They worked in h. S. S. As far as an outsideer could see. There was an additional robocall that did cause further confusion and the noise hit the target, there was definitely confusion and reaction to the letters as well as the robo calling and dis enrollment during this period from the trio plan. At the same time, we need to recognize that sutter is a partner as well, just not in the trio product at this time and we appreciate what they provide on the access plus. We do have some lessons around communications and our letters really predominantly focused on primary care physicians and they could have focused for the hill and all the other trio providers , it was going to be the same. We really focused on p. C. P. Because that was the logic to develop the letter list so thats a Lesson Learned for next year. As a result of that, not identifying that we did lose 800 members that theres no reason that they would be in access plus because theres no difference between what access plus and tr
Identifying that we did lose 800 members that theres no reason that they would be in access plus because theres no difference between what access plus and trio for them and as far as network the only difference is that they have a look contribution out of the paycheck but they elected access plus still so thats an opportunity for the future and it would have been nice to have better control over sutter it was amazing control over sutter but the city was able to perform and perhaps we should talk to them earlier next year. We need to better understand in the future the complex relationships our provider partners have with other partners and that could there could be more that we havent thought of so i just wanted to be honest about that and we dont think there is but we didnt think these were coming up. I just want to be honest and transparent and where we would like to continue this to be very flexible and collaborative and working with the provider partners and h. S. S. In the event s
Something ups and another observation is do we do auto enrollment again for those people for which the only difference would be a lower contribution so its just a thought. Its a question that they wait and explore all kinds of autoen roll and not discovered and whether we want to engage in that process again its really i think something that prolonged discussion and i would expect there would be some necessitys to bring forward if we decide to mh370 of this that direction and some engagement of this board before we make the final decision and. I wasnt look forgeron a decision. Thank you. Does anyone have any questions . Commission commission sheehy. I did find it confusion and i know a lot and i think identifying a specialist problem i still havent figured that out and the web sites are not very good on a i wasnt clear whether my primary care physician was in the network or not and i was one of those who was delighted because ive had trouble, i was at ucsf before here and shes been my
I wanted to just to talk about the imitation a little bit and the lessons learned. They had interesting nuances mentioned in the sutter primary case physicians which we responded to immediately and there was confusions about specialists who are also employed by sutter. So that work is continuing and identifying those in determining whether they impact anyone and everyone enrolled as of january 1st or enrolled at any point in the plan is eligible for continuity of care so any treatments they have in progress they get to continue on with those providers for those treatments. So were not concerned about patient disruption but it was a lesson that we learned along the way in creating this Custom Network for h. S. S. We got a lot of feedback from members being happy that now they had ak stows ucsf so that was something positive that we learned that we had not anticipated, even though we know ucsf is a worldrenowned medical institution in the United States we didnt know our members knew that
Well worth it. I do want to go back up a little bit to operations and talk about some of the outcomes of the enrollment. We had several big things that happened this year one of them as you know, the implementation of blue shield trio and well get in to more details in the next presentation after the direct report with blue shield but again as we knew that would be a big task and that was a big enrollment movement. That was a big set up in july, august and september and in october when open enrollment is live and people make changes and as we move on after october and in to the first of the year, that is also a big a lot of work for us. Any time we make plan changes and any time is expected well save money next year for it and its going to cause work and so its well worth that work. We have some occurrences back in august and september where we felt perhaps our abilities and communicating our plan choices appropriately and we took some preemptive and proactive action with them and alon