The Miami-Dade Board of County Commissioners held a special meeting on August 13, 2025, focusing on critical financial discussions related to a significant procurement process. The meeting primarily addressed concerns regarding the reliability of financial information presented in a Request for Proposal (RFP) for health plans.

The session began with a presentation by Mike, who highlighted the potential savings of $60 million annually, although he noted that the price swap exercise was prohibited under the RFP rules. He raised questions about the reasonableness of the price projections and the estimated discount rate of 65%, which had been a recurring topic of discussion.

Chief Actuary Eric Johnson was then introduced to provide further insights. Johnson, who has extensive experience in the field, expressed significant concerns about the financial data presented for the $4 billion procurement. He indicated that the analysis did not meet the necessary scrutiny levels for such a substantial investment.

Johnson presented historical data on the county's health plan costs, revealing that projected claims for 2026 were estimated to be around $440 million, with a reasonable range between $420 million and $460 million. He asserted that AvMed's projected costs of $426 million were reasonable based on their understanding of the county's contracts and historical performance.

In contrast, Johnson criticized Aetna's financial projections, which included figures of $503 million from Aetna and $345 million from Gallagher's analysis. He emphasized that these numbers were not reasonable and warranted further examination.

The meeting concluded with a call for more thorough analysis and discussion on the financial implications of the health plan procurement, underscoring the need for careful consideration before making any decisions. The commissioners are expected to continue evaluating the proposals and the associated financial data in future meetings.