Agenda - Council - 11/26/1979 - Laserfiche WebLink

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Attachment for Request for October ll, 1979 Action average rate; however, this was not confirmed in writing with hard data, nor were hospital utilization statistics provided. 2. APPARENT LACK OF ADMINISTRATIVE SUPPORT The County Group is very small relative to MCHP's total member population. County staff in particular have not been satisfied with MCHP's preparation and commitment during enrollment periods, its follow through in making contractual changes and its follow through in handling claim problems. 3. MEDICARE SUPPLEMENT RATES As tile Department of Labor'~ Interpretive Bulletin of May 25, 1979 has required the County to pay as much toward health insurance for employees over age 65 as those under, the County requested each bidder to provide separate rates for Medicare- eligibles indicating the true value of the medical benefits to be provided so the County could determine if payment of Part B Medicare premiums would be necessary. Med Center was the only bidder not willing to meet this request. The reason for not providing a separate Medicare rate appears to be a misunderstanding that we ~ were expecting lower rates when in fact we were expecting that a true value be placed on a Medicare Supplement. In the next few weeks, the County will develop a set of objectives for improvement in rate justification, participation in open enrollments, and a firm, future require- ment for separate Medicare Supplement rates. GHP AND BCBS Few major disagreements exist at this time with either of these plans. Over the next year, an attempt will be made to discuss minimum contractual provisions with GHP in an attempt to improve mental health care benefits and el imi'nate some major contract limitations and exclusions. The County will continue to press BCBS to maintain its delivery of claim data on a timely, periodic basis. FUTURE ACTIVITY Working under legal handicaps not faced by private industry, the County's Risk Management Division will strive to obtain the most economical health care delivery available to its' employees. The County's business should not be taken for granted by any provider of services.