Item 2.1Q~ Consider and disc~_iss access r^o ads leading to Jasper
Moore Property. (County 3~.~dge)

ORDER NU. 22855
APPROVAL OF MRINTENANCE OF ROAD
UP TO JASPER MORE P'ROP'ERTY
On this the .28th day of A~.~gust 1995, ~.rpon motion made by
Commissioner Oehler, seconded by Commissioner Holekamp, the
Court unanimously approved by a vote of 4-0-0, to accept the
road formerly known as Jasper Moor^e Road as a Co~_inty
maintained road from Hwy 39 up to the locked gate on the Moore
Proper^ty with the mileage being 1.05 miles to be known as
Seayo Road.
Item 2.12 Consider and discuss adopting amended Rules and
Regulations of Kerr County, Textvs for On-Site Sewage
Facilities. (Co~_rnty Judge>
ORDER ND. 22856
AP'F'ROVRL OF RMENDED RULES AND REGULATIONS
OF KERR COUNTY, TEXRS FOR 6N-SITE SEWAGE FACILITIES
On this the ^c8th day of Rugust 1995, upon motion made by
Commissioner Holekamp, seconded toy Commissioner Oehler, the
Court unanimously approved by a vote of 4-QS-0, to accept the
the Amended Rules and Regulations of Kerr County, Texas for
On-Site Sewage Facilities to be submitted to the State of
Texas for approval.
08 ~BqS.~. / 3
Item 2.13 Presentation and consideration of F_RG Health Glans
contr^act renewal. (Jermiah O'Fihelly)
Mr^. OrFihelly stated he has been with Kerr' County and
available for two year^s as he had promised. He introduced Dan
Schewe as the broker that p~_~t the proposed plan together far^
the renewal of ESG Health Glans contr^act. Mr. Schewew
explained the renewal offer and compared it with the estimated
PHO renewal. He explained the Kerr• Co~.inty benefit plan
already contains a pr•nvision to waive the deductible for
F'RGE 119
expenses incurred in Sid Peterson Hospital. It accomplishes
utilizing a hospital with lower cost than hospitals in San
~1 Antonio and Bustin and allows the county to be a r^esponsible
community citizen. Compar^ing the County to F'HO Physicians it
is r-easonable to expect that the doctors will agree to a
discount arrangement of same type with the discount passed
dir^ectly on to the County in the for^m of reduced claims cost.
A plan could be designed which would encourage utilization
of the PHO pr•aviders and control aver•~all claim costs.
It co~.~ld include three changes to claims incurred as a doctor
copayment, 85Y.r-eimbursement or• deductible change.
R copayment for doctor's of 115 would encourage utilization of
PHO doctors. R possible negative effect of a doctor capay is
is the distinction which must be drawn between routine
outpatient doctor charges and r•adioloyy and lab charges.
A possible negative of not having a doctor- copayment
is the possibility that the doctor will require f~_ill payment
at the point of service based on his standard charge and the
claim will be reimbursed to the member based on discounted
charge. The member would be in the position of having to
recover the overpayment from the doctor^. Dan explained that
HMO's ar-e locked in an ar^r•angement the differ-ence in being
like gatekeepers. The employee has to see the primar^y doctor
first and he recommends the doctor' to go ta. If Sid Peter^s on
is used the deductible i:> waived. If use of another hospital
you have to pay the ded~.~ctible. Most F'F'O's have access fee
from 31.0~7J to 32. 5m a month. The PHO's should offer- their-
r'~\ best deal to the county. They may ask for a presentation and
ask for- a two year contract with the county so to lock you in.
Either- a two year deal ar maximum increase for that period of
time.
Mr. Dan Schewe gave us some positive ways to do so. He has no
problem with EPP and Jerry O'Fihelly has served our- account
very well. I would like to explore ways to reduce our casts.
ORDER NO. 22857
APPROVAL OF RENEWING CONTRACT WITH EHF' HEALTH
FLANS FOR FISCAL YEAR

On this the 28th day of August 1995, ~_rpon motion made by
Commissioner Holeltamp, seconded by Commissioner- Lehman, the
Co~_ir•t unanimously approved by a vote of 4-0-0, to renew the
EPP Health Contract for November- 1, 1995 through October 31,
1996.
JUDGE DENSON CRLLED FOR EXECUTIVE SESSION RT 3:515 P. M,
EXECUTIVE SE5SION ENDED RT a:25 F'. M. WITH NO ACTION.
F'RGE 120