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SFHSS reports improved trust fund performance and shifting enrollment trends
Summary
CFO Larry Liu reported the employee benefits trust fund is tracking to a fiscal‑year gain and the SFHSS demographics report shows Medicare lives rising by about 1,857 while commercial lives fell by 3,177; the board accepted the 2020 annual report and heard planners will keep applying equity measures.
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Larry Liu, chief financial officer for the San Francisco Health Service System, briefed the board on fiscal results through Jan. 31. He said the employee benefits trust fund is estimated to show a fiscal‑year end gain (reported figure in the packet: about $10,400,000) and noted year‑to‑date pharmacy rebates of $3.9 million. Liu said the general administrative budget is projected to be roughly neutral with a modest surplus of about $143,000.
Ryn Coleridge, enterprise systems and analytics manager, presented the 2021 enrollee demographics report. Coleridge reported Medicare Advantage enrollment rose by 1,857 lives while the commercial (active employee) population decreased by about 3,177 lives. He said retiree dental enrollment rose by 979 lives and active dental lives dropped by 1,169. Coleridge highlighted geographic and employer effects — including small populations in Hetch Hetchy/Tuolumne County (about 205 non‑Medicare lives) — and said equity measures and further reporting will be applied in future analyses.
Board members thanked staff for the analytics and the annual report; the board approved the SFHSS 2020 annual report by unanimous vote. No further action was required on the financial and enrollment presentations, though members asked staff to continue refining metrics and share additional breakdowns where available.
