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Aon: 2017 Blue Shield claims and capitation increases drive worse loss ratio; board adds $2.4M to stabilization deficit

Health Service Board · March 8, 2018
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

Aon told the Health Service Board that Blue Shield plan expenses rose 5.1% in 2017, pushing the loss ratio to 99.9%. The board accepted a $2,396,000 adjustment to the Blue Shield stabilization deficit and will amortize one-third ($3.16M) into 2019 rates.

Aon presented a detailed review of Blue Shield of California’s lehi-funded flex plan experience for 2017 and recommended a stabilization adjustment the board accepted on March 8.

Key findings: Aon reported total incurred plan expense per subscriber increased 5.1 percent from 2016 to 2017, while premiums rose 3.7 percent, producing a loss-ratio increase to 99.9 percent from 98.6. The actuary identified two primary…

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