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Aon tells SFHSS Medicare Advantage shift saved the system; board raises auditing and care‑denial concerns
Summary
Aon presented a Medicare Advantage marketplace overview that estimated roughly $10 million annual savings from SFHSS’s 2017 migration to MA plans and described star ratings, risk adjustment and supplemental benefits. Commissioners and public commenters questioned auditing and care‑denial risks under MA plans.
Mike Clark of Aon summarized national trends and SFHSS experience with Medicare Advantage (MA) plans and responded to board and public questions about risk adjustment and quality measures.
Clark told the board that MA plans’ market share has grown substantially and that the SFHSS decision to consolidate MA offerings in 2017 produced sizable savings: "Our estimate is about $10,000,000 annually," he said, and he later estimated more than $30,000,000 in savings over a three‑year period from the UHCMAPPO implementation.
Nut graf: Clark compared the…
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