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Health Service Board approves 2024 rate increases for Blue Shield plans and non‑Medicare PPO

San Francisco Health Service System Board · May 25, 2023
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

The San Francisco Health Service System Board on a unanimous vote approved recommended 2024 rate changes for Blue Shield Access Plus (14.4% total rate increase), Blue Shield Trio (2.9%) and the non‑Medicare PPO (1.7%), citing adverse 2022 claim experience and broader expense escalation; board members and carriers pledged follow‑up on network access issues.

President Scott opened the Health Service System Board’s May 2023 meeting by reminding members that pandemic‑era underuse plus a rise in chronic and specialty care had driven a step up in health plan claims and utilization that the board and staff had been analyzing for months. "We are about 50% staffed at this point," Scott said while outlining operational strains that factor into plan negotiations.

Aon actuary Michael (Mike) Clark presented the staff recommendations and rate cards for non‑Medicare plans, saying Blue Shield’s broad Access Plus network required a recommended 14.4% increase for 2024 while the…

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