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Health Service Board approves 2025 rate packages: Health Net down 1%, Blue Shield/ UHC and PPO see larger increases
Summary
The board approved Health Net Canopy Care rate cards (1% decrease) and recommended renewals for Blue Shield and UnitedHealthcare (Access Plus +8.7%, TRIO +11.8%) and the non‑Medicare PPO (1.3% overall). Staff projected roughly $3.6M savings by raising the large‑claim pooling point to $1.25M.
The San Francisco Health Service Board approved a set of 2025 health‑plan rate recommendations covering multiple non‑Medicare plans, adopting Health Net Canopy Care rate cards that reflect a 1% decrease and approving renewals for Blue Shield of California and UnitedHealthcare that produce higher percentage increases for other plans.
Mike Clark of Aon presented the recommendations and the underwriting context, including use of Sutter legal‑settlement dollars that helped buy down rates in 2024 and a smaller remaining balance for 2025. “Staff recommends that the Health Service Board approve the 2025 Health Net Canopy Care HMO Plan rate cards as presented in this material, which reflect a 1% decrease,” Clark said during the Health Net presentation. The board voted unanimously to approve the Health Net Canopy Care rate cards.
For the larger Blue Shield portfolio, staff recommended an 8.7% renewal for…
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