Title
Human Resources Department, Risk Management Division, recommending Chairman be authorized to sign Agreement with Caremark, Inc. in the amount of $3,335,000 for the period July 1, 2007 through June 30, 2008 to provide prescription benefit management, disease management and specialty pharmacy services for the County’s self-insured health plan.
RECOMMENDED ACTION: Approve.
Body
BUDGET SUMMARY:
Total Estimated Cost $3,335,000
Funding
Budgeted $3,335,000
New Funding $
Savings $
Other $
Total Funding Available $
Change To Net County Cost $0
Fiscal Impact/Change to Net County Cost:
These expenditures are budgeted within the Risk Management internal service fund, health benefits sub-fund. Revenue is provided by Board-approved internal charges along with charges to retirees and outside agencies on behalf of participants in the County's self-funded dental insurance program. The annual cost of this contract to the Risk Management Fund is estimated to be $35,000 for prescription administration services and $3.3 million for prescription claims.
Reason for Recommendation:
The County obtains prescription services, both claims administration and network of participating pharmacies, to provide pharmacy benefits to employees and their dependents. Services include mail order dispensing and retail purchasing in addition to utilization management (includes drug to drug interactions, therapeutic duplications, known drug sensitivity, over utilization, insufficient or excessive drug usage, early or late refills) and clinical services. Caremark will operate a toll-free customer service line 24 hours a day, 7 days a week.
Pursuant to Board of Supervisors Policy C-17, Sections 7.5 and 7.10, the Purchasing agent concurs that it is appropriate to contract with Caremark Inc. for the purpose of providing health benefits for employees of El Dorado County without engaging in a competitive selection pr...
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