Reminder: Center Call Agenda, Tuesday December 15th, 3:00PM EST

Center to Promote Public Payer Implementation
Tuesday, December 15, 2009
3:00pm-4:00pm, EST
Call in number: 712.432.3900   Code -  471334#    Moderator/Speakers - *406354

Please press *6 to mute your line and *7 to unmute.
(Moderators/Speakers use #0 to mute all participant lines and #1 to unmute.)

Call Agenda

I. Introductions

Co-Chairs: Terry McInnis, GlaxoSmithKline; Allen Dobson, North Carolina Department of Health and Human Services, retired; Donna Lichti, Pfizer Health Solutions; Gary Jacobs, Universal American Corp.; Lesley Reeder, Colorado Department of Health Care Policy and Financing
PCPCC Executive Director: Edwina Rogers
 
II. Legislative Activity Update - Roy Ramthun, President, HSA Consulting
 
Roy Ramthun, President of HSA Consulting, will give an overview on high risk insurance pools and the variety of roles they may play to support states in implementing elements of health care reform. He will also talk about models for care management of very high risk clients.  You can find more information and background on Mr. Ramthun, by clicking here.
 
III. NASHP Update
IV.  Medication Management update
V. Federal Health Reform update
VI. Other Items, Wrap-up and Next Agenda

Next call is: Tuesday January 19th, 2009; 3:00 PM EST

Resources
Center to Promote Public Payer Implementation Website
http://www.pcpcc.net/content/center-promote-public-payer-implementation

Purchasers Guide: http://www.pcpcc.net/content/purchaser-guide
Pilot Guide: http://www.pcpcc.net/content/pcpcc-pilot-projects
 

 

Deliverables' Timeframe

Goal/Deliverable

Estimated Resources Required

Inform callers on “hot topics,” such as:

–        Return on investment projections

–        Health information technology infrastructure

–        Best practices for care coordination

–        Help navigating new federal legislation with regard to effect on Medicaid and SHIP programs

–        Identifying federal funding opportunities

 

CPPI leadership time; staff support; recruiting speakers for calls

More information on the publicly funded world

-     Private client/Investment Drives

-     How does Stimulus fund match state funding to clinics, how can this engage state and private insurance

-     How can we plan hospital investments on Meeting new patients needs in underserved areas (places of disparity)

-     Where are the medical homes from the legislature aspects? How is it going forward?

CPPI leadership time; staff support; recruiting speakers for calls

What is the Defense Military Perspective?

-     Some of these things are already paid for by the VA

-     Questions about how to see where there is overlap in the State Department

PCPCC staff time investigating speakers; CMD leadership time

Address the many permutations of payment reform seen in Medicare RUC recommendations, state Medicaid and SCHIP programs as well as other reimbursement methodologies related to supporting PCMH. This includes:

-     FFS Medicare, reimbursement that pays for quality of quantity

-     What are the pay-fors for demonstration projects?

-     Rural areas- how do you define meaningful care in these areas.

-     What are the resources necessary to become a medical home

CPPI leadership time; PCPCC research; recruiting speakers for calls; NASHP support

Advocating for PCMH model in Federal and State programs

-     Support states in developing legislation

-     Support PCMH Medicare demonstration pilot

-     Foster Medical Homes as a key element of Health Reform

Support from PCPCC in lobbying efforts at federal level; CPPI leadership time

Continue Medication Management Taskforce

      - Regular calls with all stakeholders

      - Develop Comprehensive Medication Management in the   PCMH Guide as PCPCC Publication

CPPI leadership time, staff and resources for guideline development publication

Develop and implement a process for seeking feedback on the CPPI calls so that they will continue to provide the participants with relevant and timely information*

CPPI leadership time; staff support

Update the CPPI portion of the PCPCC website to more accurately reflect the goals and expected deliverables of the CPPI, including the implementation of some interactive sections to better engage participants, if feasible

Staff support; limited CPPI leadership time