Executive Director Message
2025 was a year of significant change and transition at the San Francisco Health Service System (SFHSS). We bid farewell to former Executive Director, Abbie Yant, and the Health Service Board (HSB) bestowed upon me the great honor to take the helm at SFHSS as its new Executive Director. I then had to find my replacement to serve as Chief Operating and Experience Officer to reinforce our commitment to continually improve our member experience, as well as a new Chief Financial and Affordability Officer to help me minimize the impact the City’s $936.6 million budget shortfall will have on SFHSS.
In my first several months as Executive Director, I continued to be inspired by the dedication of our team and the impact that our programs have on the lives of San Francisco public servants whom it is our mission to serve.
This past year, we were able to make several accomplishments towards elevating our member experience, including:
- Re-opening our offices for full business day in-person member support.
- Enabling new Blue Shield HMO members to pre-select a Primary Care Provider (PCP) during enrollment.
- Implementing a new Life & Disability administrator in a manner that increased enrollment for Supplemental Life Insurance by 69%.
- Supporting our Retiree stakeholders through the Medicare Advantage Prescriptions Drug (MAPD) PPO plan transition to Blue Shield of California.
As we enter 2026, my focus will be on areas where we can move the needle with clinically grounded, data-informed measures that demonstrate tangible impacts on costs and health outcome, ensuring we continue to provide equitable, sustainable, and quality benefits that enhance the well-being of our members and their families.
Rey Guillen, Executive Director