Board Education
San Francisco Health Service Board (HSB) Commissioners are required to be knowledgeable of matters concerning health and employee benefits policy and oversight. The HSB Education Policy outlines educational practices and reporting expectations for Commissioners throughout the course of each term year. The SFHSS leadership team seeks to provide diverse educational opportunities that support the Commissioners in acquiring the knowledge they need to effectively carry out their duties and align with the Strategic Plan for 2020-2022. Please see the items below for the full list of education materials.
The Health Service Board Commissioners completed their Implicit Bias training during November 2019 and December 2019.
Board Contact Information:
c/o San Francisco Health Service System
1145 Market Street, 3rd Floor, San Francisco, CA 94103
health.service.board@sfgov.org
(628) 652-4646
For questions about health benefits or to reach the Well-Being team, please visit our Contact Us page.
May 2020 SFHSS Risk Score Report
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2020 Risk Score Report Video Presentation
The SFHSS 2020 DxCG Risk Scores are generated using the commercial Cotiviti DxCG (diagnostic cost grouper) models from the diagnoses on the claims in the SFHSS All-Payer Claims Database (APCD). The report covers data from the Active and Retired populations, the Early Retiree population, Medicare Retirees, Medical Plan Performance, and costs in correlation to various conditions that our membership experiences.
Marina Coleridge, SFHSS Enterprise Systems Data and Analytics Manager, has recorded the presentation for our members to view in advance of the Health Service Board meeting on May 14, 2020.
April 2020 Non-Medicare Healthcare Plan Rating Methodologies Parts 1-4
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Overview
This discussion provides information to the Health Service Board (HSB) of the San Francisco Health Service System (SFHSS), as well as other interested parties, regarding how health plan rates are set for SFHSS health plans for the active employee and early retiree populations (e.g., non-Medicare populations). This discussion has emerged to address periodic questions raised by HSB members, as well as in public comments during HSB meetings, about the relationship of health plan rates across:
▪ Active employees versus early retirees within a plan;
▪ By dependent coverage tier (single/two-party/family) within a plan; and
▪ Across health plans offered by SFHSS.
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Non-Medicare Healthcare Plan Rating Methodologies Part 1
This presentation addresses how Aon (for self-funded/flex-funded plans) and health plans (for fully insured plans) perform rate setting activities for next year’s health plan rate recommendations. Presented via Microsoft Teams Meeting, by Mike Clarke, Aon.
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Non-Medicare Healthcare Plan Rating Methodologies Part 2
This presentation addresses how total cost rates are segmented into employer and member contributions for each population segment—(a) active employees and (b) retirees. Presented via Microsoft Teams Meeting, by Mike Clarke, Aon.
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Non-Medicare Healthcare Plan Rating Methodologies Part 3
This presentation outlines the historical perspective on SFHSS health plan rate relationships across health plans and dependent coverage tiers, given historical influence on current methodologies. Presented via Microsoft Teams Meeting, by Mike Clarke, Aon.
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Non-Medicare Healthcare Plan Rating Methodologies Part 4
This presentational shares the current state of SFHSS health plan rate relationships across health plans and dependent coverage tiers. Presented via Microsoft Teams Meeting, by Mike Clarke, Aon.