State of Kansas Employee Health Plan PHARMACY

Transcript:State of Kansas Employee Health Plan PHARMACY:
State of Kansas Employee Health Plan PHARMACY BENEFIT MANAGEMENT SERVICES Best and Final Offer Evaluation and Summary June 28, 2019 Financial Analysis – Best and Final – Exclusive Specialty Program The projections in this report are estimates of future costs and are based on information available to the Segal Group at the time the projections were made. The Segal Group has not audited the information provided. Projections are not a guarantee of future results. Actual experience may differ due to, but not limited to, such variables as changes in the regulatory environment, local market pressure, trend rates, and claims volatility. The accuracy and reliability of projections decrease as the projection period increases. Pricing provided by the bidders may be deemed proprietary and confidential and may not be disclosed or shared with any third parties other than the authorized employees, directors, or Trustees of the plan sponsor, unless required by public disclosure laws or other legal requirements. Segal’s financial model in the BAFO analysis accounts for member cost percentage on a coinsurance basis and the total projected rebates applied at POS as an additional discount, as applicable. The model also accounts for potential variability in member and plan costs and savings. Details of the financial analysis pricing and assumptions are included in Appendices I - III. The projections in this report are estimates of future costs and are based on information available to the Segal Group at the time the projections were made. The Segal Group has not audited the information provided. Projections are not a guarantee of future results. Actual experience may differ due to, but not limited to, such variables as changes in the regulatory environment, local market pressure, trend rates, and claims volatility. The accuracy and reliability of projections decrease as the projection period increases. Pricing provided by the bidders may be deemed proprietary and confidential and may not be disclosed or shared with any third parties other than the authorized employees, directors, or Trustees of the plan sponsor, unless required by public disclosure laws or other legal requirements. Segal’s financial model in the BAFO analysis accounts for member cost percentage on a coinsurance basis and the total projected rebates applied at POS as an additional discount, as applicable. The model also accounts for potential variability in member and plan costs and savings. Details of the financial analysis pricing and assumptions are included in Appendices I - III.