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SFHSS board votes to let Best Doctors contract expire after low utilization and public objections
Summary
After a lengthy public comment period and presentations from health plans, the San Francisco Health Service System Board voted to allow its Best Doctors expert‑opinion contract to expire at year end; staff cited minimal uptake and lack of integration with plan care pathways.
The San Francisco Health Service System (SFHSS) Board voted on April 16, 2019 to allow its Best Doctors third‑party expert medical‑opinion contract to expire on Dec. 31, 2019, following staff recommendations citing very low utilization and concerns about integration with plan providers.
Aon consultant Mike Clark presented the recommendation, saying fewer than half of one percent of eligible members used Best Doctors since the service began in 2017. Staff proposed discontinuing the separate third‑party service for 2020 while increasing member outreach about how to request expert opinions within existing SFHSS…
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