Health Care Cost Analysis Task Force December 6, 2019 4600 S Ulster St, Suite 300, Denver
1176 Task Force - Agenda, 12/6/19, 3-430p 4600 S Ulster St, Suite 300 Denver TOPIC ACTION Presenter Agenda Approve Mitzi Minutes , 11/22/19 Approve Carrie Projects • Discuss • Tom Marks, HMA • Level setting knowledge • Approve • Monica / Michelle • DQ for Scoping and Planning • Discuss • Monica • DQ or RFP for Cost Analysis Task Force • Update • Lauren • New Member • Approve • Mitzi • “Rules of Engagement” • Distribute • Lauren • Contact List • Discuss • Mitzi • Meeting Schedule / Calendar of Events Next Meeting: 12/20, 3-430p, TBD. 2020 Mtgs, 3p-430p: 1/3, 1/17, 2/7, 2/21, 3/6, 3/20, 4/3, 4/17, 5/1, 5/15, 6/5, 6/19, 7/3, 7/17, 8/7, 8/21, 9/4, 9/18, 10/2, 10/16, 11/6, 11/20, 12/4, 12/18. 2021 Mtgs: 1/15, 2/5, 2/19, 3/5, 3/19, 4/2, 4/16, 5/7, 5/21, 6/4, 6/18, 7/2, 7/16, 8/6, 8/20, 9/3.
HB19-1176 Health Care Cost Savings Act of 2019 Phase 1 Phase 2 Phase 3 FORM ASK / LEARN EVALUATE / RECOMMEND Sep 2019 – Dec 2019 Jan 2020 – Aug 2020 Sep 2020 – Aug 2021 • Education needed? • By ??? , receive analysis Create Task Force Materials? Speakers? • “ Norm ” (bylaws, meetings • By Jan 1, 2021 : report • By ???, create & post RFP / dates/locales, action between preliminary findings to meetings, contact info) DQ for Cost Analysis General Assembly (introduce • Level set knowledge of analyst, method/process, explain next • By ???, select & engage health care costs, identify steps) entity for Cost Analysis desired info . What has been • By Sep 1, 2021 : submit final done in CO? Elsewhere? • Fundraise report with all findings to By Oct 1, issue basic RFP General Assembly • Stakeholder meetings (3) • Create DQ Scoping / Planning DQ FY20: $92,649 ($5,200 task force travel; $87,449 analysis) - $5,000 Level setting FY21: $92,649 ($5,200 task force travel; $87,449 analysis)
Dec 6: Receive materials Level Set Knowledge Jan 3: Discuss, determine what more is needed Product from HMA Goals: • 16 articles / studies with summaries or abstracts • Resources to help us achieve a common basic understanding of (3 “key findings” recaps added by HMA) • 1 video health care costs, systems • link to a website for each resource • Manageable • • Unbiased – or at least balanced PDFs • Organized as follows: (identify key arguments for and against 1. Background and overview – U.S. Healthcare System each option) 2. Background and overview – Colorado • Estimate the fiscal cost and other 3. State-level universal health care initiatives impacts (quality, access, & equality) 4. Single payer systems – pros and cons, and design features 5. Cost of universal health systems 6. Comparisons of U.S. to models in other countries https://www.healthmanagement.com/ https://www.healthmanagement.com/our-team/staff-directory/name/tom-marks/
DQ for Scoping & Planning Dec 9: Release S/P DQ Jan 1: Receive responses Section 4.1 Organizational Experience (p 8) Jan 3: Task Force chooses contractor • Are we missing any critical experience? ? Feb 7: Receive final S/P ? Feb 21: Release CA DQ/RFP • Relevant experience w/in last 3 years • Experience creating an analysis plan • Project management spanning multiple disciplines and organizations • Formal facilitation and presentation experience Section 5.7.4 Compensation (p 24) • What is a reasonable compensation rate? Section 5.2 Contractor Scope of Work (p 17) • $25,000 or less • Any concerns or missing content? • Scoping meeting • Facilitate discussion on expected task Section 9.4 Proposal Evaluation Criteria (p 35) force decisions • Are we missing criteria required to evaluate • Further define 3 health care financing potential contractors? systems • Should the criteria be weighted equally? • Capabilities Assessment • 25% Responder’s organizational experience • Project Plan & Cost Estimate • 25% Completion timeline • History and Background • 25% Sufficient experienced personnel • Recommended approaches • 25% Work plan • Risks • Quality Criteria/E&M • Analysis Plan • Stakeholder Facilitation Plan
DQ or RFP for Cost Analysis TBD will be shaped by results of Scoping and Planning DQ
“Rules of Engagement” MEETINGS AGENDAS • 3-4:30p • Distribute to task force 24 hours in advance. 1 st & 3 rd Friday of the month • • Post to website 24 hours in advance. • Set location with audio, visual, call-in ‒ near Capitol during session QUORUM ? At least ? meetings per year “in community” • Required to take action. • 7 of 13 members (in person or by phone). ? Proxies or delegates – we are appointed members ? Chronic absenteeism VOTING • If quorum met, 51% majority. • Removal of task force member, super majority = 2/3rds of all members. (HB1176, page 4 says “majority”) • Email voting – record in next meeting’s minutes. ? Chair (or support staff) text to prompt when email input needed ? Goal is to give at least 24 hours to offer input MINUTES • Record high level summary of discussion, action (motions, seconds, voting), and next steps. • Distribute with agenda 24 hours in advance of immediate next meeting. • Approve at immediate next meeting. • Post to website after approved.
12/6/19
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