Exchange Stakeholder Input
Stakeholder input will help the state gather ideas, test design concepts, and build the support needed to achieve the state’s strategic goals for the Exchange.
*Milestone details:
*Full name: Solicit stakeholder input on Exchange design.
*Relevance to the ACA:
The ACA requires the Exchange to consult with certain stakeholders related to carrying out the functions of the Exchange.
§1311 - Requires the Exchange to consult with health care consumers, small business representatives, state Medicaid agencies and advocates about enrolling hard to reach populations.
less
comment, ask a question or post a document
Login or Register to participate in this discussion or post a document
Illinois
Will there be an opportunity for advanced practice nurses to be appointed in an advisory or some involvement in the state exchanges? I am particularly interested in this, and would like to know will nurses have some role as states prepare for implementation.
District of Columbia
Hi Lisa. Thank you for your question. Yes - states have already begun to utilize registered nurses in committees advising on exchanges and other health reform issues, and some may be asking advanced practice registered nurses to serve in similar capacities.
According to the stakeholder consultation provision of the ACA and codified in the final exchange rule (§ 155.130), exchanges will be required to consult with a range of stakeholders, including health care providers, in an ongoing basis. The regulations released by HHS leave the definition of each required stakeholder category up to the states. (See regulations here: https://www.federalregister.gov/articles/2012/03/27/2012-6125/patient-pr...)
Some examples of states that have included registered nurses in their advisory committees or boards include:
Vermont’s Green Mountain Care Board Advisory Committee - http://gmcboard.vermont.gov/advisory_groups/members
Connecticut’s Health Plan Benefits & Qualifications Committee - http://www.ct.gov/hix/cwp/view.asp?a=4295&Q=506366
Minnesota’s Health Care Reform Task Force - http://mn.gov/health-reform/images/Members-MN-Health-Care-Reform-Task-Fo...
New York’s Capital/Mid-Hudson/Northern NY & New York City/Metro Regional Advisory Committees - http://www.healthbenefitexchange.ny.gov/news/regional-advisory-committee...
If others have further examples of states and exchanges engaging with nurses, please share them below!
Illinois
Lisa, I just attempted to send you an email about our stakeholder outreach list here in Illinois. If it didn't go through, you can sign up to receive information at the following website: http://www2.illinois.gov/gov/healthcarereform/Pages/default.aspx
Thank you!
Kentucky
KY is holding 6 regional forums on July 25, 26, 27, Aug 1, 16, and 17 to provide overview of KY Health Benefit Exchange and seek input on access. education/outreach needs, and how folks in community purchase their coverage.
California
This is a document produced by Small Business Majority and is about a three-part forum that we held focusing on the health care exchanges. The exchanges will go into effect as a result of the ACA and our forum focused on how to best implement the Small Business Health Options Program Exchange.
District of Columbia
Abby McGill asked if other states had developed outreach materials on exchanges or health reform in general. See her question here and please share your resources:
http://www.statereforum.org/node/2682
District of Columbia
Idaho has developed an FAQ related to exchanges.
Coalitions and their member employers are working with providers to improve the health care delivery system from Maine to California. Purchasing value means rewarding quality and cost-effectiveness in the delivery of health care services — not just seeking the lowest price. Coalitions are improving quality by holding providers accountable for their performance through the development of information systems to collect data, monitor health care outcomes, and measure value.
District of Columbia
Attached is a presentation that Linda Skinner, Asst. Director of Health Care Cost Containment for AZ, uses to present to various stakeholder audiences.
Arizona
State of Arizona Level One Establishment Grant Application
Indiana
The attached document is Indiana's Exchange Questionnaire. This Questionnaire was used in an online format and targeted insurers and brokers, consumers, providers, and businesses. The State received over 2600 responses to the online questionnaire. The report analyzing the questionnaire responses can be found at http://www.in.gov/aca/2330.htm or http://svcinc.org/about-us.htm#articles.
New Jersey
Planning for Health Insurance Exchanges under the Patient Protection and Affordable Care Act (ACA)
The Patient Protection and Affordable Care Act (ACA) establishes health insurance exchanges that beginning in 2014 will organize and facilitate the purchase of health insurance for individuals, families, and small businesses. Today, states are considering a multitude of design options for developing exchanges, including whether to defer responsibility for creating them to the federal government.
Attached are four reports by the Center for State Health Policy (CSHP) prepared at the request of New Jersey’s Interagency Working Group on the ACA. These reports, funded by the Department of Banking and Insurance under a federal exchange planning grant, provide estimates of the impact of the ACA on health insurance eligibility and enrollment in the state and summarize stakeholder views about the design of exchanges for New Jersey.
New Jersey
Attached are four policy reports completed by the Center for State Health Policy and its collaborators at Seton Hall University School of Law and prepared at the request of New Jersey’s Interagency Working Group on the ACA. These reports, which examine critical exchange design issues, were funded by the Department of Banking & Insurance under a federal exchange planning grant.
This fall, the Center for State Health Policy also conducted an additional multi-stakeholder group forum examining exchange governance issues on behalf of the Interagency Working Group to contribute to the state’s exchange planning conversation. Please see the attached for a summary of proceedings.
Kentucky
The KY Cabinet for Health and Family Services solicited stakeholder feedback from stakeholders in April, 2010.
Rhode Island
Here is a presentation to stakeholders on the issue of whether the Exchange should engage in active purchasing.
Rhode Island
Here is a presentation to stakeholders on case studies in active purchasing.
Rhode Island
Here is a presentation to stakeholders on the issue of whether the Exchange should standardize health plans.
Rhode Island
Here is an issue brief on active purchasing, which provides background information and stakeholder comments and recommendations.
Rhode Island
Here is an issue brief on standardizing health plans, which provides background information and stakeholder comments and recommendations.
Virginia
April 2011 Virginia Health Reform Initiative (VHRI) Background Memorandum on Health Benefit Exchange Issues - Governance
Pages