That is really localized to San Francisco whether its Health Care Plans related to city ask county employees, things that are truly local to this area, you think youll have better luck and i think everyone i think the nation as a whole is poised for Price Transparency initiative, but everyone is trying Different Things and waiting to see and it would be wonderful to have a pilot system from the city of San Francisco to step up. Theres things to do that wont run a foul of what has happened in california. You may receive some push back on some of that, but to the extent that you keep it narrative on whats happening in San Francisco accident i think you can make great public arguments about why this is an issue for the city and it provides information for the state Going Forward and my basic understanding of pre em gs law, is it is very case specific and healthly swayed by Public Policy. I think that the things you could do is try things like requiring disclosure for plans negotiated here
Weighs heavily in not offering protection. The massachusetts general attorney did a large study a number of years ago and a lot of information was disclosed to the massachusetts ag that claims claim secret protection. They found it was against Public Policy to in light of trade secrets considerations and protections that have been claimed for that information. They held it was in the Public Interest to disclose the information they found anyway. So i think that youre exactly right. When we think about consumers in the market and the impact that this is having on them, the Public Policy is going to sway in the other direction. As we start to see more acos develops and more bundle care and providers have a larger burden of determining we only have a certain amount of a patient and we have to make referrals to different providers. Its going to be important to how much it costs so they can keep their own cost down when theyre thinking about making referrals. Its not going to be just patien
Raps. Want to invite ann mccloud up who is the president of the hospital. Thank you for being here. Good afternoon and thank you for having me today. As Senior Vice President for hospital, cha represents more than 450 hospitals throughout the entire state of california. Were happy to be here today and we applaud your efforts with the goal of reducing Health Care Cost. I they we striving for that i think we striving for that and your folks said, achieving that aim. Were supportive of that. I want to say that i hope my comments today arent perceived as not being supportive of transparency, and theyre not. I hope they provide you with a balance perspective on what transparency may or may not do. When we talk about the fundamental issue of price in health care and we heard that used interchangeable three throughout the morning, price, cost, price, cost. Theyre two Different Things in hospitals. We have to work it disintangling cost from cost. Ill put it in the perspective of the airline in
Second meeting. As well as go over the impact that was requested by the commission and so to review, and at the september second meeting, we recommended the following changes, on the healthy San Francisco side and we recommended that the current transition period, which allows the people who are eligible for coverage california to enroll in and or stay, in healthy San Francisco, and be extended to another year, through december 31, 2015, and we also recommended that healthy San Francisco are expanded to allow uninsured seniors to participate, and we recommended lowering the upper almost level from 400 to 500 percent of poverty to align them with the subsidies under the Affordable Care act and all of these policies were designed to or in tended to maintain the continuity of coverage and to reduce the gaps as well as to make sure that hel ygt San Francisco is available able for the people who dont have other options and the city option, on the side, and we sought, to encourage the use of
Second meeting. As well as go over the impact that was requested by the commission and so to review, and at the september second meeting, we recommended the following changes, on the healthy San Francisco side and we recommended that the current transition period, which allows the people who are eligible for coverage california to enroll in and or stay, in healthy San Francisco, and be extended to another year, through december 31, 2015, and we also recommended that healthy San Francisco are expanded to allow uninsured seniors to participate, and we recommended lowering the upper almost level from 400 to 500 percent of poverty to align them with the subsidies under the Affordable Care act and all of these policies were designed to or in tended to maintain the continuity of coverage and to reduce the gaps as well as to make sure that hel ygt San Francisco is available able for the people who dont have other options and the city option, on the side, and we sought, to encourage the use of