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SFGTV November 16, 2014

Similar results. Its an error rate driven formula. The point is because its an error rate driven formula, there is this size of the overall population would not really matter. I just wanted to make that clear. You need to identify yourself. This is ann fulton with hewitt. Claim audit process. This is a review again from what we reviewed during our audit process. There were questions in our out of sample claim. This is an example, an emergency room claim if we identified an error in subsequent xray claim, that would be considered out of sample. We had a question on why we stratify our sample, the size really impacts the claim process egg processes utilized. The large claims have more control in place. You have administrators doing predisbursement audit and doing claim reveals and medical necessity reviews. The lower dollars are automated with the processes. We find that the side of the claim there are different characteristics as a result of the size of the claim. So we felt like we nee ....

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SFGTV January 26, 2015

Animal this closed its doors. Oh, and turned off its lights so this is in the event that we are all right. Thank you other questions from the board about this item im ready to entertain a motion. Thats the difference of the churns or insurance program. Its been properly seconded to adapt this as discussions hearing none were ready to vote in favor of the motion please signify by i. I. All opposed nay its so adapted thank you, commissioner for staying and giving me 5 minutes. Thank you very much well see you next time. All right. So were now ready to undertake any remaining items under the agenda we were at decision item 8. 8. Were going guilty of negligence gun on this item since it has my name attached to it we heard the controller and director of finance pamela talk about sing nicaraguans the budget with the general budget process to that he said i think any discussion of education or items for volunteering text evaluation should be incorporated into the 205 discussions and hence i a ....

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SFGTV January 10, 2015

Went somewhere else. That makes the point. The variation cast light i know very well this organization because of the data they garner from the medical community is shockingly on a number of topics but well continue talking about it obviously in this area because of the location its not the easiest concept unless theres another questions Something Else i want to comment on the vitamin d. I knew someone would ask that so i the my homework ill submit it now. This is a big topic vitamin d. Any other Public Comment on this item thank you very much for your followup. Public comment on this decision item if not well move to the next. Item 14 decision report on 2018 excise tax. Im tom. Good afternoon. Im here to present a deck on the Affordable Health care act in 2008 excise tax referred to as the cadillac tax as you tom spe ....

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SFGTV January 10, 2015

Saying i its carried unanimously is there any other items the only action. Those were the only action items 11 well go to 11 since we have quorum. Item 11 aforementioned item reconciliation of retiree shiners Program Funds am 11. Amiably chief executive officer im make this really quick. Thank you. Okay this is the reconciliation that we need to do on the early Retirement Insurance Program fund the end of the program this program was started with the Affordable Health care act to provide Financial Assistance to employer base cal plans and make coverage available to early retirees we have to all the programs the Program Writers or requires that all funds received must be spent that i janua ....

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SFGTV January 12, 2015

An emergency participated can make choices and the procedure can be performed at high volumes so what they did was organized theyre first programs with knees and hips they found that they basically induce enroll hes to go to lower cost facilities and found significantly generally lower implicates and significantly lower thirty day infections and similar followup with about a 26 percent saefz to so theirs conclusion theyre to expand the concept expect and the facilities and their next line up will be covering objectives and cant say that those are works i hope that provides clarity to some new emerging terminology and think about it while planning with the health plans any questions. I will say this is helpful and informative i hope there will be ample opportunity whether or not to incorporate those approaches with our health plan narnz a good starting point for information well be coming back to make it more of an educational. Yeah. Knee and hip surgeries i mean, youre saving look for ....

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