if there under brown and tolan they can move two hills. they can still do that during the plan year but brown and tolan now, if you are in trio will refer to ucsf and dignity facilities and the others in trio but if there and access plus, they would either more than likely, refer to facilities in cpmc. talking up ron and tolan. you can change pcps now >> no. i'm talking about between trio and access plus. it's my understanding you would be able to do that. >> no. >> that was one of my questions i thought will no big deal, then. but i would not have voted for that. >> yes. trio is a plan just like- >> i know that but that was what i understood >> that would--so the reason why there's an open enrollment period in every plan has this >> i know all that but this was just- >> right. >> that's what i understood this to be. somebody realizes it's what it really is and they don't want to be in it, they can just go back to the other plan. >> not after enrollment>> right. you can change plans after open enrollment >> they can go back the next open e

we did single out that brown and tolan members will be admitted to ucsf and dignity. we did not single out particular services by each provider. what we have is putting together an ob flyer for the event showing who the brown and tolan ob/gyn are and showing illustrating the referral pattern to ucsf versus cpmc. >> yes. again i want to make sure i am clear that, the difference here for most people is actually not to provider because you think 70% of them may already have what will be in the trio providers. the differences where they can get services and there is a difference. there's not a difference in orthopedic care or cardiac care or whatever they all provide, all the above but there's a difference in obstetrical care. so i do think they need to know that if they stick with their trio obstetrician that the trio obstetrician who will only be able to admit them for inpatient delivery, assuming that's what they want, to ucsf. that means that if they are electing-if they plan to elect voluntary tubal ligation, for example, that would only happen at ucsf. they would no

to add to what was already said about that topic,, redirecting by brown and tolan is not new to them. that they have been doing this for many many years. there is one key blue shield account they currently do it for today as well as one other carrier they have done it for. so it is hard coded into the system >> okay. thank you for that. there was also a question regarding folks been on-site during open enrollment to you want to address that? we got it indirectly let's hear from you. >> yes. is our intent to ever own boots on the ground at the hss office. remember where member services >> when will that begin? >> will be doing that during the month of january. i think were planning two weeks and perhaps three if necessary. it will be two people. we actually envisioned having a high level customer service representative as well as someone who specializes specifically in eligibility. >> will you be present like that during the open element process and people are trying to figure out do i want to do this or not? >> we are actually in all the open meetings and fares at all the locations wi

meetings this past month was with brown and toland kumar are aco advisory meeting which brown and tolan is very important to us for 2018 particularly, with a blue shield trio implementation and getting there willingness to work with us on that. were very engaged. it was very collaborative meeting and went very well. they are project managers on it just like we do for implementation and we had a very good discussion about communications. communications that should come from us, come from them and blue shield so it was one of the better meetings we've had with aco. the last thing which is not included in the director's report, which we just found out yesterday is that sb-17 which is the pharmacy transparency bill passed the state legislative has passed it. that is a bill that the health service for supported back in march this year. asking the mayor to support it as well. this particular bill ask drug companies-they would have to alert health insurers at least 60 days before they plan to increase the price of a drug if increases at least 16% over a two-year period. so it's a notification