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Board hears Blue Shield flex‑funded claims review; approves stabilization reserve amortization into 2017 rates
San Francisco Health Service Board · March 10, 2016
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Summary
The board reviewed Blue Shield’s 2015 flex‑funded claims experience (102.26 loss ratio; March spike due to Sutter negotiations) and approved an actuary recommendation to amortize $5,531,718 into 2017 rates under the claim stabilization policy.
Board members heard a detailed review of Blue Shield’s 2015 claims experience and a recommendation to bring a portion of the carryforward deficit into next year’s rates.
The presenter reviewed subscriber counts (about 19,124 for the Blue Shield flex block in January), administrative and capitation lines, and explained two large…
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