor and a ceiling on the reserve funds <br />account, as mentioned earlier by Steve Myers, Teamsters Local 769. <br />Discussion followed among the Board and Director Boyll regarding returning <br />premiums, rising healthcare costs and the impact of large claims. <br />Sheriff Deryl Loar acknowledged the rising healthcare cost, but objected to <br />staff comparing member premiums with area entities who pay their employees <br />a higher salary. <br />The following individuals addressed the Board, Administrator Brown and <br />Director Boyll to discuss their concerns related to the rising healthcare costs <br />and employee/retiree contributions, and to ask questions or offer suggestions <br />that could assist in reducing the cost of healthcare expenses. <br />Toby Turner, 300 8th Terrace, retiree <br />Joe Earrman, retiree <br />Rick Lane, retiree <br />Rick Ridge, Ft. Pierce, retiree <br />Steve Carbone, Utility Services employee <br />Major Milo Thornton, Sheriffs Department employee <br />Amber Greer, Sheriff's Department employee <br />Deputy Kathy Gibson, Sheriff's Department employee, and Secretary/Treasurer <br />for Indian River County Deputies Association <br />Bruce Anderson, 6379 Caicos Court, retiree <br />Indian River County Florida <br />Page 16 <br />