2013 in Seattle:
What’s Brewing in State Health Policy
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Oct 9, 2013, 8:30am – 3:30pmMeasuring Performance to Jolt Health System Improvement
- What approaches have states taken to measure performance for plans, providers, and complex populations like dual eligibles?
- How can states use performance measurement to hold providers and payers accountable for the cost and quality of services delivered?
- What are best practices for selecting, developing, and using appropriate performance measures?
This preconference will begin with a look at promising cross-payer measurement initiatives and the lessons they offer for state officials. It will also feature a series of case studies to highlight first-hand accounts of quality improvement through performance measurement, including lessons learned.
Oct 9, 2013, 9:00am – 3:45pmFrom Percolator to Espresso Machine: Eligibility System Transformation Lessons from the Maximizing Enrollment Project
- Harness technology to make enrollment more simple, efficient, and accessible;
- Simplify and streamline processes to reduce the burden on applicants and eligibility workers; and
- Manage programmatic change by setting a consistent, data-driven vision for coverage within and across agencies.
Presenters, including experts on performance measurement and process improvement, will share practical lessons useful to other states implementing ACA’s eligibility provisions and will look forward to the next frontiers in enrollment and retention in public programs.
Oct 9, 2013, 4:30pm – 5:30pmSmooth Blend or Strange Brew: Where are We with the Affordable Care Act?
Anne M. Barry
| Alan Weil Presentation
Susan Dentzer Presentation
Oct 10, 2013, 8:30am – 9:45am
With some ACA deadlines now passed and more critical ones to come, no matter where they stand on ACA, states have their hands full dealing with operational issues and meeting the law’s requirements. At the same time, state leaders have their own visions and ambitions for improving health and the health care systems in their states. This panel of state leaders from across the country and a diversity of agencies and branches of state government will discuss the immediate challenges of reform and the longer term agenda.
Oct 10, 2013, 10:00am – 11:30am
Launching and sustaining a successful state-based insurance exchange (or marketplace) takes cooperation and collaboration among multiple stakeholders. During this session NASHP will provide a national snapshot of state-based exchange activity then further explore Washington’s exchange efforts—from the overall vision and operations to network adequacy and consumer assistance. We’ll hear from the exchange’s CEO, the state’s insurance commission and a large local public health agency charged with assisting consumers in the new health coverage environment.
| Anne Gauthier Presentation
Meg Jones Presentation
Patty Hayes Presentation
Richard Onizuka Presentation
This session focuses on the mechanisms states have available to reform delivery and payment systems with the goal of improved health, a key component of the Triple Aim. It highlights state and community examples of these mechanisms in action. Attendees will learn about the efforts to build an accountable care community in Akron, Ohio and its implications for states; New York’s strategies to implement its prevention agenda; and Mississippi’s integration of public health objectives into its trauma care system.
This session is supported by the Robert Wood Johnson Foundation.
| Guthrie Birkhead Presentation
Janine Janosky Presentation
Jose Montero Presentation
Norman Miller Presentation
Enrollment outreach and marketing are in the spotlight, but there’s even more to health care reform communications. From launching exchanges to revamping eligibility systems, there are public relations risks and opportunities at every step. In this session state panelists and public affairs experts will discuss ways of performing stakeholder engagement, interagency relations, and reputation management during times of major change. Attendees will hear about states’ experiences with ACA implementation, as well as lessons learned from other highly consequential policy changes.
| Alison Betty Presentation
Ed Long Presentation
Jeanene Smith Presentation
Improving care coordination is a major goal of delivery system redesign and payment reform. Successful care coordination that integrates health and community-based services, including public health, social services, behavioral health and long-term services and supports, requires timely and efficient exchange of information. Focusing on the role of Health Information Exchanges in supporting care coordination, the session will highlight successful systems integration examples from California, Illinois, and Vermont.
Lisa Dulsky Watkins
| Laura Zaremba Presentation
Linette Scott Presentation
Lisa Dulsky Watkins
| Edith Walsh Presentation
Gregory Allen Presentation
MaryAnne Lindeblad Presentation
Oct 10, 2013, 11:45am – 1:20pm
Many health policymakers believe it is critical to engage stakeholders in policymaking but sometimes struggle with how to do so effectively. Liz Baxter has spent her career building public priorities into complex policy initiatives. She led a successful effort to build community consensus on the goals of health reform in Oregon and now chairs the Board of Cover Oregon (Oregon’s Health Insurance Exchange). In these efforts she learned many lessons about how to create policies rooted in community priorities. In this plenary she will share successful strategies for increasing community understanding of health reform, helping communities identify their priorities for change, and translating these priorities into policy.
|Anne M. BarryLiz Baxter||
Liz Baxter Presentation
| Gregory Allen Presentation
Jon Barley Presentation
Rebecca Boss Presentation
Josephine Porter Presentation
Karen Matsuoka Presentation
Rebekah Gee Presentation
Federally qualified health centers (FQHCs) have a long history of using innovative strategies to meet their patients’ complex physical health, mental health, and social needs. Now, spurred by cost pressures and the momentum brought by health reform, states and safety net providers are working together to pursue payment reforms. This session will explore models from Oregon, Minnesota, and Hawaii that seek to promote value and increased coordination without compromising safety net providers’ ability to serve vulnerable populations.
This session is supported through a Cooperative Agreement with the Health Resources and Services Administration.
|Judy Mohr Peterson
| Judy Mohr Peterson Presentation
Julie Weinberg Presentation
Richard Bettini Presentation
Scott Leitz Presentation
Oct 10, 2013, 3:30pm – 5:00pm
Ensuring access to oral health services for vulnerable populations is a perennial challenge that touches many areas of states’ work – public coverage, population health, workforce, and the medical care delivery system among them. What new ideas are emerging to address this challenge? In this policy café, conference participants will engage in a series of small-group discussions to share successful strategies, think together about new ideas, and learn from one another.
Millions of children with behavioral health conditions could benefit from tighter linkages and greater integration between behavioral health service providers and primary care. This session will examine behavioral health integration for children from multiple perspectives. A speaker from CMS will discuss existing opportunities to integrate care under the Medicaid benefit for children and adolescents. The CEO of a non-profit corporation implementing integrated care models will offer a “boots on the ground” perspective. Finally, a state Medicaid official will describe her state’s innovations around behavioral health integration for children.
This session is supported by the Centers for Medicare & Medicaid Services through a contract to NORC at the University of Chicago.
| Kristine Hobbs Presentation
Neva Kaye Presentation
Richard Weaver Presentation
Churn, when enrollees cycle on and off or across different types of coverage, is an instability nightmare not only for individuals and families but also for states’ health insurance coverage programs. As coverage landscapes change, state health officials will need to revisit and develop new strategies for mitigating churn. Learn about efforts in Minnesota, Louisiana and Washington that range from tried and true retention strategies to establishing new opportunities that reduce gaps in coverage for individuals and families.
This session is partially supported by The Atlantic Philanthropies.
| Carol Backstrom Presentation
Jeanene Smith Presentation
Nathan Johnson Presentation
Rhett Decoteau Presentation
Diane Justice Presentation
Jay Yedziniak Presentation
Jennifer Vermeer Presentation
States are at different stages of using managed care to transform their Medicaid delivery systems. Hear from three states using different managed care approaches—one with a long history of capitated managed care, one that traded its capitated system for an administrative services organization/managed fee-for-service system, and another using both capitated and managed fee-for-service systems—to drive Medicaid delivery system transformations. How are the states leveraging these models to improve care and enrollee outcomes? What progress has been made toward these and other goals?
| Cheryl Roberts Presentation
Kate McEvoy Presentation
Lesli Boudreaux Presentation
Mary McIntyre Presentation
Oct 11, 2013, 8:45am – 10:15am
William A. Hazel Jr.
| Jennifer Vermeer Presentation
Patricia Boozang Presentation
Suzanne Bierman Presentation
| Brian Burwell Presentation
Jami Snyder Presentation
Marc Gold Presentation
As states develop and implement the essential health benefits under the ACA, two issues—defining habilitative services and ensuring that mental health services are covered in parity with medical services— have proven particularly challenging. Private insurance plans, the benchmarks for essential health benefits implementation, have limited experience with offering habilitative services. Similarly, the ACA newly extends mental health parity requirements to private insurance plans. In this session, a national expert will provide a framework for the ACA changes, and state officials from Arkansas and Washington will discuss policy options their states have considered to address these two issues.
| Cindy Crone Presentation
Glenace Edwall Presentation
Meg Jones Presentation
NASHP is pleased to present a selection of state-oriented health services research from AcademyHealth’s 2013 Annual Research Meeting. Millions of Americans will become newly eligible for health insurance coverage in 2014 through Medicaid expansions or through the health insurance exchanges. It is likely that many of these newly insured individuals will have a host of untreated medical and behavioral health needs, which could put a strain on states’ health system capacity. Health services research can help states understand this population and their needs. This session will feature research that focuses on predicting the health status and unmet health needs of this population and the potential implications for state health policymakers.
Enrique Martinez-Vidal Presentation
Lindsey Leninger Presentation
Sharon Long Presentation
Tami Mark Presentation
Health disparities, health inequities and social determinants are complex issues all states must address to improve health outcomes, a critical goal of the Triple Aim. This session will feature state officials from Minnesota, Oregon and Washington who will share how they are using multi-sector approaches and advancing policies to achieve health equity within their state–strategies that reach beyond their own agencies. Speakers will also discuss what they learned through the process, what strategies have worked, and how they engaged other policymakers.
Johnnie (Chip) Allen
| Jeanne Ayers Presentation
Chip Allen Presentation
Latricia Tillman Presentation
Maxine Hayes Presentation
States are pursuing a range of strategies to promote more coordinated care and comprehensive support services for individuals with complex health needs. This session will explore states’ care coordination initiatives through three different lenses—primary care, home and community-based services and supports, and services for children with special health care needs—and highlight similarities and differences in service design and delivery.
This session is partially supported by The Atlantic Philanthropies.
Betsy Van Heesch
| Angie Goodger Presentation
Jenney Samuelson Presentation
Multi-payer medical home initiatives are widespread, with 21 states participating in one or more of these initiatives. In this session, the moderator will facilitate a discussion among officials from states with initiatives that range from new to established, focusing on key implementation challenge such as: addressing antitrust issues; adding new payers and purchasers; avoiding common contracting barriers; and building common infrastructure.
This session is supported by The Commonwealth Fund.
| Christine Collins Presentation
Denise Chuckovich Presentation
Diane Marriott Presentation
Oct 11, 2013, 12:00pm – 2:00pmDesigning a SIM Plan in Eight Months: Not So SIMple