The Miami-Dade Board of County Commissioners held a special meeting on August 13, 2025, to discuss critical issues surrounding healthcare provider contracts and the accuracy of financial projections related to county employee health plans. The meeting highlighted significant concerns regarding the validity of savings estimates presented by consultants Aon and Gallagher.

Commissioners expressed confusion and skepticism about the projected savings figures, particularly a discrepancy in discount rates between AvMed and Aetna. AvMed representatives argued that their analysis indicated a 70% discount, while the consultants reported a 65% discount. This 5% difference translates to a potential $50 million impact on the county's budget, raising alarms among board members about the accuracy of the data used for decision-making.

During the meeting, it was revealed that both Aon and Gallagher had conducted analyses based on claims data provided by AvMed and Aetna. However, AvMed representatives stated they were not given the opportunity to clarify discrepancies before the findings were presented to the administration. This lack of communication raised questions about the RFP process and whether it allowed for adequate discussion and verification of the numbers.

The board emphasized the importance of ensuring that all parties involved were comfortable with the data being used to make decisions that could affect the county's financial future. The discussion underscored the complexities of healthcare pricing and the need for thorough analysis, especially given the potential financial implications for Miami-Dade County.

As the meeting concluded, commissioners acknowledged the need for further investigation into the discrepancies and the overall process used to evaluate healthcare providers. The outcome of this discussion could significantly influence future healthcare contracts and budget allocations for the county.