MADISON, Wis. (AP) – Gov. Scott Walker will talk with health plan executives about a proposal to shift state employees from HMO health insurance to an employer self-insured program.  Employers that are self-insured carry the risk for losses and pay benefits directly to employees. The National Conference of State Legislatures says at least 20 states have self-insurance programs for their employees. Currently, the state contracts with 18 HMOs.  The State Journal ( ) reports a consultant’s analysis says the state could save 4 percent to 5 percent a year by becoming self-insured. The savings would come mostly from avoiding taxes and fees under the Affordable Care Act for fully-insured programs.  Walker will talk Tuesday with health insurance executives. A committee of the state’s Group Insurance Board plans to take up the issue Oct. 11. 
     Information from: Wisconsin State Journal,