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Director and CFO report IT upgrades, wellness efforts and project a $78.2M trust balance and an $85M healthcare sustainability fund surplus

San Francisco Health Service Board · March 10, 2016
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Summary

Director Dodd highlighted CRM and ECM implementation, wellness programming and a firefighter health study; CFO Pamela Levin projected a trust fund balance of about $78.2M and a healthcare sustainability fund surplus near $85M at year end.

Director Dodd and Deputy Director/CFO Pamela Levin presented operational and financial updates to the board.

Director Dodd summarized administrative work including distribution of 1095/1094 forms, implementation of Salesforce CRM (tracking ~2,200 member cases), execution of an enterprise content management (ECM) contract, wellness program expansion (200+ wellness champions and new classes), and a research project comparing breast‑health samples from women firefighters and office workers. He also noted HSS submitted testimony on proposed CMS changes to employee group waiver plan (EGWP) reimbursement, with rates expected April 4, and ongoing collaboration with the Department of the Environment on pharmaceutical disposal rules.

CFO Pamela Levin presented the financial report through Dec. 31, projecting a trust fund balance around $78.2 million (approximately $3 million better than the prior report). She reported improved experience in the city plan and Blue Shield flex plan after 2016 rate increases, a $5.4 million improvement in the self‑insured dental plan, pharmacy rebates recently received, and an estimated healthcare sustainability fund surplus of about $85 million at year end. Levin said forfeitures and transfers to the general fund remain subject to end‑of‑year reconciliation and that available savings are being considered for ECM project staffing and ergonomic purchases.

Board members asked clarifying questions on fund limits; Levin confirmed the trust cannot spend more than the balance.