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Residents urge SFHSS to address out-of-county skilled-nursing discharges; Blue Shield and Providence issues noted
Summary
Public commenters and staff raised concerns about Kaiser and Blue Shield contracting with skilled-nursing facilities, citing out-of-county discharges and restrictive rehab authorizations; Blue Shield and Providence clarified a mistaken mailing to retirees and staff said they would track contracting issues for future discussion.
Members of the public urged the San Francisco Health Service System board to tackle what they said are systemic problems that push city retirees into out-of-county skilled-nursing placements and short, suboptimal rehab stays.
Dr. Teresa Palmer, a city retiree and geriatrician, told the board patients were being discharged out of county to skilled nursing facilities where families cannot visit and advocate. "If you're not close to home,…
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