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S.A. Human Resources <br />5.A.1. Health Plan and Employee Clinic Workshop <br />Human Resources Director Suzanne Boyll recalled the Board's request for staff to <br />bring back information on an employee health clinic. In a PowerPoint Presentation, <br />Director Boyll gave an overview of the County's current health plan design, the total <br />members enrolled, and the payroll deductions for the Gold and Silver Health Plans. <br />Chairman Flescher along with Commissioner Earman sought and received clarification <br />from Director Boyll on the number of members and retirees including their dependents <br />enrolled in the County's health plan. <br />Director Boyll discussed the County's health plan costs pointing out that 70% of the <br />medical claims and 20% of pharmacy claims less the rebates accounted for those <br />costs. She reviewed the County's implementation of cost -savings measures for the <br />health plan: an additional prescription savings program, an option for a lower premium <br />health plan known as the Silver Plan, increased emergency room copays, and the <br />Telemedicine benefit. <br />Vice Chairman O'Bryan sought and received information from Director Boyll in <br />regard to the high dollar prescription claims review process and his concern on how it <br />could impact an employee's health if a different medication was prescribed than what <br />had been recommended by the doctor due to cost. <br />Mike Meredith, Executive Vice President with Lockton, the County's Insurance <br />Broker, stated that Lockton employs pharmacologists to determine what drugs give <br />the same health outcome or better to keep the costs down. <br />Ms. Boyll responded to Commissioner Moss that the increase in the expenditures for <br />the pharmaceuticals could be related to the higher cost medication or a chronic <br />condition. <br />County Administrator Jason Brown pointed out the rising cost of prescription drugs <br />were a problem; however, the implementation of the prescription savings program <br />over the years had resulted in a savings. <br />Director Boyll reviewed other health savings options the County had explored and <br />stated the County was currently undertaking an analysis of savings on a supplemental <br />benefit for non -emergent surgeries called SurgeryPlus and Marketing of Pharmacy. <br />Director Boyll and Mr. Meredith detailed the SurgeryPlus supplemental benefit and <br />provided information to the Board on the access to the network of Surgeons of <br />Excellence nationwide where they bundle the pricing for procedures. She indicated if <br />6 <br />