Director of Vendor Relations at Missouri Consolidated Health Care Plan
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The agenda for the meeting includes the presentation of the Executive Director Report and discussions regarding a contract renewal with Delta Dental. Additionally, the Board will review the 2027 plan design, analyze 2027 preliminary premium rates, and receive a financial update. An executive session is also scheduled to discuss topics related to competitive bidding, sealed bids, and confidential records.
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The agenda includes an executive director report, a financial update, and consideration of several contract renewals. The contract renewals cover services from Anthem, UnitedHealthcare, National Vision Administrators, SSDC Services Corp, RxSS, Marathon Health, and Segal. The meeting also includes a public comment period and an executive session to discuss confidential communications, competitive bidding, sealed bids, and audit-related matters.
The board meeting included the Executive Director's report, which covered topics such as new board room signage, the pharmacy benefit manager request for proposal, a study on GLP-1 medications, and the Public Entity manager position. An update on paid claims data was provided by Anthem. Delta Dental provided an update regarding their network provider status, discussed paid claims processing times for in-network and out-of-network providers, and addressed the practice of out-of-network providers requesting payment from members at the time of service. A financial update was also presented, reviewing February results and comparisons for the previous two calendar years.
The board meeting included an Executive Director's report with an update on a meeting with Marathon Health. The board approved an update to the Capital Markets Investment Policy with Central Bank. Discussions were held regarding out-of-network provider payment issues with Delta Dental, which will be added to a future agenda. The Chief Financial Officer provided a financial summary comparing key indicators from the 2024 and 2025 calendar years. Additionally, a presentation regarding the Public Entity business plan was delivered.
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