State Coverage Initiatives
An initiative of The Robert Wood Johnson Foundation



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Workshop for State Officials: Creative Strategies in Challenging Times, July 17-18, 2003, W Chicago City Center

Sponsored by The Robert Wood Johnson Foundation's State Coverage Initiatives program
Conducted by AcademyHealth

Thursday, July 17, 2003

7:45 - 8:45 a.m.
Registration and Continental Breakfast

8:30 - 8:45 a.m.
Session 1. Welcome and Conference Overview

Presenter:
Pamela S. Dickson
Senior Program Officer
The Robert Wood Johnson Foundation

8:45 - 9:15 a.m.
Session 2. State of the States: Mid-term Report

Presenter:
Vickie Gates
Director, State Coverage Initiatives
Vice President, AcademyHealth
SLIDES

  • Overview of current state budgets, coverage programs and outlook in the near future and long-term

9:15 - 10:45 a.m.
Session 3. Panel Discussion on National Health Care Reform: Are We at a Crossroads or a Cul-de-Sac?

Facilitator:
W. David Helms
President/CEO
AcademyHealth

Panelists:
Matt Salo
Legislative Director, Health Policy Studies
National Governors' Association

Julie James
Principal
Health Policy Alternatives, Inc.

John Holahan
Director, Health Policy Center
The Urban Institute

  • Overview of the major health care issues on the federal agenda: Medicaid reform, Medicare drug benefit, tax credits, and malpractice.
  • Discussion of implications for states given the set of legislative uncertainties they face.

10:45 - 11:00 a.m.
Break

11:00 - 12:15 p.m.
Session 4. Premium Assistance Programs: Is There a Return on Investment for States?

Moderator:
Claudia Williams
President
AZA Consulting - Health Policy Analysis & Solutions
SLIDES

Panelists:
Kate Brewster
RIteShare Employer Contact Unit Manager
Rhode Island Department of Human Services
SLIDES

Jane Longo
Chief, Bureau of KidCare
Illinois Department of Public Aid
SLIDES

  • Review of findings from SCI small group consultation on state ESI programs: what is the state-of-the-art?
  • Discussion of the unresolved policy issues concerning the impact and cost-effectiveness of ESI programs.

12:15 - 1:15 p.m.
Lunch

1:15 - 2:30 p.m.
Session 5. Benefit Design: Building, Cutting, and Implementing

Moderator:
Isabel Friedenzohn
Associate
AcademyHealth

Presenters:
Rod Betit
Executive Director
Utah Department of Health
SLIDES

Brian Sullivan
Vice President
Small Group Insurance
Wellpoint
SLIDES

Joseph Thompson
Principal Investigator
Arkansas Center for Health Improvement
SLIDES

  • How bare-bones benefit packages are faring in the private market
  • Utah's Primary Care Network one year after implementation
  • Profile of Arkansas' HIFA waiver proposal: commercial benefits and federal match on employer contributions

2:30 - 2:45 p.m.
Break

2:45 - 4:00 p.m.
Session 6. The Private Insurance Market: New Answers to the Same Questions?

Moderator:
Jeremy Alberga
Senior Associate
AcademyHealth

Presenters:
Deborah Chollet
Senior Fellow
Mathematica Policy Research, Inc.
SLIDES

Mila Kofman
Assistant Research Professor
Institute for Health Care Research and Policy
Georgetown University
SLIDES

Steve Larsen
Former Maryland Insurance Commissioner

  • New research on consolidation of state insurance markets
  • Update on Association Health Plans (AHPs) legislation and its potential impact on states
  • Regulation, competition and conversions: The view from the states

4:00 - 4:45 p.m.
Session 7. Group Discussion: Debrief of the Day

Moderator:
Alan Weil
Director, Assessing the New Federalism
The Urban Institute

  • Recap of major themes
  • How does this relate to your state's situation?

4:45 - 5:30 p.m.
Break

5:30 - 6:30 p.m.
Reception and Light Buffet

Friday, July 18, 2003

8:00 - 9:00 a.m.
Session 8. Breakfast Roundtables

  • Improving Medicaid data and administrative systems
  • Bush Administration's Medicaid Reform Package
  • Dual-eligibles
  • Impact of coverage cuts on safety net

9:00 - 10:15 a.m.
Session 9. State Strategies for Managing High-Cost Populations

Moderator:
Ben Wheatley
Senior Manager
AcademyHealth
SLIDES

Presenters:
Barbara Brett
Executive Director
CoverColorado
SLIDES

Steve Landkamer
Project Manager, Center for Delivery Systems Development
Wisconsin Department of Health and Family Services
SLIDES

  • Applying disease management strategies within state high risk pools
  • Addressing the challenges of the dual-eligible population
  • Recent trends in Medicaid disease management

10:15 - 10:30 a.m.
Break

10:30 - 11:45a.m.
Session 10. Evidence-Based Coverage and Purchasing

Moderator:
Vickie Gates
Director
State Coverage Initiatives

Presenters:
Steve Wetzell
The LeapFrog Group
SLIDES

Ree Sailors
Executive Policy Advisor,
Washington State Office of Financial Management
SLIDES

  • Short term applicability and long-term vision
  • Strategies for transforming programs by implementing evidence-based strategies
  • Where is the private market heading?

11:45 - 12:05 p.m.
Session 11. The Robert Wood Johnson Foundation and States: Future Partnerships for Coverage

John Lumpkin
Senior Vice President
Health Care Group
Robert Wood Johnson Foundation

  • Synthesis of the common themes and emerging issues from this workshop.
  • Audience participation in discussion of next steps for states.

12:05 - 12:45 p.m.
Session 12. Group Discussion: Where Do We Go from Here?

Moderator:
Alan Weil
Director, Assessing the New Federalism
The Urban Institute

12:45 p.m.
Adjournment (box lunches available upon request)

AcademyHealth AcademyHealth is the national program office for SCI, an initiative ofThe Robert Wood Johnson Foundation
1801 K St, NW Suite 701-L, Washington, DC 20006sci@academyhealth.org