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SFHSS approves 2024 rate actions: 10-county survey and stabilization reserve applications
Summary
The San Francisco Health Service System board adopted a 10-county survey to inform 2024 single-coverage contributions and approved applying stabilization reserve balances to buy down 2024 rates for Blue Shield (one‑third of deficit), Health Net (one‑third of surplus) and Delta Dental (one‑half of surplus); the board also voted to enter closed session and subsequently declined to disclose details of that session.
The San Francisco Health Service System board on March 23 voted on several rate‑setting and reserve actions that will affect plan year 2024 premiums and stabilization balances.
Adopt 10‑County Survey: The board adopted staff’s recommendation to accept the 10 largest‑county survey results, which staff calculated as a simple average showing a 3.21% change and translated to an estimated single-coverage amount of about $805.85 monthly. CFO Iftikhar Hussain said the methodology uses a simple average because enrollment by plan is not publicly available; commissioners discussed the limits of comparability and the lack of weighted enrollment data but approved the recommendation unanimously.
Blue Shield stabilization (action): Mike Clark of Aon presented 2022 Blue Shield HMO results showing a sizable increase in large claims in 2022.…
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