Insurance Committee December
3, 2004
Attendees:
Tina Byford, Chair Quentin Ford
Joy Watkins Denise Welsh
Janet May Steve Gross
Diana Quintana Lynford Ames
Jacky Ryberg Ben Wood
Neta Fernandez Minerva Rivera
Lori McKee Steve Chreist
Delta Guests: Maggie Nevins
Gina Chambelin
Blue Cross/Blue Shield Guests:
1. The representatives from Delta reported that the loss for NMSU has dropped from 107% to 93% during the last year. The desired claims loss ratio is 84%. Fifty percent of all costs are for diagnostic and prevention services. Although there has been an improvement since July 2003, this is still a concern. For the Las Cruces area, 84% of all dentists are on the Advantage Plan, compared to the State average of 60%.
NMSU could offer to more than one vendor, such as HMO from one vendor, PPO
to another vendor, etc.
3. Discussed the NMSU Health Care Utilization Report from Blue Cross and Blue Shield. The average Per Member Per Month (PMPM) is $211, which is $63.39 above the BCBSNM norm (excluding RX)
4. Discussed that the number of Emergency Room visits increased. It is believed that the addition of a new hospital in Las Cruces and the closing of Family Medical Center and Urgent Care may explain the increase.
5. The BC/BC representatives also reported that 72% of employees who have insurance have the HMO option.