Transcripts For SFGTV 20130822 : vimarsana.com

SFGTV August 22, 2013

Of the committee. Today, were being broadcast by sfgovtv. Madam clerk please call the role to me item one roll call calling names we have quorum. Okay. Very good colleagues for being here i want to make sure we have everyone here to talk about our selection of an executive director. Item number 2 closed Section Executive director information slash action item. Today, well be interviewing 3 top commitments and the Personnel Committee met in june and today 3 candidates are moving forward. Those candidates you have information about them in your packet and we also will have a presentation from the awe kins Company Prior to the interviews to did you any questions about the candidates and go over a brief summary of the candidates. I have a sheet that i passed out for the candidates and its 4 minutes per question and its destined to a member of the Personnel Committee its on your sheets. Today, we hope to be able to move forward with a selection of a preferred candidate that will be fined listed in a vote in september. Were hoping to have a consensus. That will be very important we can have strong working relationships with the selected candidates when that person becomes the xd. And if we do have a consensus well be spending the next couple of weeks to negotiation terms of employment for the candidate and well finalize that in september before the board. We may very well decide we have two candidates moving forward just in case the first candidate decides not to come to agreement on terms. So well have that during our closed session at the very end. So before going into closed session and were going to have Public Comment before our closed session colleagues any questions about the process . Okay. Why dont we go on to Public Comment . For over 35 years ive been involved with transportation issues. I find this process totally unnecessary for you supervisors who understand transportation issues and if you are fully aware of the Administration Code you know that are 1 or 2 of you all who are drawing out this process thats adversely impacting the constituents of San Francisco. Having said that i know youre going to go into closed session and i hope that those of you who really love San Francisco really care about transportation issues, really comprehended what the city needs does not go into closed session with a convoluted way of deceiving us. I can clearly see some of you who are called supervisors you find it very, very difficult to think straight. And this is one of the results. We need now to make a decision we need to adequate and make a decision and a those you will choose the right candidate. Im the only one from the Public Comment you all will go somewhere and at least well have some youll explain how that process happened and it should have been explained before Public Comment i think so. Thank you any member of the public who would like to commit. Seeing none, Public Comment is closed. Okay. Were now g clapping are you a parents thats unemployed and struggling to pay Child Support we have teamed up and positions ourself to offer an opportunity for permanent employment. For more Information Health Service Board is now in order. Please stand for the pledge. I pledge allegiance to the flag of the United States of america, and to the republic for which it stands; one nation under god, indivisible, with liberty and justice for all. Madam secretary, roll call, please. Roll call. President breslin . Here. Vice president lim . Present. Supervisor farrell excused. Commissioner fraser . Here. Commissioner fraser excused. Commissioner scott sf here. Commissioner shlain . Here. We have a quorum. Thank you. ~ item number 1, please. Item 1, action item, approval with possible modifications of the minutes of the meeting set forth below. Regular meeting of june 13th, 2013 combined with rates and benefits committee. Are there any corrections . No corrections. I move adoption of the minutes as distributed. I second. Any Public Comment on this item . Having none, all those in favor . Aye. Opposed . Its unanimous. Item number 2. Item 2, discussion item, president s report, president breslin. We are now on sfgovtv, channel 26 and 78, i believe. And we want to thank sean tai who prior to this has done the videos for the Board Meeting. And would you please come up to the podium . Thank you. The Health Service board would like to thank sean tai the founder of zty media for his Excellent Service documenting Health Service Board Meeting since october 2010. We commend shane for his professional dedication and technical expertise. This creation of the hss Youtube Channel has provided meeting access to hss members, elected officials, news media, and others who could not attend in person. These recordings were also used to document requests and questions posed by the board and Public Comment. In addition to his work for hss, we would like to acknowledge seans commitment to the oakland digital arts and literary center, a nonprofit that empowers students and Small Businesses in undeserved communities to succeed in the digital economy. We encourage sean tai and zty media to be among the vendors that bid on other Digital Video Services proposals issued by Health Service system. The members of the Health Service board wish sean tai the best of luck in his future and professional endeavors. Thank you. Thank you very much. Thank you. applause also, as you know probably know by now, the board of supervisors recently passed a resolution requesting that kaiser improve transparency on rates and rate setting. They also requested that our board and staff build upon their process of consulting with Public Employee unions and hss retirees. We do want transparency from all insurance providers. The resolution specifically requests kaiser to do so. The city charter gives the Health Service board exclusive negotiating rights and also states that we must supply benefits without special favor or privilege. The resolution [speaker not understood] retirees Public Employee unions. However, we are responsible to all members of the system. We are planning at our september meeting and then maybe october also to dedicate an agenda item for information and input from our members so that they can introduce and formulate objectives well in advance of the rates and benefits deadline. So, encourage everyone to attend and to spread the word. And lisa will be talking more about this in her directors report. Thank you. And thats all i have on this report. Is there any Public Comment . Seeing no Public Comment, item number 3. Item 3, discussion item, directors report, lisa ghotbi. Good afternoon. Lisa ghotbi, acting director of the Health Service system. July was a busy month for us. I think i have just a few things to review. We are interviewing for the cfo position and we expect to fill this position by september. Thats really good news for us. Once again, we want to thank our interim cfo gregg sass who has not only helped us with the interview process, but has helped us get ready for the audit thats upcoming and will help the new cfo who comes in with her his or her transition. We are also working on we just posted the wellness [speaker not understood] yesterday and we are working on posting other clients contracting compliance manager position within the next few days and we have a few other positions that were in the process ofing. We have several new positions. It will be a busy Fourth Quarter hiring and bringing new folks up to speed. ~ posting in the Operations Department weve been quite busy with several activities, some of them in terms of focusing on 2014 open enrollment. The emerge, working with emerge consultants to rebuild the flux credit product for mea and executives and we are i think a good probably 70 of the way down the road for that. So, we should be fine for open enrollment. We also responded really within three hours of the Supreme Court ruling on doma to communicate on interpretation to our members. We were getting questions immediately on that, and there is some report on that end. The operation Powerpoint Presentation will review same sex domestic partners to ensure any married couples in the system will now have the same benefit for pretext coverage for all other family members. We reviewed member files to determine if any same sex partnerships had previously submitted the marriage certificates to hss and if so we changed the Family Status from domestic partner to married effective the next available coverage period. So the staff was very proactive and we immediately began receiving marriage certificates from those who had not already submitted them to hss. We will also be moving to the third floor. There is a move and weve delayed that until december 1st until after open enrollment so were looking forward to that and to also have a Wellness Center opening on the first floor of 1145 market. And also wanted to point out that it was a very busy month for retirement in the Health Service system. We processed over 7 45 retirement applications between may and july 1st. So, significantly more than our average of about 40 a month. So, very busy for retirement and congratulations to all the City Employees who retired. In the communications department, weve been very busy working on the benefit guides which will be going to print shortly. The theme for this year is Partnership Help and also weve completed a communication Strategic Plan which will be presented to the board at the next meeting and well be starting this rfp to help us fulfill that plan in the Fourth Quarter. Our finance team has been working on building the rates and also preparing for the audit which will be starting next week. And in rates and negotiations we wanted to let you know that many of the unions have accepted the city offer for the flat contribution model and that model is going to be 93, 93 83 which means that the employer contribution for an e only is 93 for the e plus 1 is 93 , and for the family is 83 . That was done by the deadline of july 31st, 2013. Please note the typo, not 2012. That was done as of july 2013. So, those numbers and those unions will receive a subsidy for 2014 and hss had a lot of meetings with unions and to help explain exactly what that would mean for them and there is an attached memo that we prepared for the unions laying out the numbers for them to see thats attached in your binder. Under wellness, also very busy time for wellness. Weve been doing biometric screenings and had a very successful one coordinated about a week and a half ago. 267 employees in the hall of justice participated in biometric screening. In addition, there was also a biometric screening at department of human resources, department of economic and Work Force Development in may. That screened an additional 58. So, this is a very popular offering and were looking to extend it and continue those in Fourth Quarter of this year and into next year. Also, margaret has a very Aggressive Campaign for flu shot vaccinations. We have i think over 12 sites already set up for flu shots for the october and early november time frame. We have a new department in hss called the analytics and a new Data Analytics manager who has been on the job for about a little over a month, is very busy and working on she did most of the modeling on the contribution model work for the unions and has done some work on our Wellness Initiative as well. Meetings have very busy month for meetings with both kaiser on multiple occasions with director dodd participating and also with the board of supervisors meeting with them individually on multiple occasions. Also attached is some news articles that have occurred in july around the kaiser rate renewal and the links to the Committee Meetings from the board of supervisors. So, if there are any questions. That concludes my report. Any Public Comment on this item . Come forward. Thank you, president breslin. [speaker not understood], former member of your board and now representing the seiu retirees. My concern actually is one with regard to actives. I think more than retire tire aloes, but the actives and early retirees, not so much the medicare retirees. ~ and thats the issue with the 93, 383. What i notice is that in that memo and the delineation of the rates that the plan 1 rates seem to be significant, especially by year 2015 where we go from 320 a month for employee only in 2014 to 925. If it was 9 to 10, but it goes from 4 in 2014 to 7. 79 in 2015 which is a massive rate increase. And what weve noticed over the years when i sat on the board was that there was significant migration from plan 1 as those rates were no longer subsidized. There was a time when this board subsidized those rates because it is, in fact, the plan that you own. And money in the trust fund was used because the trader gives the Health Service board money to go out and purchase plans. And if you get the money if you get the plan for less than the citys contribution in those days, that was money that you could spend for other plans. And we used to do it for plan 1. And my concern in seeing those rates is that i would like i would like this board to consider perhaps subsidizing at maybe 50 to be able to stabilize those rates across the board. There arent all that many members that are active in early retirees in plan 1 remaining any more, and i think these rates will absolutely scuttle the plan. And it is your own selfinsured and selffunded plan. Its what you own. Its what you need to keep competitive. And the last group of people are clearly going to migrate out. And all of the other sf including the vast subsidizing of the risk factor for blue shield where again the trust fund is taking that risk is all aimed at preventing migration. And i think that it is something that you might consider because i think it is a great concern to see those rates go, especially from 4 to 7. 79 from a thousand 78 to 1500 and from 2000 to over 2300. ~ so, thank you very much and i hope that you consider subsidizing. Thank you. President breslin . Yes. I wanted to acknowledge the importance of that question and to also state that plan 1 has been a plan for hss since hss has existed in the 40s and we are dedicated to bringing an alternative model to the board that will save that plan and actually help turn it into a healthy plan again. So, that will be coming forward during the rates and benefits. Actually in december so the board can give us direction on whether that is something to pursue for the rates and benefits. Hello, my name is gail bloom and id like to talk about plan 1. I dont know if this is the right time. I have a problem with plan 1 and id be happy to hold the question till later in the agenda when it looks like you have open discussion about the different plans. Up to you. Well yeah, you can Say Something now about it. Its about plan 1. If you want to hear it now, id be happy to bring it up. Maybe you could talk to the staff. I have talked to your staff. Okay. And they told me to come to the commission meeting, to the Board Meeting. Id be happy to hold the thought. Okay, im here because im an early retiree in plan 1 and im actually not getting any of the service that i had contracted 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 medicare physicians and, so, for example excuse me i see a doctor who charges 225 for a visit. So, rather than paying me 50 of 225, united is now paying me 37. Which, if that continues, i can no longer see my physician and i would like to be change policies or out of the open Enrollment Period if i can no longer see my physician. And paying 1700 a month for the privilege of seeing an out of plan provider. 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

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