NBCH All-Member Meeting
June 28, 2016 Chicago, Illinois
Meeting June 28, 2016 Chicago, Illinois WELCOME & OPENING - - PowerPoint PPT Presentation
NBCH All-Member Meeting June 28, 2016 Chicago, Illinois WELCOME & OPENING REMARKS Agenda 8:30 Welcome and Opening Remarks Karen van Caulil Mike Thompson 9:00 NBCH Initiatives and Priorities Mike Thompson Highlights of Member
NBCH All-Member Meeting
June 28, 2016 Chicago, Illinois
8:30 Welcome and Opening Remarks Karen van Caulil Mike Thompson 9:00 NBCH Initiatives and Priorities Mike Thompson
10:15 Break 10:30 Member Round Robin (3 minute highlights!) Coalition Leaders/Staff
12:00 Lunch 1:00 Future Potential Member Coalition Collaborations Open Discussion
2:30 Summary and Close Mike Thompson
Improve Health, Well-being and Value in our Companies and our Communities
regional coalitions across the country
“national stakeholders” – help us to be more than the sum of the parts
collective interface with national stakeholders
companies and communities
sustainable business model
and stakeholders
across the country
significantly by geography
and nature of market
about the future
few years
stakeholder relationships and engagement
see more “value-add” to coalitions beyond networking
General Support for NBCH Coalitions are Seeking more value-add beyond networking
Size of Employer (Number of Employees) Estimated Number of Employers Estimated Number of Individuals Covered
<500 11,080 3,450,000 500-1000 480 860,000 1000-5000 360 2,950,000 5000-10,000 190 3,040,000 10,000+ 260 31,190,000 TOTAL 12,370 41,480,000 Our Estimated Aggregate Impact
NEBGH small business PIX
coalitions succeed with Value Based Purchasing models
forms:
(SC Medicaid, Covered CA)
(e.g. Walmart, Boeing, FedEx)
“Typical” Breakdown of Revenue
Membership Dues Affiliate Dues Conferences/Education Coalition Provided Services Network Access Fees Pharmacy Revenue Other Service Access Fees Rx Grants Non- Rx Grants Other
39%
9% 8%
4% 3% 7% 7% 7%
39% 11%
11% 9%
5%
8% 4% 3% 5% 7% 7% 7%
0% 5% 10% 15% 20% 25% 30% 35% 40%
Largest Coalitions Smallest Coalitions
Sources of Revenue – Largest vs Smallest Coalitions
their coalition for 5 years or less while about a third have worked at the coalition for over 15 years.
groups of employers who were motivated to stem
the tide of health care costs and improve quality and health
when they have been able to demonstrate:
forces
been:
Major Turning Points for Coalitions were Demonstrated Results
their service area as “national”.
million people.
0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0%
501(c)(3) 501(c)(6) For profit (please specify)
three or fewer FT people on staff.
represent about 170 full-time staff and another 40 part-time staff.
ad hoc basis or to support:
Collectively we represent about 170 full time staff & 40 part time staff across the country!
Coalitions offered that their resources could be leveraged by NBCH or other coalitions in the following areas:
and legislatures
Educational programs
97.6%
Community health related collaboratives
85.4%
Annual conference
78.0%
Peer roundtable
65.9%
Employer based patient education
65.9%
Public reporting on health care services
56.1%
Hospital level quality programs
51.2%
Consulting for members
48.8%
Structured learning collaboratives
46.3%
Wellness, prevention or chronic disease management
43.9%
Pharmacy network
39.0%
Data warehousing
36.6%
Policy advocacy/Lobbying
34.1%
Physician level quality programs
26.8%
Carrier contracting or negotiations
22.0%
Provider network (independent from carrier)
19.5%
Vision or Dental programs
17.1%
Provider round table advisory group
14.6%
Health system access (independent from carrier)
14.6%
Behavioral health network or EAP
14.6%
Employer sponsored health clinics
9.8%
Stop loss coverage
7.3%
TPA services
4.9%
Utilization review or case management
2.4%
At least two out of three coalitions
education
health collaboratives Types of Services Offered
Areas of support that coalitions would value from NBCH and other coalitions included support related to.
evaluations
participate in"
influence
directors
across all markets"
0% 10% 20% 30% 40% 50% 60% 70% 80%
Mental Health Care coordination (example: readmission) Innovator / Vendor Evaluation Provider contract modification (eg never events ) Medical provider contracting ACO readiness or operation Population health Specialty Pharmacy Management Leveraged / Group Purchasing Payment reform or alternative payment models Community based population health Community level education programs Value based benefit/insurance design Value based purchasing
Focus of Key Coalition Initiatives Today
Special initiatives being considered in future related to:
How NBCH & Other Coalitions can help on Special Initiatives
challenges and solutions, resources & road maps
payment reform guidance, employee communication materials
membership)
Collaborate To Accelerate & Optimize Success
an NBCH Member are to be part of a great network of talented peers with a shared mission and to learn from other coalitions.
efforts of the local coalitions and support coalition efforts to evolve, align and guide purchasers.
education are valued.
funding sources is also important.
voice to create market change and participate in key national initiatives
NBCH Key Benefits
Innovator Showcase
conference as innovators in a relevant area
stage (ie not a breakout).
being highly condensed and audience being highly engaged.
Innovator Hall
established in August)
shared with the NBCH coalitions across the country.
broadly across the employer community.
its performance studies - NBCH will share those results with the coalitions.
What is it?
accreditation and HEDIS/CAHPS performance on key measures
based best practices, percentile ranking; subset are verified
provides ability to benchmark regionally and nationally
performance improvement
across markets
72.2% 70.9% 55.9% 49.3% 18.2% 0% 10% 20% 30% 40% 50% 60% 70% 80% 2012 2011 2010 2009 2008
BCBS HMO: Provider Management 2008-2012
What it does?
consistent, evidence-based, employer-verified priorities for health plan performance
across geographic boundaries
improvement
Sets Consistent, Evidence-based Employer Priorities On Performance
What topics does it cover?
(NCQA, URAC)
physician, hospitals) – eg cost and quality information
eg cost and quality information
and Cardiac Care
patients
and reporting
(including Hospital Safety)
monitoring
Use
Obesity
HEDIS
family support)
Outcomes - CAHPS
(incl. alcohol, opioids)
sections)
How has it been used?
Who has used it?
Coalitions and consultants
eValue8 2016 eValue8 2015 Past Users
MABGH *HC21 *MBGH (Memphis) NEBGH PBGH (Pittsburgh) PBGH
*CBGH *LVBCH MABGH NEBGH PBGH (Pittsburgh) PBGH *VBCH Health Action Council Employers Health FLHCC MBGH (Midwest) Minnesota Heath Action Group Oregon Coalition of Purchasers RIBGH
Coalition Watson Wyatt
*On a rotation schedule
Who has used it?
Others
and for Contract Compliance
delivery system reform and payment reform efforts
race/ethnicity/language
status of payment reform
Additional Recent Opportunities
eValue8 pharmacy assessment
priorities and drive plan performance
Potential Future Directions
start by showing results from eValue8 or from Action Briefs
Background
companies and our communities
into a “wellness mind set” by current constituents
strategic objectives for NBCH and coalitions
coalitions – employers, communities, healthcare delivery
space to help scope path forward
Well-being”
Potential Benefits
determinants of health
Our Mission
Be a recognized, leading voice advocating for and demonstrably improving the well-being of individuals and their families through and to the benefit of employers, communities and healthcare delivery.
Our Focus
Support and enable people to thrive in every facet of their lives and perform to their fullest potential, through a whole person focus
Our Objectives
to individual and societal well-being, both in the US and globally.
validity.
cultures, programs and initiatives.
to stakeholders and sustains our collective success.
Our Approach
stakeholders to advance the well-being agenda.
academic in nature – with practical and adaptable approaches to accelerate success.
engage and execute down, across and up in an
diversity of entry points and sponsors.
personal.
the many and leverage the employer coalitions when and as appropriate.
Our Stakeholders
Employers – All stakeholders within the
employer will need to be considered, including: the CEO, the CHRO, other C-Suite leaders, functional owners of critical areas; operations, line management, unions, talent, benefits, learning and development, organizational development, diversity and inclusion, staffing, and
well-being, non-US stakeholders will be sought and engaged in our activities.
Others – As part of their well-being focus,
employers and their employees will increasingly influence and engage with community sectors including civic leaders, non-profits, educators, healthcare providers and others.
conversation and activities of the Initiative.
upon agreed upon key outcomes measures and their drivers
determine value of achieving those standards
critical eye to all content
research
upon agreed upon key outcomes measures and their drivers
determine value of achieving those standards
and needs of each stakeholder group
approach
undertakings to make them more powerful and relevant in well-being change
coalitions.
shaping the documents these groups are creating.
guide, webinars and roadshow).
purchaser guide has been overwhelmingly positive.
with purchaser and business coalitions
support if we could obtain additional resources.
Council:
dissemination and implementation support
stamp of approval”
PVN Advisory Council
Alex Billioux, CMMI Eric Dahms and Hope Kragh, Anthem Laurel Pickering, NEBGH Dorothy Teeter and Rachel Quinn, Washington Health Care Authority Mike Thompson, NBCH Cristie Travis, MBGH (Memphis) Sally Wellborn, Walmart Jeff White, The Boeing Company
Goal:
while also providing support for best practices identification, toolkit development, dissemination and initial support.
A Potential Collaborative Funding Model (proposed by PBGH):
source for regional business coalitions that can obtain funding from state or local sources.
portion would provide financial support to the PVN and NBCH for their roles in toolkit development and dissemination.
would provide a matching grant for the NEBGH for a maternity initiative funded by the New York State Health Foundation.
SAVE THE DATE
21st ANNUAL CONFERENCE High Value Health: Making the Dream a Reality
Hilton Orlando lake Buena Vista September 26-28, 2016
www.nbch.org
A Message from the President and CEO
We are revitalizing NBCH's mission to improve health, well-being and value in
to be an exceptional spotlight on that commitment and will highlight the best of
that will influence the next decade of our journey. The sessions will present diverse perspectives and practical approaches that are delivering or show promise to achieve meaningful, measurable and value-based change in our collective health and well-being. Agenda Topics Include:
Designs
And many more...To view the full agenda, click the link below
high-level discussion of issues important to coalition members and to all major parties in health care — purchasers, providers, insurers, and suppliers (including advisors).
coalition members, and others (e.g. coalition employer members) on relevant topics of interest to multiple stakeholders at our two annual meetings and on an ongoing basis as appropriate.
together to achieve the triple aim
chain accelerator – what is key to make this work
place
industry