WAM Chart 2024 - September 8, 2025 - DCSD Board Meeting Archive

Agenda Item

i. Renewal of RFP 22-462, The DeKalb County School District’s (“District”) Workers’ Compensation Third Party Administrator Services (Brentwood), Renewal Year 4 of 5 (Not to exceed $504,413.46)

Summary: Presented by: Mr. H. Eric Hilton, Chief Legal Officer, Division of Legal Services

Request: It is requested that the Board of Education approve the renewal of the District's Third-Party Administrator Services with Brentwood Services Administrators ("Brentwood"), for an amount not to exceed $504,413.46 unfixed claim costs, excluding bill review fees that are billed monthly based on volume.

Why: The contract renewal with Brentwood will enable the District to continue the efficient provision of adjuster services for new and longstanding workers’ compensation claims.

Details: This item requests that the DeKalb County Board of Education (“Board”) approve the contract renewal for the District’s Workers’ Compensation Third Party Administrator Services with Brentwood. On July 13, 2021, Brentwood was selected after a competitive RFP process. That process sought expertise to minimize the number of claims per year and to reduce the overall cost of the District’s workers’ compensation program. RFP 22-462, Workers’ Compensation Third Party Administrative Services, was placed for bid on March 18, 2021. The companies that submitted proposals in response to the solicitation were Brentwood, Broadspire Services (“Broadspire”) and USIS.

Broadspire’s cost proposal was $703,272 a year plus $10,000 for data consolidation and $3,000 for initial set up. USIS submitted a cost proposal of $564,250 a year plus $5,000 for electronic file conversion. In addition, a 12.5% fee would be charged by Broadspire for any subrogation recovery.

The review committee decided that the vendor that would provide the best quality and customized claim services at a competitive price was Brentwood. Previously, in 2013 and again in 2016, Brentwood was also selected as a result of a competitive RFP process.

At its business meeting on September 13, 2021, the Board approved a new contract for the District’s Third-Party Administrator Services with Brentwood for an amount not to exceed $466,000.00 in fixed claim costs, subject to a two percent annual increase, excluding bill review fees that are billed monthly based on volume. Ultimately, Brentwood was awarded the contract because of the quality of service it provides in addition to the company’s willingness to furnish customized claim services at a competitive price.

At its business meeting on August 10, 2022, the Board approved the renewal of the contract for the District’s Third-Party Administrator Services with Brentwood. The renewal amount was $475,320.00 in fixed claim costs, subject to a two percent annual increase, excluding bill review fees that are billed monthly based on volume.

At its business meeting on July 10, 2023, the Board approved the renewal of the contract for the District’s Third-Party Administrator Services with Brentwood. The renewal amount was $484,826.40 in fixed claim costs, subject to a two percent annual increase, excluding bill review fees that are billed monthly based on volume.

At its business meeting on October 7, 2024, the Board approved the renewal of the contract for the District’s Third-Party Administrator Services with Brentwood. The renewal amount was $494,523.00 in fixed claim costs, subject to a two percent annual increase, excluding bill review fees that are billed monthly based on volume.

Brentwood has effectively helped the District process new and longstanding workers’ compensation claims. Brentwood provides the District with medical bill review services that result in cost reduction through the utilization of their networks, and application of the Georgia Workers’ Compensation fee schedule. Moreover, Brentwood provides the District with two claims adjusters, a claims assistant, and a claims supervisor. Although not assigned solely to the District, Brentwood provides the District with access to a claims manager to assist with various matters. In addition to the staff provided by Brentwood, the District employs three full time workers’ compensation claim adjusters. Also, at no additional cost, Brentwood furnishes the District with access to SUCCEED, which is a web site that dispenses loss prevention recommendations.

In addition, at no cost to the District, Brentwood has converted existing claims data to the Brentwood claims system. That system is called ClaimsXpress. The conversion to ClaimsXpress enables the District to utilize the Brentwood claims system and allow Brentwood to issue claim related workers’ compensation checks, and liability checks, to claimants, employees, physicians and vendors. The checks are sent overnight as needed. The transfer of the check issuance process from the District’s Accounts Payable Department to Brentwood ensures continual check issuance in the event District offices are closed due to a pandemic or natural disaster.

Further, another service provided by Brentwood is the Medicare Section 111 Reporting. This is an automated process through Brentwood’s ClaimsXpress System. A weekly data feed is provided to ExamWorks who reports to Medicare on the District’s behalf. The District is a mandatory reporter under Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007. The Medicare Secondary Payer (“MSP”) policy is designed to ensure that the Medicare Program does not pay for healthcare expenses for which another entity is legally responsible.

Lastly, Brentwood also completes the annual reporting of the mandatory WC-26 report. This is the consolidated yearly report of medical only cases and annual payments on indemnity claims. This report is required by the Georgia State Board of Workers’ Compensation. In addition to this report, Brentwood assists with providing other metrics such as tracking of timely contacts, reporting of payments/settlements broken down by category, providing excess workers’ compensation insurance renewal documentation, and gathering of data for various other reports.

Financial impact: This is a budgeted expense within the Risk Management budget. The cost is paid in quarterly installments. Medical bill review costs will be paid monthly based on volume from the workers’ compensation claims budget. The account charge code from which the expense will be paid is 100.2500.530000.15311.7490.9990.8010.080.0000.

Contact: Mr. H. Eric Hilton, Chief Legal Officer, Division of Legal Services, 678-676-0159,

Mr. Glinton R. Darien, Jr., Director of Legal Affairs, Division of Legal Services, 678-676-0403

Effective: November 1, 2025

Status: Approved by the Office of Legal Affairs

                                        DEKALB COUNTY SCHOOL DISTRICT
                                                                                                     2024 Pharmacy Spend Breakdown




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Summary


  description      Claims
                   1,005                                                         sell             Fee Schedule
                                                                                                  $143,551.98
                                                                                                                                                                   Top Physicians




  request_quote    Cost
                   $77,895.89                                                    savings          Savings
                                                                                                  $65,656.09



  clinical_notes   Providers
                   130                                                           local_pharmacy   Pharmacies
                                                                                                  125




  medication       Drugs
                   114



     Top Drug Classes                                                                                                                                              Top Claimants

       NONSTEROIDAL ANTI-INFLAMMATORY AGENTS (NSAIDS)
       Savings: $20,367.40 Claims: 339 Dispenses: 13,316

       CENTRAL MUSCLE RELAXANTS
       Savings: $5,013.98 Claims: 167 Dispenses: 5,198

       LOCAL ANESTHETICS - TOPICAL
       Savings: $14,646.10 Claims: 79 Dispenses: 3,045

       OPIOID COMBINATIONS
       Savings: $1,371.78 Claims: 76 Dispenses: 2,975

       OPIOID AGONISTS
       Savings: $1,197.91 Claims: 62 Dispenses: 2,350




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Summary Continued

         Total Savings                                                                                                                  ⛶
                                                                                                                                                                Total Savings
                                                                                                                                                                Fee Schedule                                           Billed                                         Savings
                                                                                              Fee Schedule              Cost         Savings
                                                                                                                                                                $143,551.98                                            $77,895.89                                     $65,656.09
                  160




                  120
  $ (thousands)




                   80




                   40




                       0




         G/O/B Spend vs Savings                                                                                                         ⛶
                                                                                                                                                                G/O/B Spend Vs Savings
                                                                                                                                                                B/O/G                                                                                Spend                            Savings
                                                                                                                     Spend           Savings
                                                                                                                                                                Brand (B)                                                                            $7,510.00                        $1,183.59
                  60
                                                                                                                                                                Brand With Generic Available (O)                                                     $21,550.00                       $8,822.00
                  50
                                                                                                                                                                Generic (G)                                                                          $48,840.00                       $55,650.50

                  40
  $ (thousands)




                  30


                  20


                  10


                  0

                                Brand                                 Brand /W Gen                                    Generic




         Savings Trend By Month                                                                                                         ⛶
                                                                                                                                                                Savings Trend By Month
                                                                                                                                                                Month                          Fee Schedule                               Billed                              Savings
                                                                                             Fee Schedule             Billed         Savings
                                                                                                                                                                Jan-24                         $19,928.28                                 $9,864.62                           $10,063.66
                  20
                                                                                                                                                                Feb-24                         $7,967.85                                  $5,036.96                           $2,930.89

                  16                                                                                                                                            Mar-24                         $12,364.41                                 $7,449.18                           $4,915.23

                                                                                                                                                                Apr-24                         $12,334.19                                 $7,373.26                           $4,960.93
  $ (thousands)




                  12
                                                                                                                                                                May-24                         $11,105.74                                 $6,426.79                           $4,678.95

                                                                                                                                                                Jun-24                         $9,000.53                                  $4,946.77                           $4,053.76
                  8
                                                                                                                                                                Jul-24                         $10,415.71                                 $6,524.34                           $3,891.37

                  4                                                                                                                                             Aug-24                         $10,392.99                                 $6,064.02                           $4,328.97

                                                                                                                                                                Sep-24                         $11,522.31                                 $5,567.63                           $5,954.68
                  0
                                                                                                                                                                Oct-24                         $10,689.70                                 $6,257.62                           $4,432.08
                  Jan-24 Feb-24 Mar-24 Apr-24 May-24 Jun-24 Jul-24 Aug-24 Sep-24 Oct-24 Nov-24 Dec-24
                                                                                                                                                                Nov-24                         $13,672.06                                 $6,328.74                           $7,343.32

                                                                                                                                                                Dec-24                         $14,158.21                                 $6,055.96                           $8,102.25




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Year Over Year

         Fee Schedule Year Over Year
                                                                                                                                                                Fee Schedule Year Over Year
                                                                                                                                                                Month               Fee Schedule 2023                           Fee Schedule 2024                          Fee Schedule 2025
                                               Fee Schedule 2023                 Fee Schedule 2024                Fee Schedule 2025
                                                                                                                                                                Jan                 $0.00                                       $19,288.88                                 $9,149.00
                  50
                                                                                                                                                                Feb                 $0.00                                       $7,636.99                                  $14,236.45
                  40                                                                                                                                            Mar                 $0.00                                       $11,868.81                                 $48,792.52
  $ (thousands)




                                                                                                                                                                Apr                 $0.00                                       $11,760.23                                 $33,532.83
                  30
                                                                                                                                                                May                 $0.00                                       $10,576.79                                 $46,609.20
                  20                                                                                                                                            Jun                 $0.00                                       $8,656.61                                  $30,967.33

                                                                                                                                                                Jul                 $0.00                                       $9,997.82                                  $0.00
                  10
                                                                                                                                                                Aug                 $0.00                                       $9,853.15                                  $0.00

                  0                                                                                                                                             Sep                 $0.00                                       $10,995.53                                 $0.00
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                                                                                                                                                                Oct                 $0.00                                       $10,095.45                                 $0.00
                                M




                                                       M




                                                                                                                             N


                                                                                                                                         D                      Nov                 $0.00                                       $13,130.03                                 $0.00

                                                                                                                                                                Dec                 $0.00                                       $13,668.44                                 $0.00



         Billed Year Over Year
                                                                                                                                                                Billed Year Over Year
                                                                                                                                                                Month                        Billed 2023                            Billed 2024                             Billed 2025
                                                                                  Billed 2023           Billed 2024           Billed 2025
                                                                                                                                                                Jan                          $0.00                                  $9,864.62                               $4,274.13
                  24
                                                                                                                                                                Feb                          $0.00                                  $5,036.96                               $7,287.94

                                                                                                                                                                Mar                          $0.00                                  $7,449.18                               $21,529.00
                  18
  $ (thousands)




                                                                                                                                                                Apr                          $0.00                                  $7,373.26                               $13,770.28

                  12                                                                                                                                            May                          $0.00                                  $6,426.79                               $22,614.06

                                                                                                                                                                Jun                          $0.00                                  $4,946.77                               $13,277.27

                  6                                                                                                                                             Jul                          $0.00                                  $6,524.34                               $0.00

                                                                                                                                                                Aug                          $0.00                                  $6,064.02                               $0.00

                  0                                                                                                                                             Sep                          $0.00                                  $5,567.63                               $0.00
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                                                                                                                                                                Oct                          $0.00                                  $6,257.62                               $0.00
                                M




                                                       M




                                                                                                                             N


                                                                                                                                         D




                                                                                                                                                                Nov                          $0.00                                  $6,328.74                               $0.00

                                                                                                                                                                Dec                          $0.00                                  $6,055.96                               $0.00



         Savings Year Over Year
                                                                                                                                                                Savings Year Over Year
                                                                                                                                                                Month                     Savings 2023                             Savings 2024                              Savings 2025
                                                                        Savings 2023             Savings 2024             Savings 2025
                                                                                                                                                                Jan                       $0.00                                    $9,424.26                                 $4,874.87
                  28
                                                                                                                                                                Feb                       $0.00                                    $2,600.03                                 $6,948.51

                                                                                                                                                                Mar                       $0.00                                    $4,419.63                                 $27,263.52
                  21
  $ (thousands)




                                                                                                                                                                Apr                       $0.00                                    $4,386.97                                 $19,762.55

                  14                                                                                                                                            May                       $0.00                                    $4,150.00                                 $23,995.14

                                                                                                                                                                Jun                       $0.00                                    $3,709.84                                 $17,690.06

                  7                                                                                                                                             Jul                       $0.00                                    $3,473.48                                 $0.00

                                                                                                                                                                Aug                       $0.00                                    $3,789.13                                 $0.00

                  0                                                                                                                                             Sep                       $0.00                                    $5,427.90                                 $0.00
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                                                                                                                                                                Oct                       $0.00                                    $3,837.83                                 $0.00
                                M




                                                       M




                                                                                                                             N


                                                                                                                                         D




                                                                                                                                                                Nov                       $0.00                                    $6,801.29                                 $0.00

                                                                                                                                                                Dec                       $0.00                                    $7,612.48                                 $0.00




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and/or entity to which it is addressed. If you are not the intended recipient, you are hereby notified that disclosure, copying, use, or distribution of the information included in this email is strictly prohibited. If you have received this message in error, please notify the sender, permanently delete the
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