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San Francisco officials hear steep 2024 jump in city health‑plan costs as HSS outlines drivers and RFP
Summary
The city's Health Service System briefed the Budget and Finance Committee on a 10.3% overall premium increase in 2024—about $79 million—and on actions to seek market bids and pursue care‑management and primary‑care strategies to limit future spikes.
San Francisco’s Health Service System (HSS) told the Board of Supervisors’ Budget and Finance Committee on Nov. 15 that city health‑plan costs rose sharply in 2024 and that officials are seeking market proposals and program changes to contain future increases.
“At 10.3% overall, that jump represented about $79 million and was approximately $31 million more than what was put in the budget,” HSS executive director Abby Yance said during a presentation to the committee. Yance said the agency will issue a competitive request for proposals for the city’s Medicare Advantage and PPO offerings to seek…
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