culp so many i was honored by chuck cowgirl with the ymca with my wellness when i worked in the mayor's office oh, so many years ago, i attended the webinar and trained that was a national webinar this was available to the board but no one could attend i'm now the new chair the national committee for social security and medi-cal and attend their board meeting which i had them schedule the board meetings on the we understand only gone one day for travel signs e.r. since i'm the chair i can have them meet on this weekend much to the members dismay we i

attended the pb h choosing wisely i want them to make a presentation it's a specialist organizations combined to do a whole consumer education program through the consumer reports it's really, really well craft to help people to make decisions and not immediately need an mri or an x ray or whatever so i'd like to ask them to come o to present and perhaps in the next contract ask our vendors to participate in choosing widely campaign the mta had a diabetes conference we met with the diabetes foundation person yesterday to see what is available they have a lot of

materials it stephanie will roll out through wellness and i put in what the anticipated changes to medicaid are and to see president obama's budget before although the senate voted them down they're likely to be in the house republican and they'll have to push obama to look at that this includes the surcharge on the charge for consumers it didn't say effect our members but anyone that is paying for medicine gas it increases the part c and d premiums their taken out of your social security check that's for everyone it increases the b co-pays for home health to $100

per episode and s. it increases the guilty to 67 that has a significant impact on our excise extension that's the section where our premiums are the highest i'd like to briefly call on operations and then david wellness to update things so operations how did we do? >> mitchell chief executive officer of the health care system i wanted to briefly talk about operations as far as our end is concerned on the third page of the deck after the director's report second slide it says year-end enrollment we've received 26

thousand calls a decrease in 2013 and member services animal a little bit over 13 thousand with the 2014 a 21 percent increase from 2013 just a little bit about on enrollment 2015 flexible spending accounts we have 34 hundred about the same or 33 hundred and the tenant care 985 increased in 2014 on the no objection page i want to bring to your attention the plan enrollment tb on enrollment as you can see the top line is defenseless 2014 the second line is january 2015 so by december 1st, 2014 we had done our just of late enrollments and that type of things blue shield

did well, for family coverage at one hundred and 24 it's the first time it's increased in 3 years that shows a lot about the work that agents have define to get the enrollment important stabilized the other thing to bring to the boards attendance the on enrollment is one hundred and 65 separate tabs that you know have to complete for on enrollment and i wanted to just add to the point that we had a 21 percent increase in person assistance that has implications to people are accustomed to get that in person help they have to go online it's a culture change hopefully, we'll work with the analysts to

have better serve because people are accustomed to getting personal service i'll echo what mitchell pointed out this is the first time that blue shield has not lost members but in fact had a small gain so all of the work this board did in terms of the funding and the department did in terms of norwalk the working with d hr fornix the premiums as well as the sinces you passed resulted in exactly what we minded we curved immigration auto of the blue shield for 24 particular year the reason we put in the one hundred and 66 tasks someone asked to get a better sense of what we do this is how complex

doing an open enforcement is thanks other questions. >> congratulations to mitchell. >> i know you do a great job. >> i look forward to working you, you. >> before you retreat congratulations to the successful on enrollment and the deputy for this fine team kathy republican leads my perennial question since i took a seat like stopping payroll at the last meeting i made a suggestion a letter be drafted this witness to the president i think i'll be writing that letter i guess (laughter) my point i know they've made adjustments i want to solicit a letter they made adjustments but

had an impact on the adjustment put that on the to do list thank you for your help. >> thank you >> okay i'd like to call upon marina give us an update that was a question and data analysis vice president scott and commissioners to continue with mitchel's presentation echo on the work going into on enforcement within the packet summer of the statistics that go into the system configurations with people having a support our benefits administration i won't read that to you suffice is to say we've gone from e or o e to calendar work that takes a lot

of time to prepare the w 2 henry adams and other reporting and rolling on the planned year i want to say we've got a specific time of year we're busy all year one thing to the next back in the november meeting we presented on the ap cd requesting our approval to enter into a contract with the database at that point there was questions raised by sfoelt regarding the elevation for that vendor and who the panelist were and a little bit about the vendor that was selected there's a separate memo in our packet. >> can you tell me where that is. >> it's right behind. >> i think that was embedded with the director's report. >> i could be wrong.

>> okay it's after. >> it's after the kaiser wellness research study section that's in the directors materials. >> so it's just before the blue page. >> thank you and in the interest of brief it i won't read all the material but we had 7 key areas used in our elevation criteria the panelist i've listed them with their backgrounds i'd like to certainly raise taken into consideration attention we felt we had qualified commitments

this gentleman has served in american people advisor capacitate with our agency for health care research and quality and so provided a number of key insight and before county in terms of having that public employer went will the challenges we're facing and administering the benefits and that gap doesn't help decision makers move forward there's in sight i'll a leave it there unless additional questions. >> thank you marina for providing this information for one it heights my degree of confidence knowing that truman is a company that acquired metro

staff and they were an excellent vendor in the olden form this is an o from any prospective i think we'll find a good product from them and it achieves the kind of long term results we're looking for so this to me pass been more than illuminating and for any project of this scope and scale that is kind of what we want to put on the record we did a due diligence not just about the money and the approval and the direction from the board of supervisors to we're doing it and did indeed spend time and get expertise in making the selection so thank you for doing this. >> thank you very much commissioner. >> and i should do a shout out to relinquishing in the finance

department worked overtime quite literally often the community college rates and accommodate an unusual employer question. >> just for the record you can't can you remind me is there a fee. >> yes. tests not enough (laughter). >> we charge them both the school district and the xhuj per member per year and it's probably something we should re-evaluate and that money becomes part of our administration budget. >> okay. >> lastly i'd like to call up stephanie to give us the exciting data on the being the assessment we were confusing when we first met i want to point out in the deck her report

got put together the kaiser research east actually goes under tab it begins on slide 5 it is under tab 15 she's only going to talk about wellness and well-being. >> i'll remind you of that stephanie with the health services system the bullets in the director's report are both from the december and january meeting they give you the early status on the va and the final status but just wanted to give you the final on the flu shots clinic we had $3,000 one hundred 74 shots andes news information about obviously there's been drift in the stream they're concerned about the vaccine

focusness aforementioned the additional importance of any general washing your hands and staying home when our sick so since we last met we launched the rewards contest and finalized the w b.a. we ended up with 3 percent participation in the san francisco unified school district and 33 percent in city college and participation in the san francisco ethics commission as you can see the employers it comes down to the extent of initiative he leadership we're looking forward to applying the lessons where we had a robust roll out looking to see how we can apply that i'm currently working on a 2014 report that

you will have more information than you need you'll see that at a future board meeting that includes the issues of wellness it's the first robust year of wellness there's a lot to reflect and learn from we just started the interviews for our newest is position we'll hopefully add a 7th member for the next board meeting i'll be letting you know who that is those are the major highlights over the last month's are there questions we'll talk about the wellness in the next meeting. >> comments from the board i xhund commend you on a good start and look forward to the fulsome report of all the

activities of year come back to us soon thanks again for all you're doing. >> all of those what are employees can participate in the wellness caudal the what and daily champ. >> but the daily champ is available to you i think my daily challenge was to go like this ten times you get it on your eye phone it remind you to do something healthy so we'll give you that website to have a well-being challenge. >> thank you stephanie that that concludes my report. i've asked vice chair scott as some people know there's been a change in the blue shield with

sutter hospital and given that change was so substantial i asked blue shield to send a couple of high-level people to bring a presentation they'll be coming at some point but i feel confident that blue shield is doing everything they can to communicate and make sure there's no gap in service to for members we'll will have to ask them the questions. >> thank you katherine i ask you to be on alert i don't know the people by site you probably do i will claim the privilege of the chair when by the e they arrive one has another appointment immediately following this average we'll interrupt the flow of the agenda that has vendor participation at any time end item 14 or something like that we'll call upon them tattoo bring their

perspectives to us i want to claim the privilege of chair to go back to the president report i had an issue i can be at the board at 1:30 this was my error this is specifically from high prospective to focus on the work and contribution of jan who severed as the president of this board for a much too brief tenures u you are during this past year i invited her to come she was unable to because of another commitment she indicated in november she wanted to make some parting comments to the board in discharging her

responsibility they are e she was unable to do that i hope if she has an continuing interest she'll know from my own standpoint i wanted to recognize her board service i felt as a confirmation in my brief time working with her, she was thorough and diligent and stealing candid and probing in terms of her questions and objections and concerns about the matters of the judiciaries jurisdiction of f this board i hope i can learn from here example again jean if you're listening or hear about it i took the occasion to publicly thank you and wish you will in our future endeavors and invite board members at this time to

make comments regarding her ore the executive director regarding jean's service to the board. >> well, i'll say i knew jean since the beginning of the san francisco health plan they brought us the best medi-cal managed care in the staifshgs she came to the board with a lot of experience observe from her contributions she's a bicyclists enthuse i thought we have a sign that says enjoy the journey we'll sendoff to her. >> thank you commissioners that i if your listening out there i don't think you are they moment i wanted to note so and so she was an incredibly thoughtful

person with a lot of expertise with prior board that illuminated my thinking on how to be a commissioner as well thank you for that. >> i echo all the commissioners comments thank you jean you provide insight and thorough knowledge especially, when we discussed the rates and benefits and really provided good questions and gave insights to the board thank you for your service. >> i agree with all our comments. >> thank you very much for your service you gave a lot to the commission. >> thank you all for our comments i'll ask any public comment on the president report. >> good afternoon claire speaking as a former member of

the health service board jean served as a representative from the city attorney's office it that had a position on the board in those days so she asked asked probing questions she was representing the city attorney as a commissioner so i think she still gained quite a bit of her expertise as serving this city in her capacity on our board then when she went off to run the other plans extended that and brought back a lot of knowledge and expertise that is probably very unique because she already had a prospective of how we were and how we worked so it was interesting when she came back as a confirmation in a very

different capacity that she was able 0 bring much more to the board i think that enhanced our ability to move ahead in a number of areas just as a prior commissioner, i said want to add my thanks to her and the displeasure she presented i wish her well in her future endeavors. >> any other public comment it's been brought to my attention the representatives from blue shield are here i'm clearing claiming the privilege of the chair i'll move to agenda 14 i believe it is - >> 17. >> i was corrected by my board secretary comments from the vendor i want to invite the representative of blurld please come to the podium i find as i

got the call from katherine it's a shocking call and with an that i guess in my worse moments wished that that he that wouldn't be where we are today, i happen to have health care expertise in the industry and been with the public education program had to deal with this same health program or vendor, if you will, contractor in this case, i say without question i've been amazed at the outcome of both the strategic and operational think they bring to theory their efforts i want to have the representatives identify themselves and make whatever public comment they wish to make and prior to that,

i want to ask katherine to identify the employee impact, if you will how many members do we have participating in blue shield that might be impacted the service area that type of thing and hear from the representatives. >> i'm not sure if you brought additional numbers with you i handed out to the confirmations i had our director tell you you have this how many members are in each north bay county and if our handouts materials from the blue shield their website that gifts outer information so the largest you madam clerk, any other business before this committee? members are 11 thousand in san francisco and 5 thousand in san mateo but we have 22 thousand -

22 hundred in alameda and 2 thousand in kontd cost at least in san francisco and alameda county in terms of the medical groups the brown you recall we have a acu with brown and tom listen their innovate effected because their national affiliated with sutter so people will be able to keep their doctor and in the east bay a subsidiary they're able to keep their physicians it's the hospital network that is effected and alameda county is probably the most bare hospital at work you have the numbers in front of you, we also have john in costa

mesa county is 2 satisfactory. >> yes. thank you very much introduce users. >> thank you members of the board director dodd. >> i'm tom the vice president of the public affairs that blue shield of california i'm joined by mr. best graffiti watch volunteer award he'll provide the details on the impact of the members i'll talk about the negotiation with sutter and first of all, i want to say we're seller regretting the uncertainty it is caused we negotiated with sutter in several months and plan to do so we're doing so in hopes we can resolve this before members are

you mean entangled but the reason we don't have an agreement is two-fold were trying to keep the care affordable to our and our members by trying to avoid having to psa pay high costs to medi-cal we don't want to deny services if they want to challenge the practices of that particular provider in open court occupy anti trust grounds there's a lawsuit that's doing that now we don't want to see that restrained in the document i believe i have the power point we you know i'm not going to walk through each slide it demonstrates the dominance the sutter health chain in the markets in california and their strategy of medical facility

acquisition and consolidation has occurred and basically resulted in higher rates as you can see from the power point that hospital rates, etc. at the facilities are thirty percent higher than other northern california hospitals and their physician expense has risen 3 times as fast as the other physicians in the last 4 years statewide as you can see they've been accommodating a fairly substantial profit margins in double digits most of the time in addition it to that situation we're trying to address and keep health care affordable they're trying to limit the access to the court there's a pending class-action lawsuit that was filed by the u e b t trust affiliated