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San Francisco health board approves new plan lineup, adds Blue Shield PPO with Accolade and Health Net Canopy HMO
Summary
The San Francisco Health Service System board voted to accept staff RFP recommendations to add a Health Net Canopy HMO and a Blue Shield PPO with Accolade while discontinuing UnitedHealthcare’s PPO. Staff projected $16 million in savings across three years; some commissioners raised concerns about network and formulary disruption for remote members.
The San Francisco Health Service System board voted on Feb. 11 to accept staff recommendations from a competitive procurement that will change several non‑Medicare plan offerings for plan year 2022. The motion, moved by Commissioner Randy Scott and seconded by Commissioner Mary Howe, approved adding Health Net’s Canopy Care HMO on a flex‑funded basis, contracting with Blue Shield of California to administer a self‑funded PPO with Accolade support, continuing Blue Shield Access Plus and Trio HMOs, and discontinuing the UnitedHealthcare PPO.
The recommendation followed a multimonth RFP and a presentation by SFHSS staff and Aon consultants. Mike Clark of Aon summarized the financial case, saying, “we expect 16,000,000 total dollars of projected overall cost savings for the 3 year period that the RFP covered,” and described those savings as largely coming…
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