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Youll get into it more a lot about competitive nature and of course, everyone would agree a more competitive environment should produce lower costs. But how much do you think just generically speaking is we do live in San Francisco in the bay area and its an expensive place to live and its more of a cost for hospital not only to exist in terms of the land value, but its more expensive to build here. We saw from the building cost with the cpc hospitals are big. You have to pay higher wages and as a city we have a lot of values associated with San Francisco where were willing to pay higher wages...

All right. I would like you before you leave today to get your names and affiliated titles to our secretary so it will at least be recorded in the minutes that you were here affiliated with this presentation. If you do that, i would greatly appreciate it. If you dont care to be recognized, thats okay too. We are public. Are there any other comments that you would like to share at this time . Commissioners, bob muss skat, chairman of the Public Employees committee and local 21. Good afternoon. Can you bring the microphone closer . I wanted to come by and thank the hss board and staff for their ...

Correctly. The data base, the panel will begin in the next couple weeks to actually select an an all claims data base. The data manager and i were on a call today where we listened to risk adjustment and how its being done across the country by the states that have exchanged. There is a lot of work that goes into it and a lot of effort, but i think im expecting that california will be doing their risk adjusting at a state level. We are building our data base to also be able to do risk adjustment and im supportive of the comments of the team today and that is the way of the future. A lot of eff...

House, never incurred a hospital visitor readmission. We made a difference in the life of this patient and a lot of other patients. I believe thats what this is all about. Thank you very much for those comments. There is another comment . All right. Anna lisa from blue shield. I want to thank you again for the opportunity of this partnership and thank you for your Financial Support to help make this option more affordable to your members. As a result of this unique model that started here in San Francisco, we have been able to successfully repeat it in 16 different aco contracts across the sta...

All right. I would like you before you leave today to get your names and affiliated titles to our secretary so it will at least be recorded in the minutes that you were here affiliated with this presentation. If you do that, i would greatly appreciate it. If you dont care to be recognized, thats okay too. We are public. Are there any other comments that you would like to share at this time . Commissioners, bob muss skat, chairman of the Public Employees committee and local 21. Good afternoon. Can you bring the microphone closer . I wanted to come by and thank the hss board and staff for their ...