Advisory Process Committee Advisory Process Committee - - PowerPoint PPT Presentation

Advisory Process Committee Advisory Process Committee Recommendations

Jennifer Goldberg Tom Saquella June 27 2011 June 27, 2011

Recommendation and Responsibilities

‐ Establishment of 4 initial Committees organized around legislative studies around legislative studies ‐Comprised of diverse perspectives and expertise as defined b enablin le islation as defined by enabling legislation ‐ Each meeting to include opportunities for public engagement; each meeting subject to

• pen meetings law.

‐ Committees are non‐voting bodies and will not make recommendations to the Board.

Roles and Relationships

‐Provide the study vendor with input based

• n diverse perspectives and experience

Legislature ions

• n diverse perspectives and experience

‐Look critically at the analyses provided by the study vendors to inform their discussions

Formal Recommendat

• n each topic of study

‐ Internally vet the options available and identify pros and cons regarding each option

Exchange Board nsive t

identify pros and cons regarding each option ‐Assist in development of options paper for each legislative study

Exchange Comprehe Repor Board Staff Advisory Committee Study Vendor Provide analytic support Provide experiential support

Operating Model and Insurance Rules Advisory C i Committee

Member Name Member Name Uma Ahluwalia John Miller Saliann Alborn Paul Nicholson Jonathan Anders Mark Sucoloski Virginia Anderson Tequila Terry Vincent DeMarco Sally Tyler Ken Hunter Susan Wood Laura Howell Kevin Yang Aaron Kaufman Charles Yarborough Cristina Meneses

Scope of Work Scope of Work

• Legislative Studies: Operating Model,

Legislative Studies: Operating Model, Insurance Market Rules

• Consider the feasibility and desirability of the

Consider the feasibility and desirability of the Exchange engaging in selective contracting and multistate or regional contracting

• Consider the rules under which health benefit

plans should be offered inside and outside of the Exchange, including risk selection, reinsurance, and risk corridors

Note: The scope of an advisory committee’s work includes all the study provisions within a particular legislatively mandated study. It is not limited to the above summary description, provided for illustrative purposes only.

Timeline Timeline

Contracting

8/16‐9/20 9/20‐11/15 11/15‐12/22

Market Rules and Risk Selection

7/18‐8/16 8/16‐11/15 11/15‐12/22

July August September October November December Procurement Advisory Committee Analysis and Options Development Advisory Committee Analysis and Options evelopment Board Develops Recommendations

Navigator and Enrollment Advisory Committee Navigator and Enrollment Advisory Committee

Member Name Member Name Nancy Bond Floyd Hartley Leigh Cobb Yngvild Olsen Christopher Culotta Richard Reeves Michael Cumberland Alma Roberts ff Jay Duke Jan Ruff Mary Lou Fox Deborah Trautman Stephanie Golden Cassandra Umoh Stephanie Golden Cassandra Umoh Toby Gordon Ellen Weber Thomas Grote Thomas Grote

Scope of Work Scope of Work

• Legislative Studies: Navigators and Consumer

Legislative Studies: Navigators and Consumer Assistance, Communications and Marketing

• Consider the design and operation of the
• Consider the design and operation of the

Exchange’s Navigator Program and any other appropriate consumer assistance mechanisms appropriate consumer assistance mechanisms, including user experience C id h h E h h ld d i

• Consider how the Exchange should conduct its

public relations and advertising campaign

Note: The scope of an advisory committee’s work includes all the study provisions within a particular legislatively mandated study. It is not limited to the above summary description, provided for illustrative purposes only.

Timeline Timeline

P bli R l ti d Public Relations and Advertising

8/23‐9/20 9/20‐11/15 11/15‐12/22

Navigator

7/11‐8/15 8/15‐11/15 11/15‐12/22

July August September October November December Procurement Advisory Committee Analysis and Options Development Advisory Committee Analysis and Options evelopment Board Develops Recommendations

Small Business Exchange (SHOP) Advisory C i Committee

Member Name

Member Expertise or Specialty Area Shawn Brashears Eric King Kenneth Capone Mary Kivlighan Lee Diemer Marilyn Koss Joseph Enoch Cindy Otley John Fleig Camilla Roberson Jon Frank Bill Scarafia Bradley Herring William Simmons Manny Hidalgo Deborah Stallings Kindra Ingram

Scope of Work Scope of Work

• Consider options for the design and function

Consider options for the design and function

• f the SHOP Exchange, including:

– Defined contribution/employee choice and – Defined contribution/employee choice and traditional employer choice models – Merging individual and small group market Merging individual and small group market – Availability of SHOP Exchange for employers with 50 to 100 employees prior to 2016 50 to 100 employees prior to 2016

Note: The scope of an advisory committee’s work includes all the study provisions within a particular p y y p p legislatively mandated study. It is not limited to the above summary description, provided for illustrative purposes only.

Timeline Timeline

SHOP

7/5‐8/16 8/16‐11/15 11/15‐12/22

July August September October November December Procurement Advisory Committee Analysis and Options Development Advisory Committee Analysis and Options evelopment Board Develops Recommendations

Financial Sustainability Advisory Committee Financial Sustainability Advisory Committee

Member Name Member Name Nathan Brown John O'Donnell Russ Causey Leni Preston Matt Celentano Stephanie Reid Alvin Helfenbein Mike Robbins Julie Huggins Tara Ryan Dushanka Kleinman Randolph Sergent Sheila Mackertich Jagdeep Singh Michael McHale Ronald Wineholt Miguel McInnis Miguel McInnis

Scope of Work Scope of Work

• Consider options for the Exchange to be self‐

Consider options for the Exchange to be self sustaining by 2015, including

– User fees licensing fees or other assessments – User fees, licensing fees, or other assessments – Plans to prevent fraud, waste and abuse

Note: The scope of an advisory committee’s work includes all the study provisions within a particular legislatively mandated study. It is not limited to the above summary d i ti id d f ill t ti l description, provided for illustrative purposes only.

Timeline Timeline

Fi d Finance and Sustainability

8/23‐9/20 9/20‐11/15 11/15‐12/22

July August September October November December Procurement Advisory Committee Analysis and Options Development Advisory Committee Analysis and Options evelopment Board Develops Recommendations

Next Steps Next Steps

• Advisory Process Committee to Recommend

Advisory Process Committee to Recommend Committee Chair

• Identify Board Liaison for each committee:
• Identify Board Liaison for each committee:

– Serves as a conduit to committee Abili bl h i f – Ability to troubleshoot, voices concerns of committees to Board (and vice versa) S t th itt h i – Serves as resource to the committee chair

Structure of Proposed Resolution Structure of Proposed Resolution

• Adoption of recommendations by the Advisory

Process Committee on the proposed committees and rosters

• Resolution sunsets on June 30, 2012, thereby

concluding these advisory committees (related g y to the legislative studies)

• By June 30, 2012, the Advisory Process

By June 30, 2012, the Advisory Process Committee will present a new recommendation

• n the committees, structure, and rosters that
• n the committees, structure, and rosters that

reflect decisions in the 2012 session