This is one. Theres to. Is there to. Is it fair to say its Alameda County that are a little. Theres far less competition in the Berkley Oakland area sutter is dominate national in that area as you mentioned the alter is affiliated not through sutter. Also the north bay a lot of sutter hospitals in the north bay so where does blue shield customers go in merry run and. Merry run county. Uhhuh. We have a very detailed plan that basically shows where every theres disruption with a Sutter Medical Group with the alternative group if its only a hospital what the additional hospital is in that region as well i would mention. Let me be clear were referring to the right information is 24 in the blue shield the sutter termination fang shooet the one youre referring to dated january 2013. Yes. Thank you are there other questions or comments. Commissioner lim. So we did would you be able to provide the number of members effected for this medical group. Yes. Assuming the negotiation is still going o
Investigated by the federal trade and they were not allowed to take doctors i was not allowed to join when i finished any residecy as a trained doctor so if youre a brown and tom nolans doctor that takes blue shield and he e you happened to have our office on webster street thats right being next to 0 sutter hospital you as the doctor has specialists at that hospital that you use all the time and their your relationships on how to manage our patience so patients do exist in a volume they have to deal with lots of people especially with a lot of problems if youre a blue shield patient that sees a doctor that used the sutter familiarity and the doctor cant use the sutter facility to get paid your blue shield patient at brown and tom nolan doctor has to go to a nonsutter facility im a sutter doctor and if i send you over to the hospital im basically saying i dont know anybody and hope they call me back its a k345ishg9d endeavor to increase score its trickier you have your doctor and dont
Oc w theyve challenged the practices of Sutter Health certain aspects their lack of transparent theyre tying hospitals together and so forth it in the suit they see one the first round no court and sutter is appealing so sutter basically came to us with a new provision theyve never asked for all lawsuits for all customers and trusts and so forth will have to be arrest traded and not permitted to go to open court we thought it was not acceptable and binding our customers 2, 3, 4 a way we didnt think was appropriate so were pushing back against that we you know we are happy to answer more questions you might have about this and look forward to try to resolve this issue before anyone loses their coverage. Now paul will speak on the specifics of the impacts on members. Good afternoon paul brown im the area Vice President for premier accounts im to take a few minutes and talk about the potential impact to your membership i believe weve identified about 57 hundred or about one hundred and 12
Report its important for the board to recall some of you werent here that three years ago sutter coming in came in when they wanted to buy up the whole business and put st. Francis and st. Marries out of business when we launched the acos we want different premiums the brown and tom man sutter premium will be higher than that assuming the utilitytion matched better to be safe than sorry but the premiums effect the costs sutter wouldnt allow us we wanted to create real competition we talked about removing sutter because they were driving our costs up so all the work youve done over the last 3 years to null lists migration i only needed 10 percent in the hospital to blow that out of the water well be back to trying to convince people to pay more by largely because of sutter so it he kind of is something we asked for indirectly and it is happening and sutters rates are higher than any place else in Northern California they drive the hospital market and only the hospital p that they compar
The brown and tom man sutter premium will be higher than that assuming the utilitytion matched better to be safe than sorry but the premiums effect the costs sutter wouldnt allow us we wanted to create real competition we talked about removing sutter because they were driving our costs up so all the work youve done over the last 3 years to null lists migration i only needed 10 percent in the hospital to blow that out of the water well be back to trying to convince people to pay more by largely because of sutter so it he kind of is something we asked for indirectly and it is happening and sutters rates are higher than any place else in Northern California they drive the hospital market and only the hospital p that they compare with a cedarcy new thats the hospital to the stars if were going to keep please line up on the screen side of the room or anthem or whatever our system we have to control those hospital costs and today blue shield is unable to control them. I have another question