SFHSS discusses budget updates and staffing changes amid healthcare negotiations

The San Francisco Health Service System (SFHSS) held a meeting on June 12, 2025, to discuss various agenda items, including updates on contract negotiations, budget adjustments, and personnel changes. The meeting began with a focus on the ongoing negotiations involving UCSF and Blue Shield, particularly concerning Medicare Advantage plans. Commissioners expressed concerns about the clarity of communication regarding these negotiations, emphasizing the need for an FAQ document to assist members in understanding their options and the implications of the negotiations.

The executive director highlighted the importance of continuity of care for members undergoing significant medical treatments, assuring that those who qualify would continue to receive in-network services during the transition. The discussion underscored the complexity of the situation, with the executive director and staff working closely with UCSF to ensure that members are informed and supported.

In personnel updates, the executive director welcomed Henry Cornejo to the team as a benefits technician, noting that the member services division is nearing full staffing for the first time in two years. The meeting also addressed budgetary concerns, with the Chief Financial Officer, Iftikhar Hussain, presenting the financial report as of April 30, 2025. He reported a favorable projection for the benefit trust fund, despite a planned decrease, and discussed the health sustainability fund, which is projected to remain solvent over the next five years.

The meeting concluded with discussions on the revised general fund administrative budget and the healthcare sustainability fund budget for fiscal years 2026 and 2027. The board approved the revised budget, which aims to maintain essential services while navigating the city's financial constraints. Public comment was invited, but no participants approached the podium, indicating a lack of immediate community concerns during this session.

Overall, the meeting highlighted the SFHSS's commitment to transparency and member support amid ongoing negotiations and budgetary challenges, with a focus on improving communication and maintaining service quality for San Francisco residents.