excited in 2014 we participated with blue shield and have hired a pharmacy i thought at brown and toland they've been working on the programs to make sure we're maximum missing the program but looking at those high costs drugs and seeing if we can make changes. >> and that group of drugs is called what speciality drugs. >> some are bio logics. >> so jim looked at them and identified 4 cases in the month of march that involved things the direct was ordering the drugs and rounding up the doctor looked did patient and made adjustments are the patient wealthy and made a smaller dozen he looked at 4 cases and he just for the month of march and estimates tweaking getting the same amount of drugs saving an annual cost of $36,000 >> we had him looked at those were for the city and county of san francisco employees we deal with employees and your retirees many of the programs frankly are more geared to the retirees and heart disease like the home visit program but we have to do all of that and lastly on the pharmacy general the risk associated with the patient population that brown and toland is

the benefits system wide we feel good about making those are commitment our overall with brown and toland and hill the blue shield risks has gone up 10 percent or percent on the hillside a small 5 thousands went up dramatically this past year all right. we explicit hit target i got it and i promised to come back next year we've done better or are we're going to hit the altercate i'm not going to overseeing go on the record but we better continue the reason i feel okay about saying we're going to do better our folks are heading in the right direction despite the increase of risk we have a number of programs we've had out there for three and four years and programs for one year their maturing and taking time to mature i feel good about what we've done i get this is big finance and for the city and county you've been got a lot on the line we'll deliver. >> okay. thank you i'll open up for the other members. >> there their is a best practice it generally requires 15 percent of the health care premium being invested this is primarily focused on the sickest patients with 25 percent of the sicke

given a long await urgent care card from blue shield you got one for health and one for brown and toland the current information they're trying to. >> i'll leave that to our qualities control person commissioner breslin i'm sure i'll valid all claims by all parties thank you very much director dodd now item 11. >> item 11 discussion item h ss financial reporting as of february 2015 pamela las vegas vin. >> to our fine cfo if you could just hit the top like that the things that must be talked about. >> pamela chief financial officer we have started our fund balance this fiscal year january i'm sorry july 1st, 2014, with a $92.8 million balance with 8 months behind us we're projecting a $90.5 million balance at the end of the year our general fund budget after the first 8 months we're projecting $650,000 no surplus by the end of the year those are dues and delays in hiring the director mentioned we're hiring up and will not have those kinds of savings in the next year's thank you. >> thank you. >> any questions of chief financial officer las vegas vin. >> i asked last month when we switche

. >> jim toland. as a followup, clearly obamacare hasn't been the most popular legislation or program with the republican party. and it does seem like people talk about repeal and replace but there's much more focus on repeal. and the question really is what's the replace? status quo wasn't working very well either. 50 million people uninsured, it's got to be more than we'll do it at the state level. what's the program to get a program that actually addresses the pathologies of the old system without baggage of the new? governor christie: we should get there and talk about it but take a deep breath. it's may 1. you know. i don't -- quite frankly, i think all of us have to go about this in a responsible way. there's been more emphasis on repeal. sure. you can't replace until you do repeal. so there's been more of an emphasis on repeal. but the fact is that all of us who are responsible and for those of us who decide to run for president, it's going to be our job to come forward with a specific plan and

jim toland, as a follow-up, clearly obamacare hasn't been the most popular legislation or program with the republican party. and it does seem like there is people talk about repeal and replace, but there is much more focus on repeal. in the -- the question really is what is the replace? status quo wasn't working very well either. 50 million people uninsured. there has to be more than we'll do it at the state level. what is the -- what is the program to get a program that actually addresses the pathologies of the old system without the baggage of the new? >> yeah, well, we should get there and talk about it, but take a deep breath. it is may 1st. >> yeah, but -- >> quite frankly, i think that all of us have to go about this in a responsible way. has there been more of an emphasis on repeal, sure. you can't replace until you do repeal. there has been more of an emphasis on repeal but the fact is that all of us who are responsible and for those of us who decide to run for president, it is going to be our job to come forward with a specific plan and ideas. and i -- what i'm trying to give

. >> jim toland. as a followup, clearly obamacare hasn't been the most popular legislation or program with the republican party. and it does seem like people talk about repeal and replace but there's much more focus on repeal. the question really is, what's the replace? status quo wasn't working very well either. 50 million people uninsured, it's got to be more than we'll do it at the state level. what's the program to get a program that actually addresses the pathologies of the old system without baggage of the new? governor christie: we should get there and talk about it but take a deep breath. it's may 1. you know. i don't -- quite frankly, i think all of us have to go about this in a responsible way. there's been more emphasis on repeal. you can't replace until you do repeal. so there's been more of an emphasis on repeal. but the fact is that all of us who are responsible and for those of us who decide to run for president, it's going to be our job to come forward with a specific plan and ideas. i

. >> jim toland. as a followup, clearly obamacare hasn't been the most popular legislation or program with the republican party. and it does seem like people talk about repeal and replace but there's much more focus on repeal. the question really is, what's the replace? status quo wasn't working very well either. 50 million people uninsured, it's got to be more than we'll do it at the state level. what's the program to get a program that actually addresses the pathologies of the old system without baggage of the new? governor christie: we should get there and talk about it but take a deep breath. it's may 1. you know. i don't -- quite frankly, i think all of us have to go about this in a responsible way. there's been more emphasis on repeal. you can't replace until you do repeal. so there's been more of an emfasigs on repeal. but the fact is that all of us who are responsible and for those of us who decide to run for president, it's going to be our job to come forward with a specific plan and ideas. i