PHSKC Community Dialogue on Health Reform

1. PHSKC Community Dialogue on Health Reform Health Reform impacts on Medicaid/HCA June 16, 2010 Richard K. Onizuka, PhD

2. What we’ll cover (briefly) • Temporary BHP and MCS bridge (waiver) • Medicaid expansion, 2014 • Key questions/decisions on exchanges • Multi-payer payment reform pilots • HITECH update

3. BHP and MCS bridge waiver • Federal participation to sustain BHP and MCS • 1115 demonstration waiver • Transitional bridge until full national health reform (NHR) in 2014 • Assumed January 1, 2011 start in 2010 supplemental budget • Mid summer “go/no go” assessment

4. Public coverage expansions – 2014

5. Exchanges • Key considerations/decisions • State based or federal? • One or two exchanges? • Begin at 133% or at 200%? • Governance and operational questions • Key Dates: • National planning and establishment grants – by March 23, 2011 • HHS approval by 2013 • Implementation by 2014

6. NHR implementation at a glance

7. Multi-payer payment reform pilots • SSB5891 – facilitated by HCA, co-convened with PSHA • Coordination with DOH/WAFP collaborative • Two payment models, Plan E & Plan A • Medicare participation? • Refining outcomes and selection process • Goal of implementation January 1, 2011 • ACO pilots, RFI for lead organization

8. HITECH update • HCA/OneHealthPort working on statewide HIE (with FHCQ oversight) • Qualis Health is Washington/Idaho REC • Bellevue College is workforce recipient • INHS is Beacon Community recipient • Meaningful use final rules? • HIT Forum, June 24, 1 pm, PSRC (http://www.hca.wa.gov/arra/press/health-information-technology-forum.html)

9. Questions? • http://www.governor.wa.gov/priorities/healthcare/reform.asp • http://www.hca.wa.gov/ • http://www.leg.wa.gov/jointcommittees/HRI/Pages/default.aspx • http://www.insurance.wa.gov/consumers/reform/national_health_care_reform.shtml • richard.onizuka@hca.wa.gov