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 open meetings law. ‐ Committees are non ‐ voting bodies and will not make recommendations to the Board.
Roles and Relationships Legislature ‐ Provide the study vendor with input based ions on diverse perspectives and experience on diverse perspectives and experience Recommendat Formal ‐ Look critically at the analyses provided by the study vendors to inform their discussions on each topic of study Exchange Board ‐ Internally vet the options available and nsive identify pros and cons regarding each option identify pros and cons regarding each option t Comprehe Repor ‐ Assist in development of options paper for each legislative study Exchange Board Staff Provide experiential support Advisory Study Vendor Committee Provide analytic support
Operating Model and Insurance Rules Advisory C Committee i Member Name Member Name Uma Ahluwalia John Miller Paul Nicholson Saliann Alborn 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 8/16 ‐ 9/20 9/20 ‐ 11/15 11/15 ‐ 12/22 Contracting Market Rules and 7/18 ‐ 8/16 8/16 ‐ 11/15 11/15 ‐ 12/22 Risk Selection 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 Floyd Hartley Nancy Bond Leigh Cobb Yngvild Olsen Christopher Culotta Richard Reeves Michael Cumberland Alma Roberts Jay Duke Jan Ruff ff Mary Lou Fox Deborah Trautman Stephanie Golden Stephanie Golden Cassandra Umoh 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 • Consider how the Exchange should conduct its C id h h E h h ld d i 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 Public Relations and d 8/23 ‐ 9/20 9/20 ‐ 11/15 11/15 ‐ 12/22 Advertising 7/11 ‐ 8/15 8/15 ‐ 11/15 11/15 ‐ 12/22 Navigator 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 Committee i Member Name Member Expertise or Specialty Area Eric King Shawn Brashears Kenneth Capone Mary Kivlighan Marilyn Koss Lee Diemer 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 of 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 7/5 ‐ 8/16 8/16 ‐ 11/15 11/15 ‐ 12/22 SHOP 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 description, provided for illustrative purposes only. i ti id d f ill t ti l
Timeline Timeline Fi Finance and d 8/23 ‐ 9/20 9/20 ‐ 11/15 11/15 ‐ 12/22 Sustainability 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 – Ability to troubleshoot, voices concerns of Abili bl h i f committees to Board (and vice versa) – Serves as resource to the committee chair S t th itt h i
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 on the committees, structure, and rosters that on the committees, structure, and rosters that reflect decisions in the 2012 session
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