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Transcripts For SFGTV Government Access Programming 20171226

Well worth it. I do want to go back up a little bit to operations and talk about some of the outcomes of the enrollment. We had several big things that happened this year one of them as you know, the implementation of blue shield trio and well get in to more details in the next presentation after the direct report with blue shield but again as we knew that would be a big task and that was a big enrollment movement. That was a big set up in july, august and september and in october when open enrollment is live and people make changes and as we move on after october and in to the first of the year, that is also a big a lot of work for us. Any time we make plan changes and any time is expected well save money next year for it and its going to cause work and so its well worth that work. We have some occurrences back in august and september where we felt perhaps our abilities and communicating our plan choices appropriately and we took some preemptive and proactive action with them and alon

Transcripts For SFGTV Government Access Programming 20171226

Of communications to the board. Ok, moving onto the next slide, this is also a, what we call a significant risk and this is basically just that we as auditors have to do more diligence to make sure that the significant risk has been mitigate. This is related to the blue claims reserve. It is a significant risk because its an estimate with judgment involved coming up with a liability for the june 30th and from our procedures, we have from a control and substantive area we have looked at their liability with involved our own kpmg action so look at the methodology and what goes in to the liability and nothing there were no exceptions noted at the end of the day. All right, moving on next slide, the significant account practice s so its been very consistent year over year and these are actually presented in the Financial Statements under note 2 where management has actually reported like all of their significant counter policies and as a result of our task work, they are in accordance with

Transcripts For SFGTV Government Access Programming 20171230

Something ups and another observation is do we do auto enrollment again for those people for which the only difference would be a lower contribution so its just a thought. Its a question that they wait and explore all kinds of autoen roll and not discovered and whether we want to engage in that process again its really i think something that prolonged discussion and i would expect there would be some necessitys to bring forward if we decide to mh370 of this that direction and some engagement of this board before we make the final decision and. I wasnt look forgeron a decision. Thank you. Does anyone have any questions . Commission commission sheehy. I did find it confusion and i know a lot and i think identifying a specialist problem i still havent figured that out and the web sites are not very good on a i wasnt clear whether my primary care physician was in the network or not and i was one of those who was delighted because ive had trouble, i was at ucsf before here and shes been my

Transcripts For SFGTV Government Access Programming 20180102

Wait and explore all kinds of autoen roll and not discovered and whether we want to engage in that process again its really i think something that prolonged discussion and i would expect there would be some necessitys to bring forward if we decide to mh370 of this that direction and some engagement of this board before we make the final decision and. I wasnt look forgeron a decision. Thank you. Does anyone have any questions . Commission commission sheehy. I did find it confusion and i know a lot and i think identifying a specialist problem i still havent figured that out and the web sites are not very good on a i wasnt clear whether my primary care physician was in the network or not and i was one of those who was delighted because ive had trouble, i was at ucsf before here and shes been my doctor for 20 plus years and so at one point i was paying her out of pocket because when you create those relationships you want to keep them but so i think really a lot more clarity and a lot more

Transcripts For SFGTV Government Access Programming 20180106

Significant and the missed opportunity are those several thousand members who did not remain auto enrolled and who went back to access plus and they are constituted 2. 7 million in savings. And that again. I wanted to just to talk about the imitation a little bit and the lessons learned. They had interesting nuances mentioned in the sutter primary case physicians which we responded to immediately and there was confusions about specialists who are also employed by sutter. So that work is continuing and identifying those in determining whether they impact anyone and everyone enrolled as of january 1st or enrolled at any point in the plan is eligible for continuity of care so any treatments they have in progress they get to continue on with those providers for those treatments. So were not concerned about patient disruption but it was a lesson that we learned along the way in creating this Custom Network for h. S. S. We got a lot of feedback from members being happy that now they had ak s

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