County Projects $45.5M Savings from Aetna's Claims Analysis with Aon and Gallagher

August 13, 2025 | Miami-Dade County, Florida

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County Projects $45.5M Savings from Aetna's Claims Analysis with Aon and Gallagher

This article was created by AI using a video recording of the meeting. It summarizes the key points discussed, but for full details and context, please refer to the video of the full meeting. Link to Full Meeting

Miami-Dade County is poised to realize significant savings in healthcare costs, with projections estimating approximately $45.5 million in savings for the upcoming year. This figure, derived from an analysis conducted by Aon, compares the healthcare networks of Aetna and AvMed, focusing on pre-negotiated rates and claims data.

During a recent special meeting of the Miami-Dade Board of County Commissioners, officials discussed how Aon arrived at this savings estimate. The analysis involved a thorough review of the county's claims history, utilizing real data from 2023, which included around 1.35 million records detailing specific claims and provider discounts. This data was provided by the county to both Aon and Gallagher, who conducted independent assessments to ensure accuracy.

The anticipated savings are expected to be realized over the course of the year, although the timing of claims payments may extend into subsequent years due to billing delays. The county's approach aims not only to reduce immediate costs but also to implement programs that will help bend the cost curve, preventing exponential increases in healthcare expenses.

In contrast, AvMed's proposal projected a 14% increase in costs, highlighting the potential benefits of selecting Aetna as the preferred provider. The discussions emphasized the importance of these savings for the county's budget, allowing for more funds to be allocated towards paying claims.

As the county moves forward, the focus will remain on monitoring these savings and the effectiveness of the programs introduced by Aetna to manage healthcare costs sustainably. The implications of these decisions are significant, as they will directly impact the financial health of Miami-Dade County and its ability to provide essential services to its residents.

Converted from Miami-Dade County - Miami-Dade Board of County Commissioners Special Meeting meeting on August 13, 2025
Link to Full Meeting

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