follansbee you saw the printed answers coming from the carrier. >> yes, i thought the responses were quite appropriate and encouraging. >> and we have had a couple utilization meetings just this week from two of the plans and looking at some of the pharmacy utilization you can see the results from their opioid management plans that we went over last month. so at this time, if you continue through and look i can leave this after page 13, it's right behind the director's report you will see the operations management reports. it starts off with calls and person assistance in october 2017. the top. >> that's page 13. >> yes. >> ok. all right so i'm go to ask sha von conner our operations manager to come up and give a review of open enrollment metrics. >> can i ask questions about the director's report or do you want to wait for the presentations. >> is it something that's been covered? >> it's something that's been covered. >> please. >> flu vaccinations close to my heart so i appreciate it and i'm curious to know does the department see it mostly as a way to draw people in to get the fl

follansbee. >> part of the problem was sutter insisted you could not deal with each campus separately, you accept one, they all had to be part of the network and you have managed now to either carve out or whatever term you want to do, some sutter centers without forced to use all of them. >> that is correct, that is correct. 100% of sutter is access plus. 100% in the p.p.o. as well, two name brand networks we have, that is correct. this is an exception. and if we think back to my first slide, it is disrupting the marketplace, it is creating competition, and it is creating change, and at the same time, it's improving outcomes and making plans sustainable and affordable. so, there will be bumps. this is really positive news. it's a difficult balancing act. >> i understand. thank you. >> along that line, to continue along with the provider partner update, moving on to slide five. oh, we did have our utilization management, we had a series of very in-depth meetings around claims, basically, and how the risk and the claims are performing. and i wanted to go over a couple highlights. the m

and so to commissioner sass, or commissioner follansbee, it's not cost and peace of mind. i have to tell you, i got peace of mind out of my experience and i did go through the procedure and it was costly, so if you are going gonna look for cost savings you are not going to find it on my particular claim. but what i'm hoping is i will continue to be a productive and effective member, employee of the city and county of san francisco, and health services system and that service to me meant the world. >> all right, thank you for your comment. any other public comment? >> my name is diane erlick, i used the best drs., i'm a kaiser member and also cardiology. in kaiser you are limited. you can go do any kaiser doctor but it's the kaiser line that you hear when you go to a kaiser doctor. and i used best doctors and i found it extremely helpful and it did result in a change of medication that i am much more pleased with. so i think it is very valuable. >> thank you for your comment. any other public comment? hearing and seeing none, we are now ready to go to our next item. >> item