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Kaiser HMO claims rose in 2024; SFHSS told to expect higher premiums tied to medical and drug costs
Summary
Aon and Kaiser presented 2024 utilization and claims data for Kaiser HMO plans covering active employees and non‑Medicare retirees: overall paid claims rose about 16% per member per month year‑over‑year, driven by medical inpatient increases and prescription drug trend; SFHSS will review Kaiser renewal rates in June.
Kaiser Permanente and Aon presented the 2024 claims, utilization and quality metrics for Kaiser HMO plans that cover San Francisco active employees and non‑Medicare retirees. Mike Clark, Aon lead actuary, said total paid claims per member per month rose roughly 16% from 2023 to 2024—about a 15% increase in medical costs and a 21% increase in prescription drug spend.
Clark told the board that the increases were consistent with Kaiser’s overall book-of-business experience and with the expectations set when the board approved a 12.5% renewal the prior spring. He said…
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