State Experiences with Health Care Reform AGENDA October 1-3, 2015 Salt Lake City, Utah This national convening is an important opportunity for senior state officials to learn directly from each other about successful efforts to meet the health care needs of their states. During the meeting, participants will share concrete examples of health care reforms that have delivered results by improving health and reducing costs.

Day One Thursday, October 1 4:30 P.M.–5:30 P.M. Murano Pre-Function

5:30 P.M. Murano

6:30 P.M.–8:00 P.M. Murano

Registration

Welcome Reception

DINNER SESSION: The Governor’s Role in Health Transformation The session will begin with a welcome from Dan Crippen, who will present an overview of the policy levers available to governors in health care transformation. Speaker: Dan Crippen, executive director, National Governors Association

Day Two Friday, October 2

7:30 A.M.–8:30 A.M. Envoy

8:30 A.M.–9:30 A.M. Savoy

Breakfast

Roundtable Discussion This session will explain the purpose and structure of the meeting. Meeting participants will briefly introduce themselves and will have an opportunity to discuss the most pressing health care issues in their state. Dan Crippen, executive director, National Governors Association Harvey Fineberg, current president, Gordon and Betty Moore Foundation; former president, National Academy of Medicine

SESSION 1: Statewide Innovation This session will focus on statewide innovations in payment and delivery system reform, with an emphasis on improved health and reduced costs. The discussion will include presentations on Tennessee’s multi-payer bundled payment initiative and the work in Oregon to move to Coordinated Care Organizations (CCOs).

9:30 A.M.–11:00 A.M. Savoy

Discussion questions:  What is the relationship between delivery system reform goals and state budget needs?  What data are needed in order to successfully undertake statewide transformation? Presenters: Tina Edlund, principal, Health Management Associates; formerly chief of policy, Oregon Health Authority Darin Gordon, director, TennCare Facilitator: Harvey Fineberg, president, Gordon and Betty Moore Foundation; former president, National Academy of Medicine

11:00 A.M.–11:15 A.M. Break

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SESSION 2: Using Data to Drive Policy This session will focus on innovations in state data systems, and how states can use that data to inform and drive policies. It will begin with a brief overview of VITAL SIGNS: Core Metrics for Health and Health Care Progress from the National Academy of Medicine, and how states can use this resource to inform their work. Presentations will then focus on Washington state’s infrastructure for health data collection and analysis and Michigan’s creation and use of data dashboards.

11:15 A.M.–12:45 P.M. Savoy

Discussion questions:  How can the VITAL SIGNS metrics and best practices inform data collection and analysis?  Considering where your state is in building its data and analytic system, what is the most important next step for you to undertake in this process? Presenters: Michael McGinnis, senior scholar, National Academy of Medicine Chris Priest, deputy director of strategy, Michigan Governor’s Office Dorothy Teeter, director, Washington State Health Care Authority Facilitator: Harvey Fineberg, president, Gordon and Betty Moore Foundation; former president, National Academy of Medicine

12:45 P.M.–1:45 P.M. Envoy

Lunch and Presentation Lunch will be followed by a brief presentation from Secretary Diana Dooley about Let’s Get Healthy California. Diana Dooley, secretary, California Health and Human Services Agency

SESSION 3: Improving Access to Care: Innovations in Behavioral Health and Telehealth This session will focus on two examples of how states can meet access issues through innovative approaches to behavioral health and increased9 the use of telehealth. 1:45 P.M.–3:15 P.M. Savoy

Discussion questions:  Of the multi-faceted approaches to behavioral health discussed, what aspects seem most important to your state?  Are there populations in your state that could benefit from increased access to telehealth? If so, how?

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Presenters: Bill Hazel, secretary, Virginia Department of Health and Human Resources Kristi Henderson, chief telehealth and innovation officer, University of Mississippi Medical Center Facilitator: Harvey Fineberg, president, Gordon and Betty Moore Foundation; former president, National Academy of Medicine

3:15 P.M.–3:30 P.M.

Break

SESSION 4: Combating Drug Abuse This session will focus on state efforts to combat the crisis of heroin and prescription drug abuse.

3:30 P.M.–5:15 P.M. Savoy

Discussion questions:  What are the most effective state strategies for combatting heroin and prescription drug abuse?  How can states bring together diverse stakeholder groups to comprehensively address heroin and prescription drug abuse? Presenters: Barbara Cimaglio, deputy commissioner, Vermont Department of Health Tracey Green, chief medical officer, Nevada Department of Health and Human Services, Division of Public and Behavioral Health Audrey Tayse Haynes, secretary, Kentucky Cabinet for Health and Family Services Facilitator: Harvey Fineberg, president, Gordon and Betty Moore Foundation; former president, National Academy of Medicine

5:45 P.M.–6:15 P.M.

Travel to La Caille Buses will depart from the hotel lobby at 5:45pm sharp. The attire at La Caille is business casual, which includes dress jeans.

6:15 P.M.–7:00 P.M.

Reception at La Caille

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7:00 P.M.–9:00 P.M. La Caille

DINNER SESSION: Supporting Transformations that Align with Governors’ Priorities During this session, Dr. David Blumenthal will provide remarks about high –need, high-cost patients, one of the transformational reforms The Commonwealth Fund believes aligns most closely with governors’ core priorities and has demonstrated success. Dr. John Lumpkin will describe the Robert Wood Johnson Foundation’s vision for creating a culture of health, and how this can align with governors’ key health care priorities. Both speaker’s remarks will include examples of state reforms that drive toward transformation by improving health care and reducing costs to the state. Speakers: David Blumenthal, president, The Commonwealth Fund John Lumpkin, senior vice president and director of targeted teams, Robert Wood Johnson Foundation Facilitator: Harvey Fineberg, president, Gordon and Betty Moore Foundation; former president, National Academy of Medicine

Day Three Saturday, October 3

8:00 A.M.–9:00 A.M. Envoy

Breakfast

9:00 A.M.–9:30 A.M. Savoy

Remarks from Utah Governor Gary Herbert

9:30 A.M–11:00 A.M. Savoy

SESSION 5: Realigning the Delivery System from Fee-for-Service to Population Health This session will focus on a central goal of health system transformation: moving away from volume based incentives to one that incentivizes better health, better health care, and lower costs. Discussion questions:  What core outcomes of population health described in this session are most relevant to your state?

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What is the most important next step for your state to take toward population health? Presenter: Don Williamson, state health officer, Alabama Department of Public Health Respondent: Karen Murphy, secretary of health, Pennsylvania Department of Health Facilitator: Harvey Fineberg, president, Gordon and Betty Moore Foundation; former president, National Academy of Medicine

11:00 A.M.–12:00 P.M. Savoy

12:00 P.M.

Roundtable Discussion The meeting will conclude with a discussion reflecting on the ideas presented over the past two days, and give participants the opportunity to highlight the ideas and interventions they found most promising. Facilitator: Harvey Fineberg, president, Gordon and Betty Moore Foundation; former president, National Academy of Medicine

Adjourn

NGA and NAM would like to thank you for participating in this meeting—we know you are busy and we appreciate your time and energy in discussing these important topics. A special thanks to the Peterson Center on Healthcare for their generous support. If you have additional questions, would like more information on the state reforms discussed here, or have other state health policy needs, please contact Frederick Isasi in the NGA Center for Best Practices Health Division at 202-624-7872 or [email protected].

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