So insure theres no type of when the member goes to see their decrease theyre aware of the change i mentioned were implementing an enhances Service Model i want to highlight is couple of things how we help retirees to enroll after the effective dates the next couple slides talk about the call centers all of the the call centers or centers a staffed with representatives that focus on medicare populations theyve all been trained with cultural training to know about the benefits for the city and county of San Francisco as well as your culture here and we basically provide them with all the information they need to they can best insist the future members have a hyatt high rates of satisfaction from members members two and retiree that call into the preare Enrollment Center and the post Enrollment Center we have seasoned representatives that really kind of speak to the level of services were able to provide the retirees are there any questions open the retiree experience for the materials o
We have a vote on the floor which should be over in the next ten minutes. I will talk a little bit and tell you what i want you to know. I will start with testimony from sloan gibson. Make the note that his staff said that was okay. I want to take extra time because this is an important hearing. Last year culminating with the passage of the veterans choice bill problems in raleigh, denver come orlando and answers that were in completed for understandable reasons. Just left about a year early. Gone as well. There was a transition. There is no excuse for the plethora of problems, and the transition should have been much better, but was not. Va demonstrated that they were finally listening. All i was hearing was nothing but stonewall until finally sloan walked into the hearing, pulled out a new rule to make the number of miles driven which i think everyone in this committee appreciates and agrees with. I believe we are satisfactorily working toward the care you need. It will happen in the
Thought. So explain your logic in terms of not allowing them to make that choice than elves. We have spent a great deal of time talking about this. One of the things for us to keep in mind is that 81 of the veterans we provide care for have Medicare Medicaid or some form of private Health Insurance. Oftentimes what you see today, you mention this fact earlier that the veterans have given the option for toys and somewhat elect to stay in and that is precisely what happens today. Roughly half of 40 to 50 depending on whos the survey you are listening to. I would tell you my perspective part of those are deciding to stay because they are getting great care and they enjoy the camaraderie with other veterans, they have continuity of care because they have been receiving care for a long time and others come there because they have an economic and others come there. So they have 20 copay for a procedure and you look at that colonoscopy or whatever it happens to be where the Knee Replacement w
Im the acting director of policy and planning. National concept operations was created in initial request in december 2003 from the executive of office of the president to u. S. Postal service to deliver oral antibiotics during large catastrophic events, especially the outdoor release of a biological agent. The postmaster general made the decision this could be done voluntarily. If health, safety and security were provided. In february of 2004 the secretary of health and Human Services secretary of the Department Department of Homeland Security antiagreement to establish policies for oral antibiotics. Later in 2004, the citys initiative federally funded program led by hhs to launch in u. S. Cities to respond to a large scale health emergency. The primary objectives are to avert mass casualties and dispensing antibiotics within 48 hours of the postal concept because an offering an additional method of Drug Distribution to the general population. Commands were tested as well as as in oct
At the same time, weve had a large increase in care in the community, choice hasnt worked as intended. Here are some things were doing to fix it. On april 24th we changed the measure from Straight Line to driving distance. Using the fastest route. This roughly doubles the number of veterans eligible for the 40mile program under choice. Excuse me. But there is much more to do. A followon mailing to all eligible veterans is about to go out. Weve Just Launched a major change in internal processes to make choice the default option for care in the community. Additional staff training and communication extensive provider communications, improvement to the website and ramped up social networking. New mechanisms together, timely feedback. Directly from both veterans as well as from front line staff. These are all, already in place or about to launch. In the longer term, we must rationalize Community Care into a single channel. The different programs with different rules and reimbursement rates