Board Education

This is new information about what is influencing healthcare cost trends over the past year. This information is about medical benefits and pharmacy benefit trends. This will help us understand what impacts the cost for next year.

February 13, 2025 Board Education Healthcare Cost Trend Influencers Update

Agenda Item #11

The presentation will show how health plan rates are set for SFHSS health plans for the different groups. There are rules on how health plan rates are set for each group- active employees and non-Medicare retirees.

January 9, 2025 Rates and Benefits Annual Process and Cycle video presentation link

Agenda Item #14

The presentation will show how health plan rates are set for SFHSS health plans for the different groups. There are rules on how health plan rates are set for each group- active employees and non-Medicare retirees.

January 9, 2025 Board Education Non-Medicare Health Plan Rate Setting Methodology video link

Agenda Item #15

The strategic plan outlines the top goals for the department. The presentation will give updates on the improvements in advanced primary care.

September 12, 2024 SFHSS Strategic Plan Goal Update Advance Primary Care Practice

Agenda Item #9

Training about the rules for keeping health information safe. There are rules for physical spaces, computers, and ways to protect private information.

August 8, 2024 Health Insurance Portability and Accountability Act (HIPAA) Training 

Agenda Item #10

The four employer groups shared and present their concerns about the budget for healthcare.

February 8, 2024 Board Education Employer Budget Positions

Agenda Item #10

A fiduciary is someone who manages money for someone else. The Health Service Board members are fiduciaries. The training lists all the responsibilities for the fiduciaries.

January 11, 2024 Fiduciary Training

Agenda Item #12

Opportunities for Future Consideration Presentation

Agenda Item #9

Benefit Plan Design Benchmarking and Plan Design Influence on Member Plan Use Behavior Presentation

Agenda Item #11

Determining City Contributions for SFHSS Retiree Medical Plans Presentation

Agenda Item #12

Market and Health System Innovation Review Presentation

Agenda Item #12

Healthcare Ecosystem and Market Review Presentation

Agenda Item #9

Healthcare Transition from Active Employment to Early Retiree Status Presentation

Agenda Item #10

Healthcare Cost Trend Influencer Update video presentation

Agenda Item #10

Video presentation is here

Agenda Item #10

Video presentation link here. 

Agenda item #10 

Video presentation here.

Agenda item #11

Video presentation here. 

Agenda item #10

Video presentation here.

Agenda item #17

Video presentation here.

Video presentation here.

Agenda item #12

Video presentation here.

Agenda item #11

Video presentation here.

Agenda item #10

Video presentation here.

Agenda item #9

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.

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.

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.

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.

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.

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.