Previous Item Print Next Item
Agenda Plus
School Board of Clay County
October 5, 2023 - Regular School Board Meeting
Title
C15 - Implementing SaveOnSP Program in Pharmacy Program
Description

The Clay County School Board transitioned to a self-insured health program effective October 1, 2022. As part of the program, it was the recommendation of The Bailey Group and the School Board to carve out the Pharmacy Insurance through ExpressScripts. It is important that the District review clinical pharmacy rules and programs annually to maintain the financial integrity of the pharmacy program cost and member safety as it relates to pharmacy usage.

Gap Analysis

In conjunction with the Bailey Group, the District's third-party administrators, and the Crumdale Partners, the pharmacy insurance underwriting firm, a thorough review of pharmacy utilization took place, along with a constant review of new pharmaceuticals that could put the integrity of the pharmacy plan cost and the member's safety at risk. Accordingly, it is their professional opinion that we implement SaveOnSP, a pharmacy program that takes advantage of pharmaceutical manufacturers' assistance dollars to bring the cost of certain specialty medications down to zero cost for the member and minimal cost compared to the District. This program is expected to save the District upwards of $431,000 annually. This change will be implemented and monitored by ExpressScripts and The Bailey Group. The annual cost of the SaveOnSP program will be a $25,000 program savings share with ExpressScripts, estimated to be $144,000 annually.

 

Previous Outcomes

The Clay County School Board voted and approved the recommendation of carving out pharmacy to ExpressScripts as the carrier upon becoming Self-Funded on October 1st, 2022.

Expected Outcomes

The Board to approve the recommendation of the Insurance Committee, Superintendent, and the district's third-party administrator, the Bailey Group, to implement the SaveOnSP program for the integrity of the pharmacy plan cost by saving both the District pharmacy costs as well as the members affected.

Strategic Plan Goal

The District ensures fiscal responsibility & equitable distribution of resources.

Recommendation

The Board to approve the recommendation of the Insurance Committee, the Superintendent, and the district's third-party administrators, the Bailey Group, to implement the SaveOnSP program for the integrity of the pharmacy plan cost by saving both the District pharmacy costs, as well as the members affected.

Contact
Dr. Susan Legutko, Assistant Superintendent of Business Affairs. (904) 336-6721; Susan.Legutko@myoneclay.net
Financial Impact
Reviewing Savings vs. Costs: the SaveOnSP program is expected to save the District upwards of $431,000. The annual cost of the SaveOnSP program will be a $25,000 program savings share with ExpressScripts, estimated to be $144,000 annually.
Review Comments
Attachments

No attachments available