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Board approves switching non‑Medicare split‑family administration to UnitedHealthcare after provider‑match analysis
Summary
The board voted to move administration of non‑Medicare coverage for ‘split families’ (where a family includes at least one member on UHC MAPD) from Blue Shield to UnitedHealthcare to simplify eligibility and reduce custom configuration burdens; staff outlined impacts on about 1,224 families and a tailored outreach plan.
The San Francisco Health Service Board on June 9 approved staff’s recommendation to change the administrator for non‑Medicare coverage for ‘‘split families’’ to UnitedHealthcare.
Staff described the operational burden of maintaining split‑family enrollments across two carriers and presented a provider‑match analysis of the affected universe (about 1,224 split families). Mitchell Griggs and Ray Dien said the mapping exercise with carrier claims data produced strong provider matches for most members: roughly 95% provider match for Blue Shield Access Plus members mapped to…
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