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24 <br /> Slide #5 <br /> Cost Drivers <br /> Medical Cost Drivers <br /> Pharmacy Cost Drive <br /> Cancer treatments+34% <br /> Musculoskeletal surgeries +11% <br /> Behavioral Et specialist visits+12% GLP-1 drugs for weight loss <br /> ✓ 100 members utilizing <br /> ✓ $1M annual cost <br /> ✓ Usage far exceeded projections <br /> Slide #6 <br /> Health Insurance Renewal - Status Quo <br /> Recommended Status Quo Renewal <br /> 12.5%total rate increase recommended <br /> • 13.68%employer impact if County absorbs full increase <br /> Employer <br /> • $15,470,177 <br /> $17,587,217 $2,117,040 13.68% I <br />