next agenda item, please. 13, blue shield of california medicaprescription drug, mapd ppo transitionlan. presented by rey guilf operation officer, olz, operation manager, tiffany gill, blue shield of major account executive and charles lee, the blue shield of group retiree senior markets. >> great. commissioners. rey guillen, chief for health service system. as joined by some esteemed colleagues the organization olga, the operation manager and from blue shield and together we will walk you joint transition plan for the blue shield medicare advantage organization plan. today i will a short background and outline of are using for our planning. we have assembled to assist transition. then olga along with tiffany and charles from blue w the transition plan details. taking timelight blue shield's tasks and those assigned to the h is ss team. highlight the metric tracks along th path to success and by the conclusion of our to have assured you got this. we are confident all existing members will be enrolled in the blue come january 1, and 1, there wont be any empedements to the care that me

. >> item 13, of california medicare advantage gá drug, mapd ppo transition plan.cussion item and presented by rey guillen, sfhss officer, olga stavinskaya-velasquez, operation manager, tiffany gill, blue shield of california major ive and charles lee, the blue shield of california manager ofretiree senior markets. >> great. good afternoon again commissi rey guillen, chief operating officer for health service system. as secretary lopez mentioned, i some esteemed colleagues from internal th operation manager and also some repes from blue shield and together we will walk you through the joe blue shield medicare advantage preferred provider organization plan. today i will begin short background and outline of the key our planning. introduce e we have assembled to assist with the transition. then olga along with tiffany and charles from blue shield will walk low plan details. taking time to highlight shield's tasks and those assigned to the h is highlight the metric tracks along the way to verify we are on the and by the conclusion of our presentation al is assured you

there are a number of people killed and injured because of the are strict ppo. you can see rescue efforts to pull a girl from the rubble. she is still alive. she is being pulled out now. she was saved. as well as is its lowest and other aerial attack on know the news. well, these really what if she confirmed civil rockets had been launch from living on on even monday morning. this is 2 soldiers were injured in the attack and have been taken to hospital, israel's prime ministers warranty wrong and its allies that he's government would exact a heavy price if attacked. benjamin netanyahu. mitzi secuity cabinets in west jerusalem on sunday, as well as vowed to avenge the killing of a top come on de bye as well. earlier this week. and ron is blaming israel, fully assassination of almost political lead to is while on the entire on, on wednesday i'm the so who does this update from the georgia and capital amman? the reports we're saying is rarely media are indicating that perhaps these are always looking for some sort of preventative measure. meaning are they going to

an innovative way, an order to the boss, well, i just want to say that take care of yourself and let ppohoot down what will come. i have one more question for you: the russians somehow unexpectedly exchanged so much, they exchanged with the united states of america, they gave the journalist ivan hershkovich, the marine paul whelan, whom the russians exchanged, citizens of the united states of america, and what does this indicate, about some, well, when there are always some such exchanges, as the history of even the cold war testifies, it means that somewhere about something manage to come to an agreement and find points of contact, what does this indicate and who... was given to russia? well, look, russia is very cynical about all these exchanges, they understand that hostages are a commodity, it's the same as money. and this is such a consistent policy on the part of mr. putin, now he understood that biden did not want even hershkovich to be fired by trump. he wants everything for himself, it's like his political capital before the end of his term, like the president, and putin. played

ppo worked in poltava, zhytomyr, kirovohrad odesa. and mykolaiv regions of us.

it's made with the ppo calf flour and rice, flour to taste is like asian then. and now this one is coatings crown. and this one is sprinkle taste is uh, cinnamon uh, not 9. well, all kinds of spices. other typical engine agents snacks include deep fried pastries, like result is lumpy or pastels. they're usually filled with chicken or strip rand . good. right now in indonesia they even have the very different the flavors, even with may or may such may nice. and the with him, which is really, really found upon here in the, and hold on your roofing, like, who puts me in nice in a, in the refinery solis. so it's, it's really fun to, to see how it and even in a nature they interferes with the flavors. and an asian influence is i've also found their way into typical dutch snack bars, where you can even order fries with peanut sauce. but how does that appeal to indonesian taste for me it's, it's 4 feet of butter warmed up peanut butter, then it's really like the good bice, the innovation peanut sold. his place is called model bottom, a lot better, mr. authentic and a n

far as i know... it was a missile shot down by air defense forces, in general odesa thanks the forces ppoor the fact that we have the opportunity to live and work and simply conduct our activities. and we thank the air defense forces for every day. and at night we also had air alarms, also related to threats of ballistic weapons from crimea. that's why we are constantly in a state of tension, and it's normal, if it's a normal situation, abnormal, normal, but normal, when, when, we have several air alarms per day, connected precisely with ballistics from crimea. mrs. marina, and in general. observes a curfew or else, because sometimes you watch a video on telegram channels from odessa and realize that ballistics or drones are flying, well, and this and that, and the disco is still being poured, and it's fun and summer, and it's such a feeling , that there are two parallel odesa at the same time, you have also seen these mass races, yes, yes. yes, in fact, most odessans, of course, observe the curfew, that is, they comply with the requirements of the law and are all quite law-abiding, but t

, there was already an attack on tuapse, on an oil refinery, the second time there was some kind of pponsible for everything some man with a hunting rifle, the second time they put his soldiers there with machine guns, obviously, because such a shooting range was heard, but again, not anti-missile complexes. but apparently there is a certain obligation to tehran in moscow and or a desire to help and a very important point is that tehran now actually has a fairly powerful air defense system, it has russian s-300s, which were purchased in 2000, at the end of the 2000s , there are tories, there are their own complexes, there are older ones, for example, huulki, that is, he has something to fight back, there is no main component that he needs now, these are means that, at least on paper, can repel ballistic missile attacks, this is about the h-400 complex, because it is rev who declares that he can do it, the problem is , which iran already wanted to receive from the rfs-400, but there was no information about the progress in this, so if iran really received the rfs-400 from the rfs-400 rig

an event happened, they, in fact, they started yesterday, yesterday three drones flew to me, but our ppot them down, and they all fell there from 50 to 100 m from the house, and all there was damage, here you are now you show everything else there, well, but everything was more or less okay there with the house, and in fact we thought that they were heading there once, well, the pposhniks shot them down, well , they were probably just flying by, but this morning the fourth one arrived, and he arrived at a time when the repulse had already taken place. e air alarm and that is why the anti-aircraft defense did not work, they did not shoot at him and that is why he flew to his target and this target turned out to be my house, that is, it became clear that the previous three were actually heading for him, and this is something new , may be there in their them there was an inspiring successful action. israel against ismail haniyeh in iran, and so they decided to use iranian, iranian drones in such a symmetrical attack, i don't know, but this is the first time that this has been done. and tell

time, and olenya, it is 1800 km, yes, if we remember, there before that we impressed the means there pporonezh, voronezh ddm, two vorskaya stations, one in armovil, this is also very large range, and i will tell you that we have now, well , about 300 companies that are doing what they... produce mainly private companies there that produce everything for short- range drones, and somewhere around 100 companies that are very strongly developing, and there are several innovative platforms, there are several hubs that are allowed to live accelerators that allow it to be done quickly, and we see these results, if we say there when zelensky said that we want to have a million drones there next year, then all.. .they said that it's nonsense, it's impossible, c there are probably three of us already, and only half of the year has passed, yes, that is, it is developing very significantly, and if we look at the impressions of these airfields, it is very difficult to say what happened in the belt sea there, because there is no confirmation yet , but this is an airfield, which is the 47th aviation bo

ppo, mr. denys, we will question you now. glory to ukraine. glory to the heroes.ut that, from the states, we have a statement no atakams to the north, to kurshchyna, use it in the crimea. how appropriate is it now? we understand that crimea is well protected by their air defense systems. why so? well, firstly, which is good, it is protected. these anti-aircraft systems are very actively knocked out there, we see it. and a week does not go by when we do not say that there was some kind of hit on another air defense system that is occupied crimea, and secondly, if you allude to cnn, the fact that today there was a report that according to the data cnn does not want to allow us to launch our attacks on the territory of the russian federation, on the full radio of the judge, due to the fact that the stock of these missiles is apparently small and it is better for us to launch attacks on the crimea, well if if it's true, then it's very sad, it's already called. well, that is , well, i can’t say anything else, that is , in fact, the parallelism of the message that they

ppo worked in kyiv sumy. and poltava regions. the russians launched air targets from the kursk and voronezh regions of the russian federation. the night attack did not pass without consequences for the kyiv region. the wreckage of the downed drones fell on the territory of three garden societies. currently, there is information about the destruction of two and damage to 16 private houses. also in nivychyna, four cars, fences and power lines - let us know. regional government. russian terrorists also attacked kyiv in two waves with ballistic missiles at night and cruise missiles at dawn. during the first wave, they were probably hit by inaccurate north korean ballistic missiles, the second time they attacked iskander mk beforehand, - reported the city's military administration. all targets were shot down by our anti-aircraft missile on the approach to the city, without any destruction. two people were killed and... wounded in one day in donetsk region. in the evening , the occupiers attacked myrnograd. there is one person received

the ppo, or cheese of toes onto the fire, spread dozens of square maces with fixed smoke stretching across the throne. yet sky line before emergency services were able to stop the flames all season long calls or brings us the details from the scene of the i'm currently has the patrol school districts here in the net square shopping center. a supermarket was started by ukrainian military right now, it's still on fire. how fire brigades are fighting to put the blaze out, but you can see this blaze from all over the city of the nets. now i spoke to some people on the scene here and they told me that after the year, but on my way to the supermarket, i saw police said 3 different capitalism, stuff for the russian for the city right now there is i can hear a firefly nearby and i propose to district is very close to the front line i here in the next 10 that this particular area where we are is completely civilian. you can see the residential building side behind me. so i want to, there's, well, there's a lot of the shattered glass. once again, i'm not sure about the casualties, but i'm sure who f

at least 2 people have been killed and 10 in just as a ppo policies was told to the fine. it has already engulfed thousands of square meters, with fixed smoke rising into the sky of $200.00 civilians, all believed to still be inside the bill. they were joined to the studio biopsy correspondence show others even sky. now for more on this solid, thank you for coming in. some troubling news coming in from don't, yes. can some people are a forcing the still inside the building? what more do we know at this point? so this is an ongoing situation. as you can imagine, we've seen the pictures coming out from the shopping mall at school, the galactic to come all it's to the east of don't that's in the don't, that's people's republic. and really the entire building looks like it seemed ghost in flames. she's cleans of black smoke coming out from the top. and as you mentioned, the reports were getting an unconfirmed, but the suggestion is that they're all 100 people trapped inside. we understand the 2 people were killed on the 10 has been injured. now we don't know whether there is t

it for that i'm going to lose all a month while i'm with the ppo network. sonya on it only off by maggie, my daughter that got them without center. so the more of when you're buying a co junk or how much is over, i don't care about the hotel, they've almost all, but how much is cornerstone the but the care joy go to a but i don't go to the for the kid that i want to i'm like at the above the but i'm like, oh, not other. i'm in both key. i'm going to call it, i don't want to switch them. well, the benefit of the support that we will not face piece of freedom will prevail, the mazda, the ticket maker, they're not going off before they go to show it to them. okay, sure. the model, you're gonna we have a roadmap to utah institution entry. and so that means what i've done is done needs is and i've got this done solution to its problems. the guns have the 1st and last, the integration i gave, i don't. and then level on monday, the last one of the, the name of the whole bunch of them over know then how about another. ready made for me then they add some of the articles and they can make it in g

final, adjustment to it, this slide here, goes over t noo going to speak to basically the, the, the ppobudget was, was adopted unchanged from the final budget was adoed unchanged from the proposed budget, with requesting the same general fund amount from the from the city and county of san francisco, and then the work plan that's before you revertse version of the work plan that was adopted with the proposed budget, with our focus on the three pr areas of cleanpowersf, municipal housing services and public banking and municipal finance services, andn those, you know,areawe have soro prongs of our continued activities in advising the puc as w of studies that are part of the mou with the puc, the battery storage being first one of those and then the green bankinn banking study is, isnd the next one that we're initiating is the study on decommissioning national natur we've begun developing a scope of work for that. and working on developing a project team with t city departments and expecting that to be in in addition to the sfpuc, theironment department, and reaching out to the planning d

them for megan safe in the on the for the for that i'm going to lose all a month while i'm with the ppo network. sonya on it only off by maggie mother and i got them without center. so the more when you're buying a co junk or how much is over, i don't care about the hotel, they borrow money on aut. well, how much is cornerstone the but the care joy enabled. i don't go to the the . ready for the kids that are on the golf, i'm like, i don't live up the but i'm like, oh not other i'm in both key. i'm going to call it i don't want to search them. well, that's not a big chunk of the support that we will not face piece of freedom will prevail, the mazda into the thick and make of the show it to her or whatever done. okay, sure. the model your we have the road map to and your thoughts on 3 and so that means what i've done is done needs is and i've got it's done solution to its problems. the guns have the 1st and last the integration i gave, i don't get in. but on the, on the last one of the, the name of the whole bunch of them turn it over and then come out and have them. ready made for me the

when i toldhe owner, his answer was simply the music makes myers ppo keep my customers happy.o keep voices down are never enforced, and customers continue to talk at high volumes and the signs. by the way, we had to ask multiple■ tim for those signs to be put up. these examples demonstrate that they do not follow thees regulations mandated by the city, and this commission, due to their do over capacity, noise has been layered upon noise upon noise, upon noise. in addition to the points me working in a kitchen built for 40 customers ratherhan plus currently has created loud metal on metal noise, loud pounding, often star a 7 a.m. to after 10 p.m, especially on the brunch days. this comes directly into my neighborsy apartment. lacma's response is that we as neighbors are being too sensitive,nd to solve the issues, we should move somewhere quiet we've lived there for over 20 years. is that being a good neighbor since i have lived there previous restaurant owners have beenlso made an effort to t to know the neighbors. not in lacma's case. 25 neighbors have come to the neighbor and