Page 4 - Services Rules News Today

We request that the actuary look at all three models discussed recognizing there might be a slight distinction between self funded and flex but i think at this stage to have an informed discussion to allow us to see all of the aspects and were not down to decision time that we want to do this, and if we decide at the next meeting well, having the other option in the midst of the two were going to talk about is more confusing to everyone then we can take that step at that time but i would like to...

Written here. I want to say a few words and your questions are really important especially in the non kaiser world you really worry about the fee for service and the captated and how theyre aligned. I think that is less an issue with kaiser given the current structure for kaiser. We talked with pg e and went self funded and talking about the reporting requirements and the performance of that contract ensures that the organization of kaiser continues to focus on appropriation utilization and appr...

So, im kind of stuck between a rock and a hard place and i was hoping that the commission or the board would be able to help me get to the bottom of this. And i have gotten a lot of correspondence from them that thats all that theyll pay. Id like to have our manager of member services, mitchell gray. Id like to have him work with you on that. Ive got paper. Okay, fine. Thank you. [speaker not understood], retired and active firefighters. Id like to basically piggyback on what claire said regardi...

Kaiser world you really worry about the fee for service and the captated and how theyre aligned. I think that is less an issue with kaiser given the current structure for kaiser. We talked with pg e and went self funded and talking about the reporting requirements and the performance of that contract ensures that the organization of kaiser continues to focus on appropriation utilization and appropriate out comes so i think there are ways and especially under this scenario and maybe more with thi...

Important especially in the non kaiser world you really worry about the fee for service and the captated and how theyre aligned. I think that is less an issue with kaiser given the current structure for kaiser. We talked with pg e and went self funded and talking about the reporting requirements and the performance of that contract ensures that the organization of kaiser continues to focus on appropriation utilization and appropriate out comes so i think there are ways and especially under this ...

Mr. Cornyn mr. President , id ask unanimous consent that the quorum call be rescinded. The presiding officer without objection, the quorum call is suspended. Mr. Cornyn mr. President , as we continue this weeks votearama and executive branch nominations, i want to remind the American People how we got here today. And what it means to the future of our great country and our system of government. Over the last five years, president obama and his administration have repeatedly bent the law to serve...

For, particularly for my out of Network Payments or out of network coverage. I have a i am covered by medicare. And what i understand is irrespective of the medicare coverage, for my out of Network Payments or coverage excuse me, im really nervous. It should be at the 50 of the ucl rates. Is that correct . As im understanding it . Yes, okay. What united is telling me now is they will only cover 50 of what a medicare physician would cover if i were seeing a medicare physician. But i am not seeing...

That these plans need to be or that we need to screen for or the plans need to bring to our attention affirmatively. And if we dont have that kind of on our checklist, i would ask that we get it on there because it may be something of a larger consequence. And i know that your staff cant spend its time screening all of the stuff that comes from the department of managed care, but it seems like we had a hole here to get this done and id like to know how we plan to solve it. Thats a very good ques...

A larger consequence. And i know that your staff cant spend its time screening all of the stuff that comes from the department of managed care, but it seems like we had a hole here to get this done and id like to know how we plan to solve it. Thats a very good question. We did have one of our steps in preparing for the rates and benefits to have our consultants do a review of any federal or state changes that need to be brought to [speaker not understood] on the rates and benefits and this was m...

Resolve that yearend difference. There are some favorable variances in the nonsalary areas. Most of which we hope to be able to Carry Forward, help us with our expenses for this new budget year. So, present, although were showing an overall 54,000 net positive variance, most of the positive variances we hope to Carry Forward and where we really hope to be able to do is close out the personnel costs variances through the through the yearend closing process with the controller. ~ what so, if there...