Submitted By: Devan Kikendall
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Presentation By: Devan Kikendall
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Department: Human Resources and Risk Management
STAFF RECOMMENDATION (Motion Ready):
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Approve three-year renewal with Premise Health Employer Solutions, LLC for the continued provision of an on-site health and wellness center for City employees, retirees, and dependents in the amount of $4,090,087.
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OCALA’S RELEVANT STRATEGIC GOALS:
Fiscally Sustainable
PROOF OF PUBLICATION
N/A
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BACKGROUND:
The City of Ocala is self-insured for health insurance and pharmacy drug claims and has provided an on-site health and wellness center as a cost-saving measure to both the City and its employees. Employees, retirees, and their dependents enrolled in the City's health insurance plan can utilize medical services and receive generic prescription drugs at no cost, with the remaining cost absorbed by the City's self-insured plan. The health and wellness center also provides occupational health services for the City which include new hire physicals and employees injured at work.
FINDINGS AND CONCLUSIONS:
In 2021, there were 1,586 unique patients who utilized the center. The total number of labs drawn was 9,153, with 8,292 medications dispensed, 367 health risk conditions discovered, and 12,862 medical diagnoses treated, which resulted in a potential cost avoidance of $1,967,320.
In 2022, there were 1,189 unique patients who utilized the center. The total number of labs drawn was 11,005, with 7,008 medications dispensed, 134 health risk conditions discovered, and 12,588 medical diagnoses treated, which resulted in a potential cost avoidance of $649,123.
FISCAL IMPACT:
The City pays Premise Health $23.00 per eligible employee per month which is approximately $252,000 per year. In addition, there are pass-through costs such as provider, ancillary, prescription, and medical supply costs, etc. Expenses associated with health insurance claims costs, including pharmacy drug claims, have been budgeted for and are available in account 627-015-316-512-51-34010.
PROCUREMENT REVIEW:
The underlying services were procured in compliance with the City’s Procurement Policy.
LEGAL REVIEW:
The amendment will be reviewed and approved for form and legality by the City Attorney, William E. Sexton.
ALTERNATIVE:
• Approve with changes
• Table
• Deny
• Instruct Broker to survey the market for alternative providers for more competitive rates and/or services.