Health Insurance Exchanges: Learning from Experience and Forging Ahead

1. Health Insurance Exchanges: Learning from Experience and Forging Ahead Cindy Layton � Presenter / Panelist State of Utah Department of Technology Services

2. The Utah Health Exchange � Overview Formally opened in August 2009 Currently targets small business Web-based information portal Backbone for innovation and technology Part of Utah�s overall health system reform effort: Consumer-based Informed choice Defined contribution

3. The Utah Health Exchange �Overview Core functions Provide health information Care, Cost, and Quality Provide tools / products for individuals Find a broker Compare plans Buy direct Provide electronic methods for small business Application Enrollment Transactions

4. The Utah Health Exchange �Approach Begin with a vision Understand the target Develop a plan Engage the stakeholders Governance Leverage existing resources Test before you go live

5. The Utah Health Exchange �Operability Today Website w/ links to other websites for the individual market Absent independent infrastructure or means to store data Leverages private partner technology Utilizes broker mediation Targets small business employers

6. The Utah Health Exchange �Operability Tomorrow (2012 � 2013) Serve as landing page to link websites and differentiate system portals Utilize a screening tool to ensure an educational consumer shopping experience Build minimal infrastructure within the Exchange itself to facilitate initial data-sharing as permitted Improved coordination with public health programs and private health insurance Capture consumer participation in public health programs as permitted / authorized

7. The Utah Health Exchange �Operability 2014 Single sign-on capabilities Common brand or network identifier with both private and public stakeholders The screening tool moves beyond a shopping experience and becomes part of any private or public application process where data is entered once and � as permitted - recognized in multiple places The UHE will have access to a comprehensive data repository to which it may push and pull information As permitted, utilize data from the All Payer Claims Database

8. The Utah Health Exchange �Lessons Learned Engage brokers as valuable partners Embrace private solutions instead of hiring programmers Find scalable solutions Ensure a level playing field in and outside of the Exchange Beta testing is critical Plan extra time and try to go slow

9. The Utah Health Exchange � Forging Ahead Utilize Planning and Assessment grant to develop a technology blueprint Recognize flexibilities with the ACA and Exchange legislation Stay the course with the State�s vision of a market-based design and consumer focus Concentrate on the needs associated with data sharing agreements in a multi directional environment between both private and public sector entities

10. Contact Information Patty Conner Director, Utah Health Exchange 801 538 8715 Norman Thurston Utah Health Reform Implementation Coordinator 801 538 7052 Cindy Layton Manager, Utah Department of Technology Services 801 526 9794