01-26-24 Meeting Attachments

January 26, 2024 Board Meeting Attachments

• 1/26/24 Complete Board Packet
• 2. Written Public Comment
• 4.1 Action Minutes from the December 7, 2023 Board Meeting
• 4.2.1 Q1 Utilization Report
• 4.3.1 Q1 UMR - Obesity Care Management Program
• 4.3.2 Q1 UMR - Diabetes Care Management Program
• 4.3.3 Q1 Sierra Healthcare Options - Utilization and Large Case Management
• 4.3.4 Q1 Sierra Healthcare Options and UnitedHealthcare Plus Network - PPO Network
• 4.3.5 Q1 UnitedHealthcare - Basic Life Insurance
• 4.3.6 Q1 Express Scripts - Summary Report
• 4.3.7 Q1 Express Scripts - Utilization Report
• 4.3.8 Q1 2nd MD - Utilization Report
• 4.3.9 Doctor on Demand Utilization Report
• 4.4 Annual PEBP Appeals and Complaints Summary
• 5. Contract Status Report
• 6. Executive Officer Report
• 7. Claim Technologies Inc. Audit Findings for PEBP's TPA, UMR
• 7.1 UMR Remediation Plan
• 8.1 Mental Health Parity and Addiction Equity Act Executive Summary
• 9. Potential Plan Design Changes for PY25
• 10. Recommended Changes and Updates to the Master Plan Documents for PY25
• Master Plan Document Drafts