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Board reappoints Randy Scott, repeals ACO incentive reserve policy and urges City support for California SB 26

Health Services Board of the City and County of San Francisco · May 14, 2015

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Summary

The board approved the controller’s nominee Randy Scott for a five‑year term, repealed the Accountable Care Organization incentive reserve policy, and unanimously urged City support for SB 26, a state transparency bill for health care cost and quality data.

The Health Services Board approved several governance and policy items during the meeting.

Appointment: The board considered the City Controller’s nomination to reappoint Randy Scott to the Health Service System Board for a five‑year term commencing May 15, 2015. Multiple commissioners and public commenters praised Scott’s record of service; the board voted to approve the controller’s nominee.

Policy repeal: Pamela Levin, Deputy Director and CFO, recommended repealing the Accountable Care Organization (ACO) Incentive Reserve Policy adopted in May 2014. Levin said payouts to ACOs should be funded out of realized revenue, not a pre‑funded reserve, and that external financial officers supported repeal. The board voted to repeal the policy.

State legislation: HSS staff asked the board to urge the City and County of San Francisco to support SB 26, a California bill to fund and operate a statewide health care cost and quality database for purchasers and policymakers. Staff said the database would help purchasers identify gaps, compare plans and design interventions. Commissioner Lim moved the board to urge City support for SB 26; the motion passed unanimously.