The Chronicle of Mt. Juliet, April 8, 2009, Page 3
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Wilson CountyCommission’s InsuranceCommittee agreed toconsider hiring DavidFessenden of RiskConsultants of Americato help them
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nd ways tolower the cost of providingemployee insurance at thepanel’s meeting this past Thursday.The decisionfollowed a discussion in which Committee ChairKenny Riech pointed outthat unless major changeshappen in the next year thecounty will be $2.5 millionin the red for the insurancefund.He said thepotential shortfall wasbecause there have beenseveral employees withcatastrophic illnessesrecently.A catastrophicillness is one he said thatcosts more than $100,000to treat, and there werenine such cases in onemonth earlier this year,after a
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ve-year period when there were none.District 5Commissioner Jeff Joinestold the employees at themeeting that the committee was looking for ways tosolve the problem withoutcutting bene
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ts or chargingemployees for bene
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ts.“We’re looking at anextended time frame and we don’t expect to solve itall tonight,” he said.Several possibilities were explored, includingcombining the schoolsystem employees with therest of the county, to see if having more people underthe plan could cut some of the expenses.Wilson EmergencyManagement AgencyDirector John Jewellpointed out that thecounty’s insurancebene
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ts help him andother department headskeep good employees.Wilson County employeesdo not pay for their owninsurance.Our pay is 31percent below surroundingcounties, so the insuranceis an important tool tokeep good people workingfor us,” he said. Jewell also noted that hisdepartment and others are working on physical
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tnessand wellness to helpcontrol repeating illnessand injuries.“We think if wetouch it up a little nowmaybe we can slow thisdown,” he said.Ken Baker fromCare Here, which providesroutine health care foremployees at no cost tothem, told the committeethat adding to their clinictime would help solveproblems, too.In fact, the countyis already working on thatangle. The plan is to addan extra location in the old jail building, now called theWilson County CourthouseAnnex, within the nextcouple of months.Baker said onething employees could doto help make Care Hereservices less expensive forthe county would be toalways call if they need tocancel an appointment.“We have about 10percent no shows,” he said.“If those folks would justcall us we could scheduleother patients for thosetimes.”He also said thatabout 15 percent of theemployees generate 75percent of the claims, andif all employees wouldsign up for the annualHealth Risk Exams (HRE)those numbers could beimproved.The HRE is basicallyan annual physical, whichpicks up on risk factorsfor diabetes, heart attack,cancer and other conditions which can be avoided,or managed much moreeffectively, if diagnosedearly, he said.Baker also saidCare Here could also do thecounty’s Road Commissionphysicals and drug testing,for a lower cost than thecounty now pays.Then DougBoder from Universityof Tennessee’s County Technical AssistanceService introducedFessenden who said hiscompany could assessthe county’s health caresituation and most likely
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nd a variety of ways tosave money.The committeedecided to ask Fessenden’scompany, RiskManagement of America, toevaluate and bid to providethe services. They also voted toimmediately change thenetwork of care providersused by Healthscope tomanage the county’s claimsto CIGNA Health Carenetwork which is projectedto save the county about$471,000 per year.A possible cap of $10,000 on the monthlyoutlay for prescriptiondrugs was discussed, buta decision was deferred toa later meeting.
‘Catastrophic illnesses’ could cost county coffers millions
Committee Chair Kenny Riech pointed out that unless major changes happen in the next year the county will be $2.5 million in the red for the insurance fund.
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