07/27/26 Study and Formulating Committee

The Metro Nashville Network's Study and Formulating Committee met on July 27, 2026, to discuss potential changes to the PPO medical plan's out-of-pocket maximums, deductibles, and employee premium contributions. Consultants from Deloitte and USI presented detailed analyses comparing current plan designs with peer median benchmarks and explored the introduction of a third, lower-cost health plan option. Key procurement-related discussions included recommending code changes to allow more flexibility in employer-employee premium splits, potentially lowering employee contributions below the current 25%, and removing fixed out-of-pocket maximums from the Metro code to enable plan design adjustments. The committee considered the financial impacts on both Metro and employees, emphasizing the need for meaningful plan choices and cost-neutral options. No immediate votes were taken; members requested additional time to review the materials and asked legal staff to propose alternative code language to maintain some cost protections. The committee planned to revisit these topics in upcoming meetings, aiming for possible implementation by 2028.