Across the active employee ppo plan for plan year 2020. I move that we accept the recommendation as outlined on page 8. Second the motion. Any Public Comment . I have a question. Go ahead. The net effect will be to reduce everybodys rates is that correct. Rates will reduce from 2019 to 2020. We will present those next month. For active population . For the active population. Active employees ppo plan. We also have dental dental ppo for retirees that is self insured. Correct those rates are locked in to the end of 2021 daysed on a three year lock in delta dental provided last year for the retiree ppo plan. Thank you. Any Public Comment on this item . All those in favor of approving the staff recommendations say aye. Opposed. All right. It is unanimous. Thank you. Item 11, please. Presentation of dxcg risk scores. Presentation of aggregate diagnosis cost group per scores which correlate costs to the underlying illness burden of the sfhss population presented by the enterprise systems ana
Applied towards the buy down across the active employee ppo plan for plan year 2020. I move that we accept the recommendation as outlined on page 8. Second the motion. Any Public Comment . I have a question. Go ahead. The net effect will be to reduce everybodys rates is that correct. Rates will reduce from 2019 to 2020. We will present those next month. For active population . For the active population. Active employees ppo plan. We also have dental dental ppo for retirees that is self insured. Correct those rates are locked in to the end of 2021 daysed on a three year lock in delta dental provided last year for the retiree ppo plan. Thank you. Any Public Comment on this item . All those in favor of approving the staff recommendations say aye. Opposed. All right. It is unanimous. Thank you. Item 11, please. Presentation of dxcg risk scores. Presentation of aggregate diagnosis cost group per scores which correlate costs to the underlying illness burden of the sfhss population presented
Plan for plan year 2020. I move that we accept the recommendation as outlined on page 8. Second the motion. Any Public Comment . I have a question. Go ahead. The net effect will be to reduce everybodys rates is that correct. Rates will reduce from 2019 to 2020. We will present those next month. For active population . For the active population. Active employees ppo plan. We also have dental dental ppo for retirees that is self insured. Correct those rates are locked in to the end of 2021 daysed on a three year lock in delta dental provided last year for the retiree ppo plan. Thank you. Any Public Comment on this item . All those in favor of approving the staff recommendations say aye. Opposed. All right. It is unanimous. Thank you. Item 11, please. Presentation of dxcg risk scores. Presentation of aggregate diagnosis cost group per scores which correlate costs to the underlying illness burden of the sfhss population presented by the enterprise systems analytics manager. Good afternoon,
Proposed. We can take that without objection, and does someone want to move that we forward this with a positive recommendation . Supervisor stefani will move that, and well take that without objection, as well. Thanks, everyone, for coming out. And mr. Clerk, do we have any further business any further items . Clerk theres no further business. Chair mandelman all right. Thank you. Then we are adjourned. Demonstrate the consequences of this under utilization of prevention. We are happy to pull together a summary of six years of information on utilization to have available for you. I will do that as a take away to work with delta dental to affirm that. Your challenge to the Health Service system is appropriate. We have responsibility to make sure these kinds of services are being utilized. In addition to healthy diet and exercise and get out of the chair 30 minutes. We need to focus on this. It looks good because we save money. It is not good. I want to say especially here. You the ppo
Definite motion about what the price is going to be for the following year, and to have invested the time with you and your team qualtaytively over the last few years we have had a more informed discussion as a result of all of this. That is what i am encouraging the public to understand. It is a mind bending exercise to go through this and not see how it relates back to the end game. Are the premiums going up like rust that is always with us year in and year out . The answer is yes. Do we have other information to help to dampen it down . The answer is yes. Thank you, commissioner scott. I am looking at the medicare population. When you do this coding, where do you get your statistics from . Do they come through the health plan . I am referring back to when medicare sued some of the health plans for coding. When you have look at the statistics on medicare from our plans, could you see if something is being up coded . Are they all done by you independently of how the plan is in are the