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Senator Steiner Hayward,

Thank you for this overview. I'm wondering about two aspects of our OHP system -- one problematic, the other with great potential.

First, the problematic: Are the coordinated care organizations still expected to keep cost increases below 3.4% per year (I think that's the number)? If so, given what we're experiencing with inflation, is that feasible? And, if not, what can be done to match funding to costs in this environment?

Secondly, the experience with the CCOs seems to have been quite successful and their regionalized structures seem ideal for the coordination with other service providers (e.g. school health programs, homelessness programs). As we turn our attention to the upstream challenges of our health system, can we find a way to expand the reach of the CCOs to the commercially insured population and build out their networks to tackle more of the social determinants of health?

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