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2022 Financial Solvency Standards Board Meetings

• November 16, 2022
  Agenda  Meeting Transcript  Meeting Summary

Presentations: 

• Department of Health Care Access and Information Update
• Financial Summary of Medi-Cal Managed Care Health Plans
• Report: Financial Summary of Medi-Cal Managed Care Health Plans
• Legislative Update
• 2021 Risk Adjustment Transfers
• Report: 2021 Risk Adjustment Transfers
• 2023 Rates in the Individual Market
• Report: 2023 Rates in the Individual Market
• Provider Solvency Quarterly Update
• Report: Risk Bearing Organizations on a Corrective Action Plan
• Health Plan Quarterly Update
• Report: Health Plan Enrollment and Tangible Net Equity

• August 10, 2022
  Agenda  Meeting Transcript  Meeting Summary

Presentations:

• Department of Health Care Services Update
• 2022-2023 Budget Update
• Update on SB 510 Lawsuit
• 2021 Federal Medical Loss Ratio (MLR) Summary
• Report: 2021 MLR Summary
• Provider Solvency Quarterly Update
• Report: Risk Bearing Organizations on a Corrective Action Plan
• Health Plan Quarterly Update
• Report: Health Plan Enrollment and Tangible Net Equity

May 19, 2022
Agenda  Meeting Transcript  Meeting Summary

Presentations:

• Department of Health Care Services Update
• Financial Summary of Medi-Cal Managed Care Plans
• Report: Financial Summary of Medi-Cal Managed Care Plans
• Federal Update
• Health Care Premium Rates and Prescription Drug Costs
• Report: Prescription Drug Cost Transparency Report
• Report: Large Group Aggregate Rates and Prescription Drug Costs Report
• Report: Individual and Small Group Aggregate Premium Rate Report
• Provider Solvency Quarterly Update
• Report: Risk Bearing Organizations on a Corrective Action Plan
• Health Plan Quarterly Update
• Report: Health Plan Enrollment and Tangible Net Equity

• February 23, 2022
  Agenda  Meeting Transcript  Meeting Summary

Presentations:

• Overview of Bagley-Keene Open Meeting Act Requirements
• Department of Health Care Services Update
• Regulations Update
• Federal Update
• Dental Medical Loss Ratio
• Report: 2020 Dental Medical Loss Ratio Summary
• Provider Solvency Quarterly Update
• Report: Risk Bearing Organizations on a Corrective Action Plan
• Health Plan Quarterly Update
• Report: Health Plan Enrollment and Tangible Net Equity

2021 Financial Solvency Standards Board Meetings

• November 17, 2021
  Agenda  Meeting Transcript  Meeting Summary

Presentations:

• Department of Health Care Services Update
• Financial Summary of Medi-Cal Managed Care Health Plans
• Report: Financial Summary of Medi-Cal Managed Care Health Plans
• Legislative Update
• 2020 Risk Adjustment Transfers
• Report: 2020 Risk Adjustment Transfers
• 2022 Rates in the Individual Market
• Report: 2022 Rates in the Individual Market
• Provider Solvency Quarterly Update
• Report: Risk Bearing Organizations on a Corrective Action Plan
• Health Plan Quarterly Update
• Report: Health Plan Enrollment and Tangible Net Equity
• Handout: 2022 Meeting Schedule
   
• August 11, 2021
  Agenda  Meeting Transcript  Meeting Summary

Presentations:

• 2021-2022 Budget Update
• Health Care Cost and Quality Atlas
• 2020 Federal Medical Loss Ratio (MLR) Summary
• Report: 2020 MLR Summary
• Regulations Update
• Federal Update
• Provider Solvency Quarterly Update
• Report: Risk Bearing Organizations on a Corrective Action Plan
• Health Plan Quarterly Update
• Report: Health Plan Enrollment and Tangible Net Equity 

• May 27, 2021
  Agenda  Recorded Meeting  Meeting Transcript  Meeting Summary

​Presentations:

• Department of Health Care Services Update
• Role of the FSSB and Future Priorities
• Handout: APG Letter
• Large Group Aggregate Rates and Prescription Drug Costs
• Report: Large Group Aggregate Rates and Prescription Drug Costs
• Report: Prescription Drug Costs Transparency
• Financial Summary of Medi-Cal Managed Care Plans
• Report: Financial Summary of Medi-Cal Managed Care Plans
• Provider Solvency Quarterly Update
• Report: Risk Bearing Organizations on a Corrective Action Plan
• Health Plan Quarterly Update
• Report: Health Plan Enrollment and Tangible Net Equity

• February 24, 2021
  Agenda  Recorded Meeting  Meeting Transcript  Meeting Summary

Presentations:

• Department of Health Care Services Update
• Legislation Implementation
• Regulations Update
• Federal Update
• Dental Medical Loss Ratio
• Handout: 2019 Dental Medical Loss Ratio Summary
• Provider Solvency Quarterly Update
• Handout: Risk Bearing Organizations on a Corrective Action Plan
• Health Plan Quarterly Update

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2020 Financial Solvency Standards Board Meetings

• November 18, 2020
  Agenda  Recorded Meeting  Meeting Transcript  Meeting Summary

Presentations:

• Department of Health Care Services Update
• Legislative Update
• Report: 2019 Risk Adjustment Transfers
• Report: 2019 Federal Medical Loss Ratio (MLR) Summary
• Report: 2021 Rates in the Individual Market
• Financial Summary of Medi-Cal Managed Care Plans
• Report: Financial Summary of Medi-Cal Managed Care Plans
• Provider Solvency Quarterly Update
• Handout: Risk Bearing Organizations (RBOs) on a Corrective Action Plan (CAP)
• Health Plan Quarterly Update
• Document: 2021 Meeting Schedule

• August 19, 2020
  Agenda  Recorded Meeting  Meeting Transcript  Meeting Summary

         Presentations:

• ​Department of Health Care Services Update
• ​DMHC's Response to COVID-19
• ​2020-21 Budget
• ​Regulations Update
• ​Provider Solvency Quarterly Update
• ​Handout: Provider Solvency Quarterly Update
• ​Health Plan Quarterly Update
   
• May 13, 2020

Presentations:

• Report: Financial Summary of Medi-Cal Managed Care Plans
• Health Plan Quarterly Update
• Provider Solvency Quarterly Update
• Handout: Provider Solvency Quarterly Update
• Report: Large Group Aggregate Rate and Prescription Drug Cost

 

• February 5, 2020 
  Agenda  Meeting Transcript  Meeting Summary

Presentations:

• Report: Dental Medical Loss Ratio
• Provider Solvency Quarterly Update
• Handout: Provider Solvency Quarterly Update
• Health Plan Quarterly Update

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2019 Financial Solvency Standards Board Meetings

• November 7, 2019
  Agenda  Meeting Transcript  Meeting Summary

Presentations:

• Department of Health Care Services Update
• Legislative Update
• Financial Summary of Medi-Cal Managed Care Plans
• Report: Financial Summary of Medi-Cal Managed Care Plans
• Report: 2018 Federal Medical Loss Ratio (MLR) Summary
• Report: 2020 Rates in the Individual Market
• Report: 2018 Risk Adjustment Transfers
• Provider Solvency Quarterly Update
• Handout: Risk Bearing Organizations (RBO) on a Corrective Action Plan (CAP)
• Health Plan Quarterly Update
• Document: 2020 Meeting Schedule

• July 17, 2019
  Agenda Meeting Transcript

Presentations:

• Department of Health Care Services Update
• 2019-20 Budget
• Integrated Healthcare Association Regional Health Care Cost & Quality Atlas
• Provider Solvency Quarterly Update
• Handout: Provider Solvency Quarterly Update
• Health Plan Quarterly Update
   
• April 10, 2019
  Agenda Meeting Minutes

Presentations:

• ​Large Group Aggregate Rates
• National Trends in Individual and Small Group Premiums
• Financial Summary of Medi-Cal Managed Care Health Plans
• Report: Financial Summary of Medi-Cal Managed Care Health Plans
• Provider Solvency Quarterly Update
• Health Plan Quarterly Update

• January 30, 2019
  Agenda Meeting Minutes

Presentations:

• Delta Dental of California Purchase of Interest in Moda Inc.
  Note: Slide #8 was updated on 1/31/2019 to clarify the requirements of AB 595
• Dental Medical Loss Ratio
• Report: Overview of Management Services Organizations  
  Note: This information is provided to the FSSB by a 3rd party.
• Provider Solvency Quarterly Update - Health Plan Quarterly Update
• Health Plan Quarterly Update

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2018 Financial Solvency Standards Board Meetings

• October 17, 2018
  Agenda Meeting Minutes

Presentations:

• Department of Health Care Services Update
• Legislative Update
• 2019 Rates in the Individual Market
• 2017 Federal Medical Loss Ratio Summary
• Financial Summary of Medi-Cal Managed Care Health Plans
• Report: Financial Summary of Medi-Cal Managed Care Health Plans
• Provider Solvency Quarterly Update
• Health Plan Quarterly Update
• Document: 2019 Meeting Schedule

• July 18, 2018
  Agenda Meeting Minutes

Presentations:

• Financial Summary of Medicare Advantage Plans
• Report: Financial Summary of Medicare Advantage Plans
• Provider Solvency Quarterly Update
• Health Plan Quarterly Update
   
• April 18, 2018
  Agenda Meeting Minutes

Presentations:

• Large Group Aggregate Rates
• Dental Medical Loss Ratio Update
• Financial Summary of Medi-Cal Managed Care Plans
• Report: Financial Summary of Medi-Cal Managed Care Plans
• Integrated Healthcare Association Regional Health Care Cost & Quality Atlas
• Provider Solvency Quarterly Update
• Health Plan Quarterly Update

• January 23, 2018
  Agenda Meeting Minutes

Presentations:

• National Trends in Individual and Small Group Premiums
• Legislative Update
• Provider Solvency Quarterly Update
• Health Plan Quarterly Update

2017 Financial Solvency Standards Board Meetings

• October 18, 2017
  Agenda | Meeting Minutes

Presentations:

• 2018 Rates in the Individual Market
• Department of Health Care Services Update
• Report: Financial Summary of Medi-Cal Managed Care Plans
• Report: Financial Summary of Medicare Advantage Plans
• Provider Solvency Quarterly Update
• Health Plan Quarterly Update
• Document: 2018 Meeting Schedule

• July 19, 2017
  Agenda | Meeting Minutes

Presentations:

• Report: DMHC 2016 Annual Report
• Director's Remarks
• AB 72 Implementation Update
• Risk Adjustment Transfer
• Provider Solvency Quarterly Update
• Health Plan Quarterly Update
• 2018 Proposed Meeting Schedule

• April 19, 2017
  Agenda | Meeting Minutes

Presentations:

• AB 72 Implementation Update
• Large Group Aggregate Rates
• Dental Medical Loss Ratio Update
• Financial Summary of Medi-Cal Managed Care Plans
• Provider Solvency Quarterly Update
• Health Plan Quarterly Update

• January 18, 2017
  Agenda | Meeting Minutes

Presentations:

• Document: 2017 FSSB Member Roster
• Report: DMHC 2015 Annual Report
• Document: DMHC Leadership Organization Chart
• 2016-17 Governor's Budget Update
• National Trends in Individual and Small Group Premiums
• Legislative Update
• Risk Bearing Organization Sub-delegation
• Provider Solvency Quarterly Update
• Health Plan Quarterly Report
• Document: 2017 Meeting Schedule

2016 Financial Solvency Standards Board Meetings

• September 14, 2016
  Agenda | Meeting Minutes

​Presentations:

• Solicitation: Board Member Recruitment
• Department of Health Care Services Update
• 2017 Rates in the Individual Market
• Risk Bearing Organization Sub-delegation
• Provider Solvency Quarterly Update
• Health Plan Quarterly Update
• 2017 Proposed Meeting Schedule

• June 15, 2016
  Agenda | Meeting Minutes

​Presentations:

• Office of the Patient Advocate Complaint Data Report
• Report: Office of the Patient Advocate Complaint Data Report
• Report: Financial Summary of Local Initiatives and County Organized Health Systems
• Report: Tangible Net Equity Discussion LHPC
• Tangible Net Equity Discussion OFR
• Dental Medical Loss Ratio Discussion
• Provider Solvency Quarterly Update
• Health Plan Quarterly Update

• March 16, 2016
  Agenda | Meeting Minutes

Presentations:

• Office of the Patient Advocate Report Cards
• Excess Tangible Net Equity Discussion
• Dental Medical Loss Ratio Update
• Provider Solvency Quarterly Update 
• Health Plan Quarterly Update

2015 Financial Solvency Standards Board Meetings

• December 9, 2015
  Agenda | Meeting Minutes

​​Presentations:

• Mergers and Acquisitions OPL
• Financial Summary of Local Initiative Health Plans and County Organized Health Systems
• Provider Solvency Quarterly Update
• Health Plan Quarterly Update

• September 9, 2015
  Agenda | Meeting Minutes

​Presentations: 

• Director’s Remarks
• DMHC Strategic Plan
• Summary:  DMHC Strategic Plan
• Alameda Alliance for Health Update
• Mergers and Acquisitions Cattaneo & Stroud
• Mergers and Acquisitions OFR
• Mergers and Acquisitions OPL
• Timely Access Reporting Update
• Provider Solvency Quarterly Update
• Health Plan Quarterly Update
• Draft Meeting Schedule for 2016
   
• June 17, 2015
  Agenda |  Meeting Minutes

Presentations: 

• Alameda Alliance for Health Update
• Medi-Cal Rate Setting
• Department of Health Care Services 1115 Waiver
• Updated Financial Summary of Local Initiative Health Plans and COHS
• Report: Updated Financial Summary of Local Initiative Health Plans and COHS
• COHS Licensure
• Provider Solvency Quarterly Update
• Health Plan Quarterly Update
• Draft Meeting Schedule for 2016
   
• March 18, 2015
  Agenda  Meeting Minutes

​Presentations: 

• Alameda Alliance for Health Update
• Medi-Cal Managed Care Plans Financial Status Report
• Timely Access Methodology
• Reasonable and Customary Project
• Provider Solvency Quarterly Report
• Health Plan Quarterly Update

2014 Financial Solvency Standards Board Meetings

• November 13, 2014
  Agenda | Meeting Minutes

Presentations:

• Report on the Trends of the Declining RBOs
• Impact of Various Tangible Net Equity Requirements on RBOs
   
• August 20, 2014
  Agenda | Meeting Minutes

​Presentations:

• Impact of Various Tangible Net Equity Requirements on RBOs
• Medi-Cal Managed Care Lives in RBOs
• Individual Market Enrollment Data: Q1 2014 Charges
• Provider Solvency Updates Presentation
• Health Plan Solvency Updates Presentation
• Tentative 2015 Future Meeting Dates
   
• June 18, 2014
  Agenda | Meeting Minutes

Presentations:

• Delegated Model Presentation
• Medi-Cal Risk Bearing Organization on Corrective Action
• Provider Solvency Updates
• Health Plan Solvency Updates

2013 Financial Solvency Standards Board Meetings

• November 18, 2013
  Agenda | Meeting Minutes

Presentations:

• Provider Solvency Updates
• Health Plan Solvency Updates
• Risk Assessment

• August 21, 2013
  Agenda | Meeting Minutes

     Presentations:

• Provider Solvency Updates
• Health Plan Solvency Updates
• Pioneer Accountable Care Organization Status Update
• Presentation and Discussion: Discussion: Risk Bearing Organizations – Potential Changes to Reporting Requirements

• May 9, 2013
  Agenda | Meeting Minutes

     Presentations:

• Pioneer Accountable Care Organization Oversight Update
• Provider Solvency Unit
• Division of Financial Oversight Plans
• Presentation and Discussion: Provider Solvency Requirements

• February 11, 2013
  Announcement | Agenda | Meeting Minutes

​Presentations:

• Provider Solvency Updates
• Health Plan Solvency Updates
• Agenda Item 7 Presentation and Discussion
• Presentation ​​By Brett Johnson, Associate Director, Center for Medical and Regulatory Policy, California Medical Association and Dr. Douglas Brosnan, Director of Provider Relations, CEP America
• Presentation by Dr. Bing Pao, Director of Provider Relations, CEP America
• Presentation by Leann Gassaway, Regional Vice President, State Advocacy, America’s Health Insurance Plans

2012 Financial Solvency Standards Board Meetings

• November 8, 2012
  Agenda | Meeting Minutes

​Presentations:

• DMHC Accountable Care Organization (ACO) Update

California Pioneer ACOs Presentations

• PrimeCare
• Brown & Toland
• Sharp
• Heritage
• Monarch
• Provider Solvency Updates
• Health Plan Solvency Updates

• August 9, 2012
  Agenda | Meeting Minutes

Presentations:

• Medi-Cal Managed Care Rate Setting Overview
• 2011 Premium Rate Review Medical Loss Ratio Summary
• Provider Solvency Updates
• Health Plan Solvency Updates

• May 10, 2012
  Agenda | Meeting Minutes

​Presentations:

• FSSB Purpose and Priorities
• Medi-Cal Managed Care Delivery Models
• Provider Solvency Update
• Health Plan Solvency Updates

• February 9, 2012
  Agenda | Meeting Minutes

​Presentations:

• Provider Solvency Update
• Health Plan Solvency Update

Background Materials:

• Medical Loss Ratio Clarifications
• Third Party Vendor Issue
• Q & A Regarding the Medical Loss Ratio Interim Final Rule (1-17)
• Q & A Regarding the Medical Loss Ratio Interim Final Rule (18-19)
• Medical Loss Ratio Final Regulation

2011 Financial Solvency Standards Board Meetings

• November 9, 2011
  Agenda | Meeting Minutes

​Presentations:

• Timely Access Regulation
• SB 260 Update
• Division of Financial Oversight Update to the FSSB

Background Materials:

• Timely Access to Non-Emergency Health Care Services
• Development of standards for timely access to health care services
• FSSB Update

• August 4, 2011
  Agenda | Meeting Minutes

​Presentations:

• Division of Financial Oversight: Recent Activities
• FSSB SB260 Updates

• May 19, 2011
  Agenda | Meeting Minutes

​Presentations:

• FSSB SB260 Update
• ACCOUNTABLE CARE ORGANIZATIONS (ACOs) Oversight Implementation
• State Oversight of ACOs
• ACO Programs and State Agency Oversight Responsibility

• January 19, 2011
  Agenda | Meeting Minutes

​Presentations:

• Accountable Care Organizations (ACOs) Oversight Implementation
• SB260 Update

2010 Financial Solvency Standards Board Meetings

• November 3, 2010
  Agenda | Meeting Minutes

​Presentations:

• Plan Perspective: Ernie Schwefler, Anthem Blue Cross
• Plan Perspective: Jay Cohen, Monarch Health Plan
• ACO 'Pilot' Financial Oversight, DMHC
• DMHC updates on provider solvency & DMHC progress update on SB260 enhancements
• California Chapter of the American College of Emergency Physicians (CAL/ACEP) Presentation- Myles Riner, M.D.

Background Materials:

• Accountable Care Organization Provisions in the Patient Protection and Affordable Care Act
• Accountable Care Organizations in California
• Implementing Accountable Care Organizations

 

• July 20, 2010
  Press Release | Agenda | Meeting Minutes

Presentations: 

• Financial Solvency Standards Board Meeting
• Accountable Care Organizations: Policy, Business, and Law
• Accountable Care Organizations
• What is Episode (Bundled) Payment?

2006 Financial Solvency Standards Board Meetings

• January 31, 2006
  Agenda

Presentations:

• California Pay for Performance
• An Example of How the Delegated Model Works for Patients Works for Patients
• Measuring the Effectiveness of the Coordinated Model
• Measuring Delivery System Quality and Efficiency
• Quantifying Delivery Model Value: An Analysis of Healthcare Costs
• SB 260 Update

2005 Financial Solvency Standards Board Meetings

• August 23, 2005
  Agenda | Meeting Minutes

Presentations:

• High Deductible Health Plans and Health Savings Accounts
• Consumer-Directed Health Plans
• Consumer Driven Health Plans
• California's Health Care Gamble
• Some Preliminary Data on Consumer Directed Health Insurance
• Reality Used to be a Friend of Mine

• April 12, 2005
  Agenda | Meeting Minutes

Presentations:

• Concentra Powerpoint Presentation
• Ingenix Powerpoint Presentation
• ER Physician Powerpoint Presentation

• February 8, 2005
  Agenda | Meeting Minutes

Presentations:

• Revised SB 260 Regulations (Clean Copy)
• Revised SB 260 Regulations (Redlined)

2004 Financial Solvency Standards Board Meetings

• December 14, 2004
  Agenda | Meeting Minutes
  • Revised SB 260 Regulations

• November 9, 2004
  Agenda | Meeting Minutes  

• October 5, 2004
  ​Agenda | Meeting Minutes
  • Revised SB 260 Regulations

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2003 Financial Solvency Standards Board Meetings

• July 22, 2003
  Agenda

2002 Financial Solvency Standards Board Meetings

• December 10, 2002
  ​Agenda 
  • Revised Draft Proposed Regulations: Financial Examinations
• July 30, 2002
  Agenda | Meeting Minutes
  • ​Draft RBO Data Collection & Disclosure Regs
• June 18, 2002
  Agenda | Meeting Minutes​
  • Stakeholder Letter
  • Disclosure Options
• April 23, 2002
  Agenda | Meeting Minutes
  • ​Comments Summary
• March 19, 2002
  Agenda | Meeting Minutes
  • ​Trial Court Ruling
• February 28, 2002
  Agenda | Meeting Minutes
   
• January 29, 2002
  Agenda 
  • Overview of Risk-Sharing Arrangements

2001 Financial Solvency Standards Board Meetings

• December 11, 2001
  Agenda | Meeting Minutes
  • ​Draft CAP Language w/Comments
• November 13, 2001
  Agenda | Meeting Minutes
  • Draft Corrective Action Language
• October 16, 2001 - CANCELED
  Agenda | Meeting Minutes
  • ​Draft Corrective Action Plan Language
• September 19, 2001  
  Agenda
   
• August 21, 2001
  Agenda
   
• July 24, 2001
  Agenda | Meeting Minutes
   
• June 19, 2001
  Agenda | Meeting Minutes
   
• May 22, 2001
  Agenda | Meeting Minutes
   
• April 24, 2001
  Agenda | Meeting Minutes
   
• March 20, 2001
  Agenda | Meeting Minutes
   
• February 27, 2001
  Agenda
  • SB 260 Memorandum (January 29, 2001)
  • Text Of Proposed Regulations (January 25, 2001)
• January 09, 2001
  Agenda | Meeting Minutes
  • Draft Regulations

2000 Financial Solvency Standards Board Meetings

• December 19, 2000
  Agenda | Meeting Minutes
  • Draft Regulations
• November 28, 2000
  Agenda | Meeting Minutes  
  • Summary Table (revised)
• October 26, 2000
  Agenda  
   
• September 26, 2000
  Agenda | Meeting Minutes  
  • SB 260 Summary Table
• August 21, 2000
  Agenda | Meeting Minutes (revised)