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San Francisco board adds Blue Shield's TRIO HMO as optional plan, citing competition and cost savings
Summary
The HSS board voted unanimously to add Blue Shield's TRIO HMO option for the 2018 plan year; Blue Shield and the system's actuary described network differences, a 10% price gap, and a three‑year claims corridor the insurer will cover to limit the trust's exposure.
The San Francisco Health Service Board voted May 18 to add Blue Shield of California's TRIO HMO as an optional plan for employees and early retirees beginning in 2018, a move Blue Shield and board staff described as a step to increase competition and lower costs for many members.
Blue Shield representatives described TRIO as an ACO‑style, higher‑integration HMO that bundles aligned physician groups and hospitals (including Brown & Toland, Hill Physicians, John Muir and Meritage) to reduce unit costs. Paul Brown of Blue Shield told the board TRIO's network and care coordination programs allow the company to offer rates roughly 10 percent below the full AccessPlus HMO for members…
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