>> yes. >> vice president follansbee: all right. [laughter] >> president breslin: we will discuss the strategic plan and have an action item. all right. item number 11, please. >> clerk: item 11, discussion item. report on network and health plan issues, if any,. >> good afternoon. i am with the sp spe. wanted to provide an update on the progressive coverage that we discussed during the last meeting. the reason that we rolled out this coverage, effective midyear , was because we felt that overall it was a positive or an add-on to existing plants. we wanted to get that out as soon as possible. i did go back to my management team and we did approve to reimburse those members. there were 16 claims in total from january 1st through the end of june. surge of reimburse those 16 members who received standard progressive lenses. we are in the process of doing that and they will be receiving a reimbursement, in the mail -- check in the mail along with an explanation letter as to why they are receiving this. >> president breslin: thank you. >

. >> vice president steven follansbee. >> vice pres. s. follansbee: present. >> wilfredo lim. >> commissioner w. lim: present. >> commissioner randy scott expected to be here. >> i am here. >> approval with possible modifications of the minutes set forth below. regular meeting of august 9th, 2018. are there any corrections to the meet sng >> yes, in the roll call i share many things with you, madam president, but not your name. so i would like to have it corrected to read randy scott, not randy breslin. [laughter] >> oh, i missed that too. [laughter] >> any other corrections? no? seeing none. >> i move the adoption of the minutes as edited. >> second. >> okay. any public comment on this item? all those in favor signify by saying aye. all those opposed, no? it's unanimous. item number 2. discussion item. >> item 2, discussion item. general public comment within the board's jurisdiction, not appearing on today's agenda. please come forward. >> my name is mike delane. i want to start by saying thank you for all you do. i received a letter fro

>> vice president follansbee: i move we do not disclose any of our discussion relative to the closed session. >> second. >> president breslin: . all those in favor? >> aye. >> president breslin: any opposed? it is unanimous. item number 19 please. >> clerk: item 19 just devote to erect any or all discussion held in closed session regarding anticipated litigation, san francisco administrative code 67.12. >> president breslin: ok. i will need a motion on this too >> vice president follansbee: i move that we do not disclose any of the discussion held in closed session regarding anticipated litigation item. >> second. >> president breslin: ok. it has been moved and seconded. all those in favor? >> aye. >> president breslin: any opposed? it is unanimous. now we have item number 20. >> clerk: eight and 20, action item, possible report on action taken in closed session, governmental code 54957.185. >> president breslin: do i have a motion on this one? >> vice president follansbee: i move that we do not report on any action taken in closed session. >> second. >> president breslin: ok. all th

. >> vice president follansbee: thank you very much for this overview. as someone who is a retired physician, and worked for all these health plans at one point or another, my contract was there but then i was a kaiser physician in the last half of my career. the system is much more complex than this. i think that it's hard to codify that. the thing that i am impressed by in this presentation is the best doctors claims to really get the case initially reviewed, and then forwarded to a physician and it really was an expert in the issue that the members are asking review of. none of these plans seem to do that. none of these actually seem to, on the surface, you know, some of them are member initiated. i want to see dr so-and-so because my neighbour like her or him or whatever. otherwise, you can pick someone and we will go to mother. so there is still not a lot of patient member engagement in feeling trust that this opinion is actually reflective of another level of review. i will tell you that i know that in some health plans, certain surgical procedures