During a recent workshop held by the Aransas County Commissioners Court, officials reviewed the county's employee health benefits and claims data, revealing significant fluctuations in healthcare costs over the past two years. The discussion highlighted a total medical claim expenditure of $1,551,828.79 from June 2022 to May 2023, alongside a prescription drug claim spend of $621,615.09, culminating in a total claims cost of $2,173,443.88 for that period.

The per employee per month (PEPM) cost for the county during this timeframe was reported at $832.74, with total contributions amounting to $2,224,931.80. This resulted in a loss ratio of 97.69%, indicating a relatively balanced year in terms of healthcare spending.

However, the following year, from June 2023 to May 2024, saw a dramatic increase in medical claims to $2,628,166.17 and a decrease in prescription claims to $572,958.43, leading to a total claims cost of $3,201,128.60. The PEPM cost surged to $1,232.15, with total contributions rising to $2,335,723.46, resulting in a concerning loss ratio of 1137.05%. This stark contrast raised alarms among county officials regarding the sustainability of the current health benefits plan.

The workshop emphasized the importance of analyzing a broader data set, including a 36-month outlook, to better understand trends and prepare for future renewals. Officials expressed hope that by improving claims management, the county could stabilize costs and work towards more favorable financial outcomes in the coming years.

As discussions continue, the county is exploring alternative health plan options to address these rising costs and ensure that employees receive necessary healthcare without placing undue financial strain on the county budget. The outcomes of these discussions will be crucial for the county's financial health and the well-being of its employees.