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HomeMy WebLinkAboutMINUTES - 06251985 - 1.97 TC: ' BOARD OF SUPERVISORS, FROM: Mark. R. Finucane, Health Services Director `-'tetra Costa DATE: May 30, ,1985 County SUBJECT: CONTRA COSTA HEALTH PLAN 1985-86 RATES ' .RESOLUTION No. 85/368 SPECIFIC REQUEST(i) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Adopt the attached monthly rates for membership in the Contra Costa Health Plan by public employee groups, private groups, and private non-group Medicare and individual subscribers, such rates to, be effective on contract renewal date. II . FINANCIAL IMPACT: Assuming no change in enrollment in the affected group, premium revenue will increase by $154,089.62 annually. III. REASONS FOR RECOMMENDATION/BACKGROUND: The Contra Costa Health Plan revises its rates annually based on projected costs, membership mix, family size, and considerations of competition. The Health Plan traditionally has set its rates below the anticipated rates of its competitors and has considered price advantage as its most significant marketing ,tool . This year The Plan has again attempted to maintain its position as the lowest priced .in the County marketplace, while keeping in mind the need to begin to decrease the County's resource contribution to the private enrollment program. I The recommended rates for 1985-86 represent increases of 16.4% for public employers and 19.3% for private employers. These rates of increase are high because they represent not only the normal inflationary increase, but. also an increase to compensate for last year's rates which were several percentage points too low considering the cost of service. These rates will result in premium revenue which will reduce The Plan's need for. County contribution to this program by 27.8%, assuming that enrollment levels remain the same. Coupled with The Plan's two year marketing ,plan and growth objectives, we believe the proposed rates serve The Plan and the County equally well . IV. CONSEQUENCES OF NEGATIVE ACTION: The Plan should communicate the new rate structure to its major employer groups by- June 30, 1985. The revenue increase will not be realized if the Board action is negative. CONTINUED ON ATTACHMENT: X-YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF dOARD COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON June 25 , 1985 APPROVED AS RECOMMENDED OTHER RESOLUTION NO. 85/368 VOTE OF SUPERVISORS X UNANIMOUS (ABSENT , ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: County Administrator ATTESTED June 25 , 1985 Auditor-Controller PHIL BATCHELOR, CLERK OF THE BOARD OF Health Services Contra Costa Health Plan SUPERVISORS AND COUNTY ADMINISTRATOR Health Services Contracts & Grants 7 I;fa M382/7-83 BY DEPUTY CONTRA COSTA HEALTH PLAN I _ PROPOSED 1985-86 RATES Public Employers Medicare Two Tier Single $ 70.16 $ 51 .85 Family 181 .99 151 .54 Three Tier Single 70.16 51 .85 Dual 140.32 122.08 (1 eligible) Family 205.63 178.48 (1 eligible) 164.51 (2 eligible) Private Employers Two Tier Single $ 82.50 $ 61 .19 Family 203.45 174.17 ;Three Tier Single 82.50 61 .19 Dual 165.00 143.69 (1 eligible) Family 233.00 201 .63 (1 eligible) 186.86 (2 eligible) Private Individual Contracts Single $ 86.92 Dual .173.84 Family 252.03 Medi-Key High Option $ 66.35 Low Option 41 .00 D12-RATES.3; r -a CONTRA COSTA HEALTH PLAN , RATES COMPARISON Public Employer Groups Two Tier 84-85 85-86 Increase MediCare 84-85 85-86 Increase ...Single $ 60.25 , $ 70.16 16.4% Single $ 44.14 $ 51.85 17.5% Family 153.931 181.99 18.3% Family 127.68 151.54 18.7% E Three Tier Single $ 60.25 ' $ 70.16 16.4% Single $ 44.14 $ 51.85 17.5% Dual 120.50 140.32 16.4% Dual (1) 104.39 122.08 16.9% Family 162.28 205.63 26.7% Family(1) 139.48 178.48 28.0% Family(2) 127.68 164.51 28.8% Private Groups Two Tier 84-85 85-86 Increase 4ediCare 84-85 85-86 Increase Single 69.13 $ 82.50 19.3% Single 50.76 61.19 20.5% Family 172.081 `, 203.45 18.2% Family 146.84 174.17 18.6% i Three Tier Single $ 69.13, $ 82.50 19.3% Single $ 50.76 $ 61.19 20.5% Dual 138.26' 165.00 19.3% Dual(1) 119.89 143.69 19.9% Family 186.61' 233.00 24.9% Family(1) 159.57 201.63 26.4% Family(2) 146.85 186.86 27.3% Private MediCare (Medi-Key) 84-85 85-86 Increase s High Option '' $ 66.35 $ 66.35 - 0 - Low Option 41.00 41.00 - 0 - Private Individuals 84-85 85-86 Increase I Single $86.92 $ 86.92 - 0 - Dual 173.84 173.84 - 0 - Family 252.03 252.03 - 0 -