Work Group Record Work Group: Select one Health Care Delivery Design & Sustainability Seamless Coverage Continuum and Market Stability Barriers to Access Meeting Date: November 6th, 2-4 pm Present: Rosemarie Roach (Minnesota Nurses), Todd Stivland (Bluestone), Larry Schulz (Lake Region), Dr. Penny Wheeler (Allina), Sen. John Marty, Jim Schowalter (Council of Health Plans), Rep. Matt Dean, Allison O’Toole (MNsure), Diane Rydrych (MDH), Mat Spaan (DHS) Absent: NA Discussion Item Action Item and Follow-up Responsible Due Date Party Staff will re-work language based on the discussion. Mat Spaan, 11/13/15 Enhancements “themes” Penny Wheeler that Support Change payments would” to “prospective “prospective Integrated Care payments may”. Add conditional clause indicating that it must be done in a cost-effective way. Delivery Consider instead of “modifications” “enhancements” Change alternative payment models… are “current working” to alternative payment models such as “Current IHP are working but require more work to payment methodologies and measurements to ensure that they are equitable.” Include to metrics and measurement “quality methodologies that don’t penalize…” measures – “quality do not negatively impact patient care or incentivize physicians to overlook overall patient context.” Consider metrics should be used, but with great “Quality caution. They have great power to improve the care delivery system but can easy become overused in payment policy or become a barrier to serving populations.” Preliminary The workgroup reached agreement on the following topics for Mat Spaan, 11/13/15 Recommendations Penny Wheeler short-term recommendations: for Enhancements Care coordination that Support
Work Group Record Work Group: Select one Health Care Delivery Design & Sustainability Seamless Coverage Continuum and Market Stability Barriers to Access Meeting Date: November 6th, 2-4 pm Present: Rosemarie Roach (Minnesota Nurses), Todd Stivland (Bluestone), Larry Schulz (Lake Region), Dr. Penny Wheeler (Allina), Sen. John Marty, Jim Schowalter (Council of Health Plans), Rep. Matt Dean, Allison O’Toole (MNsure), Diane Rydrych (MDH), Mat Spaan (DHS) Absent: NA Discussion Item Action Item and Follow-up Responsible Party Due Date Enhancements that Support Integrated Care Delivery Staff will re-work “themes” language based on the discussion. Change “prospective payments would” to “prospective payments may”. Add conditional clause indicating that it must be done in a cost-effective way. Consider “modifications” instead of “enhancements” Change “current alternative payment models… are working” to “Current alternative payment models such as IHP are working but require more work to payment methodologies and measurements to ensure that they are equitable.” Include to “quality metrics and measurement methodologies that don’t penalize…” – “quality measures do not negatively impact patient care or incentivize physicians to overlook overall patient context.” Consider “Quality metrics should be used, but with great caution. They have great power to improve the care delivery system but can easy become overused in payment policy or become a barrier to serving populations.” Mat Spaan, Penny Wheeler 11/13/15 Preliminary Recommendations for Enhancements that Support The workgroup reached agreement on the following topics for short-term recommendations: Care coordination Mat Spaan, Penny Wheeler 11/13/15
workgroup1-meeting-record-11-9_tcm1053-165129.docx