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changes to the Enhanced Flexible Formulary shall occur without notifying

            the Joint Committee in advance of the change(s).

               (12) The JCHB will work with the State to develop a voluntary Value
            Based Insurance Design (VBID) Pilot Program with the goal of improving

            health outcomes while lowering overall costs through copayment waivers
            or reductions.

               (a) The JCHB will work with the State to look at a copayment waiver
            program for office visits and prescription drugs when related to chronic

            conditions. Should the VBID Program prove successful, and be expanded
            to other disease  states, the copayment reductions  or waivers, including

            copayments for prescription medications, will be evaluated for inclusion in
            any future VBID programs.

               (13) The JCHB will work with the State to develop a voluntary Pilot
            Telemedicine Program.  The purpose of the Telemedicine Program is to

            increase access to health care services by establishing a program to use
            telecommunications to provide healthcare.

               (14) The JCHB will work with the State to explore the implementation
            and oversight of a voluntary Healthy Back Program and Bariatric Surgery

            Management.  Program.  Nutritionist  coverage will be available when
            clinically appropriate.

               (15) The JCHB and the State will regularly review the ongoing role of
            nurse practitioners and convenient care clinics (also referred to as “minute

            clinics” or “retail clinics”) as providers in the Empire Plan.
               (16) The JCHB will work with the State to solicit a health risk assessment

            program and implement a voluntary, incentivized program as well as

            development of educational endeavors to influence healthy lifestyles.
               (d) The Joint Committee's area of review and counsel shall include but
            not be limited to the following areas:

                  (1) Development of health benefit communication programs related to

            the consumption of health care services provided under the Plan.
                  (2) Development, as appropriate in conjunction with the carriers, of

            revised benefit booklets, descriptive literature and claim forms.
                  (3) The CSEA Joint Committee on Health Benefits will work with the

            State to develop a "report card" which will include objective quality data
            to assist employees in selecting the health benefit plan that best meets the

            needs for the employee and their dependents.


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