Following or looking forward . This is for the 2015 renewal cycle. And actually considering going that way for the 2015. Okay. Commissioner. Just a comment on what commissioner fraser was saying and i would like [inaudible] fully insured, the flex funding. I have some references with the fully insured and might give impression to the members and assuming it comes out and lower Everything Else and this is what shes saying and short term and give impression to the members why didnt you go with this one, so i have reservations with fully insured but just one question for you when you bring all of the comparisons what data are you using . 2012 season or how many years of data are you bringing . Well, as we did with the flex funded work for blue shield we would look at 36 months of data as current as we can get it. Up to 2013 . Yeah, up to the end of the year. That would be our goal so we basically built the template for this for flex funded and if you go to the website the same analysis an
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
We request that the actuary look at all three models discussed recognizing there might be a slight distinction between self funded and flex but i think at this stage to have an informed discussion to allow us to see all of the aspects and were not down to decision time that we want to do this, and if we decide at the next meeting well, having the other option in the midst of the two were going to talk about is more confusing to everyone then we can take that step at that time but i would like to start with all of the complete information so we can make an informed choice. Yes. Everything but the risk sharing option. I am thinking of dollar signs every time we talk about more actuarial work and we have to think about that to some degree. So the motion is could you repeat that please. The motion is we direct the actuary to do analysis on the options presented today [inaudible] page 12. Recommendation. Okay. The fully funded option, the self funded option, and the flex option. I second th
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