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SustiNet Board of Directors

SustiNet Board of Directors. December 2, 2010 Anya Rader Wallack Katharine London Linda Green Stan Dorn. Agenda for today. Summary of board member input on core SustiNet design choices Brief recap of cost and coverage estimates from November 18 meeting Board discussion. I.

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SustiNet Board of Directors

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  1. SustiNet Board of Directors December 2, 2010 Anya Rader Wallack Katharine London Linda Green Stan Dorn

  2. Agenda for today • Summary of board member input on core SustiNet design choices • Brief recap of cost and coverage estimates from November 18 meeting • Board discussion

  3. I. Board member input

  4. Areas of strong agreement • State employees, retirees, Medicaid and HUSKY should be in SustiNet • Basic Health Plan implementation • Build on current board, rather than recreating • Add stakeholders and specific expertise to the board • Maximize federal HIT funding • Encourage but not require PCMH • Implement evidence-based guidelines • Pursue multi-payer reforms • Make public health investments (but differences on whether it is a SustiNet or state/local responsibility)

  5. Area of disagreement #1: offering SustiNet to other employers and individuals • Majority support for expansion to municipalities • Some strong support for expansion to other groups and individuals • Some strong expression of caution, need for more information and experience

  6. Area of disagreement #2: HUSKY eligibility and access • Some support HUSKY expansion before 2014, some oppose due to state fiscal situation • Some support increased HUSKY reimbursement, others oppose

  7. Area of disagreement #3: SustiNet structure • More support for • Quasi-governmental agency run by an independent Board, focused on operating the SustiNet health plan, contracting with DSS and Comptroller • SustiNet Board accountable to political leadership, operates SustiNet health plan and helps guide relevant DSS and Comptroller decisions • Least support for superagency overseeing DSS and Comptroller, with Board advising superagency head • Tension: desire to buffer from politics versus desire for strong political leadership

  8. Other observations • Differences were less ideological than practical • Many board members did not have strong opinions on design choices and were open to persuasion

  9. II. Recap of cost and coverage estimates

  10. Incremental effects of various policy elements: 2017 Note: net state spending totals include both outlay and revenue effects.

  11. Net effects of various policy combinations: 2017 Note: net state spending totals include both outlay and revenue effects.

  12. III. Board discussion

  13. What will the Board recommend to the Legislature? • Areas of strong agreement • Areas of disagreement • Offering SustiNet to other employers and individuals • HUSKY eligibility and access • SustiNet structure • Second-order questions

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