RAY HANLEY CEO, Arkansas Foundation for Medical Care 1020 West 4 th Street, Suite 300 Little Rock, Arkansas 72201 501-765-1451 Cell EDUCATION BA in Business & Economics Ouachita Baptist University, Arkadelphia, Arkansas 1973 CAREER EXPERIENCE Arkansas Foundation for Medical Care Aug 2010-Present President & Chief Executive Officer I am responsible for the overall corporate strategy through strategic and operational plans of the 42 year old company employing 300 professionals. I oversee the design, marketing, promotion and delivery of programs, products and services. My role is to assure the organization and its mission, programs, products and services are consistently presented in a strong, positive image to relevant stakeholders, clients and the community at large. AFMC (a Quality Improvement Organization – QIO) promotes excellence in health and health care through education and evaluation. AFMC clients include Arkansas Medicaid Program, Department of Health, Arkansas Insurance Department, and several private firms. June 2011 – 2014 Board of Directors, American Health Quality Association (AHQA) E lected by my QIO colleagues to sit on the board of directors for the national trade association. Hewlett Packard Enterprise Services Client Industry Executive, State Health & Human Services Jan 2003-Aug 2010 After 28 years of public sector work in human services I joined EDS (acquired by HP in 2008) the nations leading technological support contractor, for state health care programs. As the Client Industry Executive for State Health & Human Services Business, I represented HP in a variety of venues, including consulting, speaking engagements, and procurement work, to help the company support state governments in managing their Medicaid and human services programs. My work encompassed IT, developing teaming relationships with other companies, including disease management/care coordination firms, consulting with state clients and extensive work in healthcare cost containment. I assumed a part of the leadership in developing strategic planning for the business approach to healthcare reform in the government space. Selected as the EDS Global Client Industry Executive of the year 2007 for my work in healthcare on behalf of the company and its customers around the country. 1994-2003 Director, Arkansas DHS Division of Medical Services With a departmental reorganization I was appointed to lead the agency charged with administering the state's Medicaid program, the states SCHIP program and the nursing home survey and certification program. In this capacity I oversaw a staff of some 250 employees and a budget of $2.5 billion a year. During this time I lead the creation of nationally recognized programs such as the ConnectCare Medicaid Managed Care program, 1997 winner of the Ford Foundation's Innovations in American Government Award. The program was one of ten winners out of a field of 1,600 entries nationwide. Other accomplishments included overseeing the development and implementation of AEVCS, among the health care industries most rapid and efficient Automated Eligibility Verification & Claims Systems. I led the creation, implementation and management of the nationally recognized ARKids First program which in two years has enrolled some 50,000 previously uninsured children, blending them into the medical homes of the existing, very successful ConnectCare Medicaid managed care program. I was a frequent speaker/presenter at conferences around the nation on Medicaid, pharmacy, managed care and applied use of information technology.
Ray Hanley, October 2017 Page 2 of 2 Chairman, National Association of Medicaid Directors (NAMD, formerly National Association of State Medicaid Directors, NASMD) May 2002 — 2003 E lected by my Medicaid Director colleagues to lead the National Association of State Medicaid Directors, a position I previously served in for four years from 1990 to 1994. 1990 to 1994 In this role I served two elected terms as the leader of the Medicaid Directors Association during which time I represented my colleagues before Congress, in the national health reform debates, speaking at numerous national meetings and before a wide variety of news media ranging from the New York Times to CNN and National Public Radio. Aside from serving as the NASMD Chairman I have held a number of other leadership roles, with NASMD. As a member of the Executive Committee, co-chairing the CHIP implementation work group and beginning in early 2000 as the Chairman of the Pharmacy Technical Advisory Group. In this latter role I represented the Medicaid Directors with the Health Care Financing Administration, media such as the NYT’s and Wall Street Journal, an array of forums around the nation and in other venues as we work to contain the rapid growth in prescription drug costs. Board of Directors, American Public Welfare Association (APWA) (American Public Human Services Administrators Association) I served on the APWA Board of Directors from 1990 to 1994, working on both health and welfare issues. Director, Office of Medical Services DHS Division of Economic and Medical Services 1986-1994 In this role I served as the state’s Medicaid Director during a time of considerable growth and progress in expanding coverage for pregnant women and children, streamlining computer systems and working closely with the entire health care community. I oversaw the procurement and implementation of the stat e’s first certified claims processing system, worked closely with legislators, advocates and others who were interested in the largest program in state government, which was, and remains the Medicaid program. 1975-1986 Arkansas Department of Human Services During this period I worked in a number of capacities, covering almost the entire range of programs in the department. This included service as an eligibility caseworker for AFDC and food stamps, a child welfare worker, and three years as the Foster Care Supervisor for the southern half of Pulaski County, which includes Little Rock. AWARDS AND OUTSIDE ACTIVITIES Person of the Year by the Campaign for Healthier Babies, 1997 Past Chairman of the Central Arkansas Sierra Club Completed 14 Marathons in five years and biked on 5 continents Selected EDS Client Industry Executive of the year, 2007 Angels Women’s and Children’s Health Champion, 2011 Arkansas Children's Hospital Person of the Year, 2012 Author/co-author of twenty books on Arkansas history
A Brief History of Medicaid NY NYIT IT COLLEGE E OF F OSTEOPATHIC HIC MED MEDIC ICINE INE - AR AR | OC OCTOB OBER 2017 RAY HANLEY, PRESIDENT AND CEO
El El Do Dorado, 1911 “Know you wonder why you don’t hear from me, but child my hands are too full to write. Amos has a spell of tonsillitis, Elizabeth has the measles, and Henry has been in bed for a week with neuralgia. Please write and tell me all the news and especially about the infantile paralysis.”
Medically Underserved Arkansas
Access to care in rural areas has long been a challenge.
Access to care is especially a challenge in the Delta, and in much of South Arkansas.
Coverage doesn’t equal access if there aren’t accessible providers of care. “I’m afraid that when another 400,000 people get an insurance card, it will be like having confederate money with no place to spend it.” Darren Caldwell, CEO, DeWitt Hospital
Arkansas definitely has an unhealthy population when compared to most states … Source: Commonwealth Fund Scorecard on State Health Performance
In Arkansas, 25 percent of adults still smoke. We lead the nation in obesity. This strains health care system budgets.
“19 is the new 60” A commentary on the sedentary lifestyle of today’s young people who are increasingly obese.
Workforce Challenges Loom 2014 2014 § 300,000 added to Medicaid § 200,000 through the exchange Fe Fewer enrolling health care pr professio ionals nals (ph physicians icians, nur nurses, de dentis ists, the herapis apists, etc.) .) § 1999: 41,000 med students § 2011: 42,000 med students
1912 The first president to propose universal health coverage was Teddy Roosevelt.
1945 President Truman proposed federal government run universal coverage, in part to provide incentives for more physicians and hospitals to come to rural areas. The AMA opposed and the proposal died in Congress.
Health care reform and a path to universal (greatly expanded?) coverage. “HillaryCare” would have ended Medicaid
Medicaid’s History
Medicare’s stepchild Born: 1965 Begun in Arkansas: 1970 Includes: § ConnectCare § ARKids First § Arkansas Works
1987 Arkansas was the first state to raise Medicaid eligibility limit for pregnant women to 200 percent of the federal poverty table (was at 17 percent).
1997 Medicaid was conceived to cover mothers, children and the poor. Medicaid and AFDC “de- linked.” AFDC became TANF and its roles plunged, but Medicaid on the other hand …
1997 ARKids First extended Medicaid for children to 200 percent of poverty.
1997 ConnectCare wins the Innovations in American Government Award sponsored by the Ford Foundation and the John F. Kennedy School of Government at Harvard.
2014 Medicaid essentially covered only children, pregnant women and the aged/blind/disabled. “Medicaid covers some people, some of the time, under some conditions.”
The Path to Medicaid Expansion (Private Option)
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