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Riverbend Logistics
Maya —
Anthem's 2026 renewal package landed for Riverbend. Premium increase comes in at 4.8% — slightly below market trend — but there are three changes I want you aware of before open enrollment, the first of which will generate complaints in October if we don't get ahead of it.
1. Methodist Dallas dropped from Tier 1
Anthem narrowed the Tier 1 hospital network in DFW from 14 facilities to 9. Methodist Dallas — your team's top utilization hospital in 2024 (22 admissions, 184 ER visits) — moved to Tier 2.
2. Specialty Rx coinsurance: 25% → 30%
Affects 4 currently enrolled members based on 2024 specialty Rx claims (oncology, autoimmune). Annualized OOP impact ~$2,800 per affected member. Worth a private conversation with each before they see it in their first 2026 fill.
3. Worth re-opening the HDHP question
Decision Memory shows you declined HDHP/HSA in 2025 because of workforce engagement concerns. With Tier 1 narrowing, the PPO/HDHP differential just shrunk materially. Recommendation: let me bring fresh HDHP quotes this cycle so the choice is informed by current network reality.
— Sarah