On Wednesday, the State Health Benefits Program Plan Design Committee held its regularly scheduled June meeting.
While no specific actions were taken, the committee received several updates on topics regarding the rate setting for Plan Year 2025 including:
- Review of the Annual Continuing Resolutions including medical out-of-network costs, and prescription drugs.
- Tiered Network Resolution Discussion regarding recouping participation incentive payment for employees who leave government service and do not participate for the full year. No resolution was finalized.
- Dental Resolution Discussion regarding new services and cost increases for retirees.
- Updates from the Reference Based Pricing/Centers of Excellence Pilot Program subgroup, Superconciliation subgroup, and a Division update.
There was no specific discussion of potential rates for Plan Year 2025, which are anticipated to increase based on the State Treasurer’s budget testimony. Plan Year rates are scheduled to be adopted at the Rate Renewal Meetings scheduled on July 10 and July 29.
Contact: Paul Penna, Senior Legislative Analyst, ppenna@njlm.org, 609-695-3481, x110.