Schedule thats all you pay for at the end of the day. Some of the other ones that were concernings is limitations on cost increase, the third item down. The answer is if we get a fee schedule that we believe in and we feel good about it and we have a hard fee schedule at least we know what its going to be cost and theyre not set until the fall so there is no negotiated fee schedule but we will have a sense of what it will be and another question presented in the may document by hss and cap icm at 10 . No we cannot fix a number but we can have a variable icn so if the claims the literal claim spent is less than the predetermined target should be 5 less and a percentage relative to that amount and the claims go down it will be less so this is a lot of information how this structure these funding alternatives integrate with some of the hot items brought to this board and subsequently shared with the board of supervisors. Are there any questions about any of this at this time . I am still
Where youre covered and under the risk share you pay the literal premium and get it 180 days. Everything being equal its a cash flow situation. Fair enough . Is the transparency the same in either . Yeah, the transparency of knowing the claims were its identical for those two. Any comments about that in. I just want to add another difference in addition to the fact that the reconciliation on the risk sharing didnt happen until after we do the pricing for last year and reconciling last year we couldnt bring it into that year and bring it into the following year and the 180 day period is done before that is reconciled. On the flex funding it allows i dont think in the clear sense its not more transparency but its comparability which is also valuable and adds to our ability to understand the costs for the blue shield versus kaiser so the flex funding model will allow us to say were paying this much at blue shield and this much at kaiser and the same services and maybe not a transparency t
The captated and how theyre aligned. I think that is less an issue with kaiser given the current structure for kaiser. We talked with pg e and went self funded and talking about the reporting requirements and the performance of that contract ensures that the organization of kaiser continues to focus on appropriation utilization and appropriate out comes so i think there are ways and especially under this scenario and maybe more with this than the other agreement that we have under the kaiser agreement if we pursue this to make sure that our concerns about inappropriate utilization because right now paying on self funded can be controlled with performance guarantees and reporting. Okay. With that being said we go over to slide four which is additional items that we want to just briefly share with you which is if you were to consider the risks what your risk exposure under risk sharing arrangement you may the premium and up side, down side of 25 relative to the premium and under flex fun
Written here. I want to say a few words and your questions are really important especially in the non kaiser world you really worry about the fee for service and the captated and how theyre aligned. I think that is less an issue with kaiser given the current structure for kaiser. We talked with pg e and went self funded and talking about the reporting requirements and the performance of that contract ensures that the organization of kaiser continues to focus on appropriation utilization and appropriate out comes so i think there are ways and especially under this scenario and maybe more with this than the other agreement that we have under the kaiser agreement if we pursue this to make sure that our concerns about inappropriate utilization because right now paying on self funded can be controlled with performance guarantees and reporting. Okay. With that being said we go over to slide four which is additional items that we want to just briefly share with you which is if you were to con
Kaiser world you really worry about the fee for service and the captated and how theyre aligned. I think that is less an issue with kaiser given the current structure for kaiser. We talked with pg e and went self funded and talking about the reporting requirements and the performance of that contract ensures that the organization of kaiser continues to focus on appropriation utilization and appropriate out comes so i think there are ways and especially under this scenario and maybe more with this than the other agreement that we have under the kaiser agreement if we pursue this to make sure that our concerns about inappropriate utilization because right now paying on self funded can be controlled with performance guarantees and reporting. Okay. With that being said we go over to slide four which is additional items that we want to just briefly share with you which is if you were to consider the risks what your risk exposure under risk sharing arrangement you may the premium and up side