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Dashboard shows concentrated costs and COVID-related suppression; plans offer partial premium credits

San Francisco Health Service Board · September 10, 2020
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

SFHSS data show 2% of active/early-retiree population accounts for roughly 40% of costs; COVID-19 suppressed visits early in 2020 but claims rebounded in June/July. Several plans offered premium/admin credits, including a $1,005,650 refund from UHC Medicare Advantage and Delta Dental credits affecting retiree rates.

Marina Coleridge (Ryn), enterprise systems and analytics manager, presented the Q2 cost, utilization and quality dashboard derived from the SFHSS all-payer claims database (incurred Apr. 2019'Mar. 2020, paid through June 2020). She reported that high-cost claimants continue to grow and that 2% of the active/early-retiree population account for about 40% of costs. Specialty drugs dominate the top-cost categories; top drivers include facility…

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