The Miami-Dade Board of County Commissioners held a special meeting on August 13, 2025, to discuss critical financial matters concerning the county's healthcare costs. A significant focus of the meeting was on the annualized payment estimates provided by Gallagher, a consulting firm, regarding the use of Aetna's network for healthcare services.

Gallagher presented an analysis based on a projected budget of $157 million. However, discrepancies were noted between Gallagher's figures and the county's expectations. The commissioners emphasized the need to reconcile these differences to ensure accurate budgeting and financial planning.

The discussion highlighted the importance of the Request for Proposal (RFP) process, which outlined specific criteria for evaluating the healthcare service providers. The commissioners underscored that the numbers presented would be crucial in determining the county's future healthcare expenditures.

As the meeting concluded, the board recognized the necessity of further discussions to align the financial estimates and ensure that the county's healthcare costs remain manageable. The outcome of these discussions will play a vital role in shaping Miami-Dade's healthcare strategy moving forward.