Information, but it would take complicated out rhyme to see what the best choice is. The various stakeholders in the industry that are prevy could work together. Its unlikely that it will lead to transparency. They may be a need for government to step in. The city and county of San Francisco could facilitate Price Transparency in a variety of ways. The city and county could require that health plan maintain robust and quality tools. Second it could ask its Health Plan Partners to work toward eliminating gag clauses from providers in they prohibit the health plan from sharing information with their patients. It could require the Health Care Provider report what claims and hospital claims dollars are running through contracts that limit sharing pricing quality information with patient members. Third, the city and county of San Francisco in order to make sure it meets its few dishary process im waiting for my colleagues to come in from their air quality board, so were going to take a five
Could require that its contracted plans maintain robust Price Transparency tools for their patient members and can that they work toward eliminating the gag claws of providers so theres not holes to consumers about what different providers might cost in terms of their out of pocket liability. What i was about to say is the city of San Francisco, in order to make sure it meets its fiduciary duties could have all contract plans could offer discloses. Any Third Party Vendor contracted by the city and county so analyze on make Information Available to consumers. The city could consider building its own data base to design to produce robust information by its citizens. The only thought i have to add that people live or work in San Francisco may seek care outside the citys boundaries or may live elsewhere and come into the city to work, the city could play a role in providing state wide of this kind. The city could work to insure that Health Care Providers have information to Health Care Inf
You on that. Any other comments . Public comment . Seeing none, all right. Item no. 9. The clerk discussion item question the blue shields calculation. Lisa gut be. Im going to accept set up the questions. One of our unions is looking at the rates and benefits process as the question of hsf regarding the rate setting process from the 2013 and he basically was asking about how was the pricing done and concern that maybe we overpriced 2013 and so i thought the best way to answer that question was how to actuary through the Health Service board address the question and kosher. Okay. Neale coacher, hue hewitt. You have in your packet 20132014 rating. I even have an executive summary. Can you hear me okay . The question relates to the way trends are applied to calculate 20132014 premium equivalence. In this presentation to analyze the use of the blue shield renewal presented at the Health Services board will be reviewed. I actually have that page as the very last page of this document. At t
Associated with San Francisco where were willing to pay higher wages to workers in our city because we believe in that. How do you think about the differences and maybe its part of a melting pot but i like to get your perspective. We could measure all those differences so we can do analysis that shows differences in prices, how much is due to the cost of living and thats factor prices inputs, but the more general answer is a competitive market, you know, will protect consumers to insure that the services theyre getting are the most efficient and if they have the information, the ones that they want at the quality level they want at the Service Leave he will they want and folks move to San Francisco on live hee expect to pay more for things so were not talking about price level, but were talking about the most efficient price everywhere. So you need Market Structure and information to insure that. As you can see here in the period in the second time period here, total hospital spending
Instead of seeing you went to the emergency room. This is not a typical example in this room, but i personally can think of many times when i wanted to see my primary care physician and there was inadequate and available for weeks. Your only option is the emergency room. What would it run in your case . Did she make the case, the system set up wrong case for her . We were available. Broken seven days a week. The weekend of christmas was my weekend to work. We saw 95 patients that weekend. Work seven days a week. We have access to imaging and most of her primary care product is and specialists have that now is a service giving up from studies that decreases the cost of care bulleted to those of extended hours by about 10 . But it really has to be incentivized for what were doing in terms of creating a tepid economic model that is about access that works. In this situation, the patient just wasnt used to it. She caught a friend of hers and said what do you do . In the same thing may have