In a recent government meeting, discussions centered around significant proposed increases in health insurance premiums, particularly from Blue Cross. The company has suggested raising the premium from $287.40 to $402, marking a substantial 40% increase that translates to an additional $440,000 in costs. This proposal comes in light of troubling loss ratios experienced over the past two years, which have reached approximately 140%.
The meeting highlighted the complexities surrounding these increases, including recent changes in Medicare pricing that have impacted provider costs. Notably, the elimination of the \"donut hole\" in pharmacy costs, which will cap out-of-pocket expenses at $2,000 instead of $8,000, was discussed as a factor that could influence future negotiations with pharmacy companies.
Despite the proposed increases, officials noted that current pricing remains lower than levels seen in 2020 and 2021, prior to the adoption of Blue Cross. The plan currently has 59 more members than it did in 2020, which has contributed to the overall cost dynamics.
The meeting concluded with a commitment to continue negotiations with Blue Cross and to present a final recommendation in the next meeting. Officials acknowledged the challenges posed by high-cost claimants and external factors, such as the impact of Hurricane Irma, but expressed determination to manage the situation effectively moving forward.