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SFHSS dashboard: specialty drugs and a small group of claimants drive a large share of costs

San Francisco Health Service System Board · January 10, 2019
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

HSS presented an all-payer claims dashboard showing stable population health metrics but rising specialty drug costs; 1.8% of members drive roughly 37% of costs and HIV-related drugs account for about 18% of total drug spend and 55% of the top‑15 drug spend.

Marina Coleridge, enterprise systems and analytics manager, presented the San Francisco Health Service System's third-quarter all-payer claims database dashboard covering incurred services from July 2017 through June 2018 (paid through September). She said overall health characteristics for the membership were "fairly consistent" compared with prior reporting periods.

Coleridge highlighted concentration of costs: a very small share of members—about 1.8…

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