Be the two principle methods of complying with our local spending requirement. I see. So, talking about the 53 of employers who place restrictions on these accounts, then were talking abthese folks now going the route of insurance or healthy San Francisco . Yes, going the Health Insurance or contributing to the city option, the contribution tos the city option as has been indicated previously, the pool and the size of the healthy San Francisco problem, excuse me, the healthy San Francisco program is likely to be reduced and consequently, the contributions that employers make to the city option will be routed to medical reimbursement accounts that are administered by the city for individual employees, these are similar to frankly the Health Reimbursement accounts that are used widely today and administered privately, there are some difference, one of those which i think youre getting to is that the medical reimbursement accounts administered by the city have no prescribers other than th
Francisco, the rates have stayed exactly the same, in 2011 and 2012 with respect to those specific restrictions as well. And i think those of us who were not supportive o f the amendment as it passed really believed that it wasnt enough to really make things change, it seems like in that sense, we have been provender to be rightfinger but i do want to acknowledge that there were efforts on the part of the business community, i know the Golden Gate Restaurants Association did a lot of work to make sure that those numbers were lowered and i know that a lot of information to its members, but it hasnt i would be remiss if i didnt also mention while the rates of restrictions have stayed consist tents, we have seen an up tick on the utilization of these utilization accounts, people have been reimbursed in a higher pe sen taj due to a lot of outreach from both the business community, other members in the community. So, now that hras are not allowed under the aca, then what happens in terms of
Option as has been indicated previously, the pool and the size of the healthy San Francisco problem, excuse me, the healthy San Francisco program is likely to be reduced and consequently, the contributions that employers make to the city option will be routed to medical reimbursement accounts that are administered by the city for individual employees, these are similar to frankly the Health Reimbursement accounts that are used widely today and administered privately, there are some difference, one of those which i think youre getting to is that the medical reimbursement accounts administered by the city have no prescribers other than them being available broadly for medical services. You said earlier, i want to get the number right, that about 35 of employers that use these hras have not allowed in this past year that the money be used for Health Insurance . That is correct. If that money is now going to be used in healthy San Francisco lets say, will healthy San Francisco place restri
Qualify for healthy sf, but dont know about the problem, and so where im concerned with that is if people dont know about healthy San Francisco, its been on the market and out there for a bit of time, how are you going to do a better job of doing outreach and enrolling people in the Affordable Health care act that of which well be able to do in the fall . So, our first method of enrolling people is to look at who we have on healthy San Francisco, as you said, theres a gap between your residents and healthy San Francisco participants, were looking specifically at converting the healthy San Francisco participants into Health Care Coverage. We recently applied for an outreach and Education Grant which we were not successful in getting probably because we have too much outreach to our population already, we identified in the process of applying for that grant, we identified certain populations in our city that need extra attention in outreach and the southeast core door, in addition to asi
Know, compliance with the health and security ordinance, what ways do employers have . Yeah, i certainly expect and theres all indications that theres a lot of robust policy discussions about this and any potential changes but for the time being, or pending any changes, i think our expectation or our understanding is commencing in 2014, again, no with standing the possibility of changes at the federal or local level, employers would simply provide Health Insurance or contribute to the city option, those would be the two principle methods of complying with our local spending requirement. I see. So, talking about the 53 of employers who place restrictions on these accounts, then were talking abthese folks now going the route of insurance or healthy San Francisco . Yes, going the Health Insurance or contributing to the city option, the contribution tos the city option as has been indicated previously, the pool and the size of the healthy San Francisco problem, excuse me, the healthy San F