and blue shield and city plans are higher. ooh. overall, there's a 2.5% increase to the cost of the city. tell us what is going on here. >> yes, certainly. thank you, chair cohen, and supervisors. you have before you, health service plans and contribution rates for calendar, 2019. and we also establish the monthly contribution rate that the charter requires the employer contribute to health premiums for employees and retirees, usually referred to as the 10-county average. that is also in the ordinance before you. and, yes, aggregate costs have gone up by 2.1% for the other employers. as you know, health service system serves the courts, city college and unified school district. it's gone up 2.4% for the city alone this is favorable considering healthcare trend survey published by our actuarial firm is showing incresses of 5% to 6%. so we're under the national average. the kaiser plans -- the three plans are kaiser, blue shield and united. the kaiser plan has shown a decrease for this year. our experience with kaiser, it's an every

i'm fairly sure it was blue cross blue shield of arizona that address the issues obviously it's going to be a large enough chunk of money that the added it to the rates just like all the other states added csrs. >> i'm also from iowa, go hawks. i was three, there's a lot of flexibility in what you can apply for in a 133 to waver. i was wondering if you have since as to why states have some a states have decide to pursue reinsurance as the main avenue in their 1332 waivers instead of another solution? >> you know, one of the main reasons is that when price secretary come he sent a letter to the government saying pursue reinsurance. so that was like a significant like we are open to this, this is a way you can finance your reinsurance or a high-risk pool. they mentioned both of those options and a mask with the first one and they said go look at what alaska did. we're open to this. i think that was one of the, that was the signal to do. the other thing, both alaska minnesota which is interesting had already built in infrastructure from their high risk pools, so the use their legislative

going on with iowa with regard to marketplace, and i of the most noteworthy, notorious stories blue shield made their disclosure and possible youngviolation about the man in iowa who has this rare form of human if yulia and was -- hemophilia and that is one of those stories that gets headlined. that is not really the story of what is wrong with iowa. it is less sensational than that to thereally comes down fact that iowa's marketplace has been unstable from the beginning. different was four insurers that participated in our marketplace at the start, but you may remember that our co-op opportunity health, which was the first to go under in the country -- we have that distinction -- we are not alone. all of the rest of them folded out shortly after, but we were liquidated that first year. of the story of what is wrong with iowa is geography, so as a rural state, there are issues -- mark talked about the problem of smaller rating areas, so insurers hesitating to go into those areas. also, their ability to negotiate with providers. communitynly one hospital within reasonable driving distance.

there are insurers like blue cross blue shield of florida that are owed in excess of 600 and $60 million for 2017 alone. that's just one insurance company. and may have huge reserves it's no problem, no cash flow issue but there's a little tiny co-op in maine that is owed over -- 12 manlars dollars. i don't know how long they can hold out without that expected a meant. the court's decision covered 14, 15, 16, 17, and 18. in the most recent payment notice for 2019, the minister asian says they have fixed the problem by providing a public rationale. people say that was in a final rules there's no notice and comment so it may not be on the most solid ground. but there is this question about 14 through 18. even mind is a process foul rather than a substance fouled. there are other opinions and poor decisions that one of the opposite direction. risk adjustment is a great concept and a great ambition. in this area it's mixed. it's another case of one of those let's roll the solvency but here's a few people but by the time again to the fall i think they will back off. the fact they put out the

i am fairly sure it was blue cross blue shield of arizona that addressed the issue. that was opposite going to be a large enough chunk of money that they added it to the rates like all the other states. >> i was curious, there's a lot of flexibility in what you can apply for in a 1332 waiver. i was wondering if you have a sense as to why states have so many states have decided to pursue reinsurance as their main avenue. in their 1332 waiver. >> you know, one of the main reasons is that when price was the secretary, he sent a letter to the governor saying pursue reinsurance. [ laughter ] that was like a signal, we are open to this, this is the way you can finance your reinsurance. or high risk pool in the state. they mentioned both of those options. alaska was the first one they said go look at what alaska did, we are open to this. that was one of the -- that was a signal to do. the other thing that both alaska and minnesota did, they had already dealt in infrastructure and from their high risk pool. they use their legislators, they already had legislation on high ris

there are insurers like blue cross blue shield of florida that are owed in excess of $660 million for 2017 alone. that is just one insurance company. they may have huge reserves, and it is no album, no cash flow issue. there is a little tiny co-op in maine that is owed over $12 million. i don't know if -- how long they can hold out with that a bit -- expected payment. >> the court's decision covered 14, 15, 16, 17, and 18. in the most recent payment notice for 2019, the administration says they have fixed the program -- problem by providing public rationale given --. people say that was a final role, so there was no notice in comment. there is this question about 14 through 18. >> keep in mind, this is a process foul, rather than a substance follow. you've got other opinions. risk adjustment is a great concept and a great ambition. in this particular area it is mixed. i think this is another case of one of those let's roll this one out and see if it scares a few people. by the time we get into the fall, they will back off from the brink of this. the fact that they put out the risk adj

was a guy plaid in a black vest he jumped out with his gun and i had people jumping out of the blue shield and coming from behind the house this woman in all directions thing on the ground on the ground right and me into the back of an f.b.i. vehicle i received a phone call. said mr nugent. presidio so this is a just so so of the f.b.i. and we're here your son's house mark and we need you to come and pick him up i'm just like ok you know we'll set up a meeting i'll tell you whatever you want to know. and the hand they let me out of the handcuffs and he told me to leave while the search my house was going to the car ran off there. and there were police course all over the bush f.b.i. sheriff's office. they be i said they had forty five people go through their apartment so my dad can pick me up. and an f.b.i. vehicle followed up. to my dad would find out how i just knew that i had to lead them to challenge. the crazy he was who is terrified. he said don't kill me it's like a tree he asked me if i would see. trying to get his passport back they could have very well have said no we are not giv

but i'm fairly sure it was blue cross/blue shield of arizona that addressed the issue. it was going to be a large enough chunk of money. so -- >> back here. >> hey. i'm also from iowa city. go hawks. i was curious. there is a lot of flexibility in what you can apply for in a 1332 waiver. i wonder if any of you have a sense as to why states have so many states have decided to pursue reinsurance as the main avenue. >> one of the main reasons is when price was the secretary, he sent a letter to all of the governors saying pursue reinsurance. so that was like a signal. like we're open to this. this is a way that you can finance your reinsurance or high risk that they mentioned both of those options. and alaska was the first one. they said go look what alaska did. we're open to this. so i think that was one of the -- that was the signal to do. the other thing, both alaska and minnesota which is kind of interesting had already built in infrastructure from their high risk pools. so they used the legislative -- they already had legislation and high risk pools. they sort of put

there are insurers like blue cross blue shield of florida that are owed in excess of $660 million for 2017 alone. that's just one insurance company. now, they may have huge reserves, and it's no problem, no cash flow issue, but there's a little tiny co-op in maine that's owed over $12 million. i don't know if they can hold out -- how long they can hold out without that expected payment. so, i hope that's -- well, if the court decision covered 14, 15, 16, 17, and 18, in the most recent payment notice for 2019, the administration says that they fixed the problem by providing a public rationale. now, people say that, you know, that was in a final rule so there was no notice and comment. so it's -- may not be on the most solid ground. but there is this question about working through '18. >> keep in mind this is a process panel rather than a substance panel and you've got other opinions and other court decisions, including in massachusetts, with minuteman health going in the opposite direction. risk adjustment is a great concept and a great ambition. in this particular area, it's incredibl

and i think one of the most noteworthy kind of notorious stories out there is blue cross blue shield made their disclosure and one might say possible hipaa violation about the young man in iowa who has this rare form of hemophilia and was costing them $1 million a month in claims. that's a great story that gets headlines. that's not really the story of what's wrong with iowa. it's far less sensational than that. and it really comes down to the fact that iowa's marketplace has been unstable from the beginning. there were, i think it was four different insurers that participated in our marketplace at the start. but you may remember our co-op, co-opportunity health which was the first co-op to go under in the country, so we have that distinction. fortunately, we're not alone. pretty much all the rest of them folded up soon after, but we were liquidated that first year. and a small part of the story of what's wrong with iowa is geography. so as a rural state, there are issues. mark talked a little bit about the problems of smaller rating areas, so insurers hesitating to go into those are

change because of conflicting court rulings in lawsuits filed by smaller .insure the blue cross blue shieldociation, whose members provide affordable care act coverage, said it was "extremely disappointed" with the decision and warned that prmiums for millions of people not eligible for taxpayer subsidiesill increase significantly. secretary of stateike pompeo dismissed comments from north korea today that the u.s. had made "gangster-like" demands in its negotiations on denuclearization. in tokyo, pompeo met with japanese and south k e two days of talks wereatedc productive.d >> we tailed and substantial discussions about the next steps towards a fullyri ed and complete denuclearization. >> sreenivasan: the secretary of state is now in vietnam, part of a 13-day overseas tour that includes the nato summit in belgium later this week. in japan, a third day of torrential rain, flooding and landslides pushed the death toll there to more than 80 people. dozens are still missing, mostly near hiroshima, where heavy rain triggered mudslides that swept away cs and homes. in the city of kurashiki, mor

it was used by blue shield-blue cross, and other people who worked in the building could actually usersonally do not see any benefit that eve when -- if the bank has blanch -- even when the bank was branchs nearby that all we're doing is tracting them to the ground level floor in this location. activated by having people walk and explore and go to different places. as we're now adding the transbay center to it, this building was actually becoming the goal post for leaving the financial district and transitioning into the trans bay center. should be a prominent pedestrian friendly highly visible corner with a restaurant or other active retail uses where people come and go in and out of the building, and it should not be a completely privatized shade style type of 8:0005:00 use that does not participate in further enhancing the street life. i am very much not in support of this particular application and could go on and on. i used to work in this building for many years. i hope for its transformation which happened with the open space. was partially better with the bank of the west on t

it gets very arcane very quickly but it seemed like they were paying too much to blue cross blue shield which was on the receiving and they felt the formula is advantaged small start up plans. that may be true. cms has adjusted the program over time and it's not a perfect formula by any means. the court, when the new mexico co-op sued, the court agreed with the co-op in part but disagreed in part. one of the things they said in the decision was cms, you have to provide eight public rationale for why you chose the formula you did. we don't know if your formula was right or wrong, you just have to publish your reasoning. so there are some odd things about the way the doj which is representing the government in that case has pursued its litigation strategy, the most logical thing to do would have been to file an appeal and ask for stay depending a -- instead they filed a motion to reconsider with the district court, i'm not a litigator, i can't explain the thinking. and then of course earlier this week, i guess saturday, they announced a decision that they would spend all payment under the

and sitting bull here is the one with the blue shield. that is the shield he gave his nephew, one bull, during the battle, to see if negotiation was a possibility. he is in a one-on-one encounter with a crow chief. sitting bull is 25 at this time. you can see his personal logo up top. sitting bull would prevail. he would kill the crow chief. but he would suffer a bullet to his foot and would limp for the rest of his life as a consequence. this is white bull. this is sitting bull's other nephew. he will be at the battle of little bighorn. he would get seven coups in the battle, battle honors. in the 1930's, he would be interviewed by walter campbell, who, under the pen name stanley vasil, would write a biography of sitting bull. in the transcript of those interviews at the university of oklahoma and our treasure trove of information when it comes to the likes of sitting bull. this is his brother, the one who took the show towards a skirmish line, and that of the two brothers, he was the more virtual one. and much of this testimony is about

i am with blue cross-blue shield oklahoma. i have preexisting. there is no way i can get insurance except through the affordable care ac. >> yeah there is a real problem. the biggest problem now. the people who get the somebody to held harmless lie by the premiums because the percentaged on the of the income you don't have to pay more than that no mat are high the premiums go. the problem is they earn touch. it is 400 percent. of poverty and you make, you blower $60,000 looking at these multi thousand a month policies completelyally unaffordable. they razz people talking about raising the threshold for premium health because they have gotten expensive and also detectables in a lot of plans in collars.ands of i mean everybody agrees, it is a problem. including the insurance ispanies and health care just really, really expensive. cal. brought up the concern over the cost of procedures. take us to this story. it is by jenny at thes coulder health news and var clip the headlineox to a baby was treated with a bott receivedn the parents and $18,000 bil

ahip along with blue cross blue shield association submitted a motion in the case to the new mexico judge yesterday also urging -- addressing this uncertainty and prompt resolution. we can get into that a little bit more if you all have questions about that. so really appreciate your time. thanks for hanging with me this afternoon and we welcome your questions. >> thank you, jeanette. and thank you to the other panelists. i'm going to open this up to questions now. there are two microphones in the floor and there is -- there are also green forms that you can fill out and bring up to the -- and people will pick them up. so before we -- before we get -- before we get started, i do want to just ask one question to the panelists, it's a two-part question and it gets at this issue that brian raised and highlighted and jeanette just also underscored is the affordability of insurance plans for people who are above the subsidy threshold, so above 400% of poverty which is only about $90,000 to $100,000 a year for a family of four. as jeanette mentioned, they are going to be the most likely to be a

hipp, along with the blue cross blue shield, addressed this uncertainty. we can get into that a little more as well if you have questions. we appreciate your time and thank you for hanging with me this afternoon, and we welcome your questions. >> thank you, jeanette, and take you to the other panelists. i will open this up to questions now. there are two microphones on the floor, and there are also green forms you can fill out and bring up, and people will pick them up. started, i do want to ask one question to the panelists. it is a two-part question and that brianis issue o raised, and highlighted, and that jeanette also underscored. insurance plans for people above y -- subsidy threshold. they are most likely to be attracted to these non-aca compliant health plans, like short-term policies and association health land. also a lot of plans in the market that do not comply with the affordable care act -- limited benefits plan policies, policies that are sold by health sharing ministries, and my question is -- and jeanette has a really nice list of things t

blue cross and blue shield of theh carolina says that average range would have been lowered by 22% insteadongress on the trump administration not eliminated the obamacare penalty for people who don't buy health coverage and the subsidy to insurers. global news, 24 hours a day, on-air, online at tic-toc on twitter, powered by more than 2700 journalists and analysts in more than 120 countries. i am mark crumpton. as is bloomberg. -- this is bloomberg. lisa: technical difficulties after a technical glitch wiped out $350 billion in market caps faangs fangs -- find -- phone a friend. they will be focused on revenue, iphone sales, and services growth. joining us from san francisco is mark gurman. what will the narrative be out of today's earnings? will it be diversification to a media company for apple? all those things. we are expecting two things that are on either side of the coin. have come iphone revenues because of a higher price of the iphone x are likely 15% top year-over-year 20%, which is perhaps excellent growth in the eyes of investors and analysts. growth the sales ship during the q

year for the blue cross blue shield standard plan could be forced to pay $3200 year to keep that coverage. of close to $10000 in premiums but that's a lot especially when the additional costs were previously declined and must now be absorbed living on a fixed income. the there's less out-of-pocket cost took pays and deductibles. many federal and post- employees make this choice to reduce out-of-pocket cost. it's the retirees choice as to whether to accept that trade-off or not. we also understand why many postal stakeholders support the so-called medicare integration. when retirees covered by medicare and health benefits plan. that's a lot that they would need to find elsewhere. this would allow them to avoid let's be honest, this construct relies on postal retirees through additional part b premiums and taxpayers through additional medicare coverage to write the postal service financial. [inaudible] they put in years of hard work. they burned what they are owed which should be backed by the full faith and credit of the united states government. it's not their obligation to fix postal ser

uranium wants to be shielded inm state owned companies russia and kazakhstan. jeff bezos will launch another rocket. his company, blue origin, will hold research. delayed byhas been an hour. you can watch it here at 11:00 a.m. global news on air and on tictoc on twitter powered by 2700 journalists in 120 countries. thank you. still ahead, google gets to find record $5ned a billion. bloomberg. ♪ caroline: the eu has hit google with another fine, demanded the company makes changes to android, its operating system. the eu has slept a penalty on the tech titan for balloting -- for violating antitrust rules. it reduced the ability of rivals to compete. the firm has 90 days to change its practices or face further finds. in an interview, i asked what sort of changes she is looking to see. >> the obvious minimum is the contractual restrictions disappear. you find a lot of these things in the contracts. can't do this, can't do that. and thess so for google responsibility to make sure this comes to an end. that remains to be seen what choices they make. caroline: what about the phone manufacturers themselves? do you think they