2005 MEDICAID COMMISSION REPORT Session 23:  February 28, 2006 Session Producer: Stephen Chies, Vice President Benedictine...
AGENDA <ul><li>Introductions </li></ul><ul><li>Background and History of the Medicaid Commission </li></ul><ul><li>Current...
PANELISTS <ul><li>Jim Glickman, President and CEO,  </li></ul><ul><li>LifeCare Assurance Company </li></ul><ul><li>Doug St...
Origin of the Medicaid Commission 2006 Federal budget process Medicaid savings within the rate of growth
Medicaid Commission Charter <ul><li>Report issued September 1, 2005 to cut  </li></ul><ul><li>$10 billion in growth over f...
Medicaid Commission Membership <ul><li>15 voting members </li></ul><ul><li>15 non-voting advisor members </li></ul>
Voting Members <ul><li>The Honorable Don Sundquist </li></ul><ul><li>CHAIR,  Former Governor of Tennessee (R) </li></ul><u...
Non-voting Members <ul><li>James M. Anderson </li></ul><ul><li>Chairman & CEO, </li></ul><ul><li>Cincinnati Children’s Hos...
September 1, 2005 Report http://www.cms.hhs.gov/faca/mc/090105rpt.pdf http://www.cms.hhs.gov/faca/mc/090105supp.pdf Report...
Recommendations from the September 1, 2005 report <ul><li>Prescription drug reimbursement formula reform </li></ul><ul><li...
<ul><li>Change the start date of the penalty period for persons transferring assets for Medicaid eligibility </li></ul><ul...
<ul><li>Tiered co-payments for prescription drugs </li></ul><ul><li>Reform of the Medicaid Managed Care organization provi...
December 31, 2006 report process <ul><li>Bi-monthly meetings in Washington DC </li></ul><ul><li>Topical reviews of Medicai...
Long-Term Care issues <ul><li>Reduce institutional bias via expansion of home and community-based services </li></ul><ul><...
Long-Term Care Insurance <ul><li>Extend the Partnership Program to any willing State with improvements </li></ul><ul><li>C...
Current Perspectives
Open discussion and questions?
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2005 Medicaid Commission Report

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2005 Medicaid Commission Report

  1. 1. 2005 MEDICAID COMMISSION REPORT Session 23: February 28, 2006 Session Producer: Stephen Chies, Vice President Benedictine Health Systems Past Chair American Health Care Association
  2. 2. AGENDA <ul><li>Introductions </li></ul><ul><li>Background and History of the Medicaid Commission </li></ul><ul><li>Current perspectives </li></ul><ul><li>Open discussion </li></ul>
  3. 3. PANELISTS <ul><li>Jim Glickman, President and CEO, </li></ul><ul><li>LifeCare Assurance Company </li></ul><ul><li>Doug Struyk, President and CEO, </li></ul><ul><li>Christian Health Care Center </li></ul><ul><li>Commissioner, The Federal Medicaid Commission </li></ul><ul><li>Bob Blancato, President, </li></ul><ul><li>Matz, Blancato & Associates </li></ul>
  4. 4. Origin of the Medicaid Commission 2006 Federal budget process Medicaid savings within the rate of growth
  5. 5. Medicaid Commission Charter <ul><li>Report issued September 1, 2005 to cut </li></ul><ul><li>$10 billion in growth over five years </li></ul><ul><li>Report due December 31, 2006 making longer-term recommendations on the future of the Medicaid program that ensure the long-term sustainability of the program </li></ul>
  6. 6. Medicaid Commission Membership <ul><li>15 voting members </li></ul><ul><li>15 non-voting advisor members </li></ul>
  7. 7. Voting Members <ul><li>The Honorable Don Sundquist </li></ul><ul><li>CHAIR, Former Governor of Tennessee (R) </li></ul><ul><li>The Honorable Jeb Bush </li></ul><ul><li>Governor of Florida (R) </li></ul><ul><li>Nancy V. Atkins, MSN, RNC, NP </li></ul><ul><li>Commissioner, Bureau for Medical Services, </li></ul><ul><li>W. Virginia Dept. of Health & Human Resources </li></ul><ul><li>Troy Justesen </li></ul><ul><li>Deputy Assistant Secretary, Office of Special Education and Rehab. Services, Department of Education </li></ul><ul><li>Kay Coles James </li></ul><ul><li>Former Director, U.S. Office of Personnel Management </li></ul><ul><li>Gwen Gillenwater </li></ul><ul><li>Senior Director for Policy and Outreach, </li></ul><ul><li>American Association of People with Disabilities </li></ul><ul><li>Donald A. Young, MD </li></ul><ul><li>Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services </li></ul><ul><li>The Honorable Angus S. King, Jr. </li></ul><ul><li>VICE CHAIR, Former Governor of Maine (I) </li></ul><ul><li>The Honorable Joe Manchin </li></ul><ul><li>Governor of West Virginia (D) </li></ul><ul><li>Robert B. Helms, PhD </li></ul><ul><li>Resident Scholar in Health Policy Studies, </li></ul><ul><li>American Enterprise Institute </li></ul><ul><li>S. Anthony McCann </li></ul><ul><li>Secretary, Maryland Dept of Health & Mental Hygiene </li></ul><ul><li>Gail C. Christopher, DN </li></ul><ul><li>Vice President, Office of Health, Women & Families </li></ul><ul><li>Joint Center for Political and Economic Studies </li></ul><ul><li>William N. Shiebler </li></ul><ul><li>Vice Chair, Deutsche Asset Management, Deutsche Bank </li></ul><ul><li>Melanie Bella, MBA </li></ul><ul><li>VP for Policy, Center for Health Care Strategies </li></ul><ul><li>Grace-Marie Turner </li></ul><ul><li>President, Galen Institute </li></ul>
  8. 8. Non-voting Members <ul><li>James M. Anderson </li></ul><ul><li>Chairman & CEO, </li></ul><ul><li>Cincinnati Children’s Hospital </li></ul><ul><li>Julianne O’Connell Beckett </li></ul><ul><li>National Policy Coordinator, Family Voices </li></ul><ul><li>Carol Berkowitz, MD, FAAP </li></ul><ul><li>President, American Academy of Pediatrics </li></ul><ul><li>Director, Pediatric Clinic & Group Practice </li></ul><ul><li>Maggie Brooks </li></ul><ul><li>County Executive, Monroe County, Rochester, New York </li></ul><ul><li>Valerie Davidson </li></ul><ul><li>Exec Vice President </li></ul><ul><li>Yukon-Kuskokwim Health Corporation </li></ul><ul><li>Mark de Bruin </li></ul><ul><li>Senior VP of Pharmacy Services </li></ul><ul><li>Rite Aid Corporation </li></ul><ul><li>John Kemp </li></ul><ul><li>Principal, Powers Pyles Sutter & Verville, PC </li></ul><ul><li>Joseph W. “Chip” Marshall, III </li></ul><ul><li>Chairman/CEO </li></ul><ul><li>Temple University Health System </li></ul><ul><li>John P. Monahan </li></ul><ul><li>President, State Sponsored Business, WellPoint </li></ul><ul><li>John C. Nelson, MD </li></ul><ul><li>Immediate Past-President </li></ul><ul><li>American Medical Association </li></ul><ul><li>Joseph J. Piccione </li></ul><ul><li>Corp. Ethicist & Director of Mission Integration, OSF Healthcare System </li></ul><ul><li>John Rugge, MD </li></ul><ul><li>CEO, Hudson Headwaters Health Network </li></ul><ul><li>Douglas A. Struyk </li></ul><ul><li>President & CEO </li></ul><ul><li>Christian Health Care Center </li></ul><ul><li>Howard Weitz, MD, FACP, FACC </li></ul><ul><li>Professor of Medicine, Jefferson Med. Coll., Thomas Jefferson University </li></ul><ul><li>Joy Johnson Wilson </li></ul><ul><li>Director, Federal Affairs Counsel & Health Policy, National Conf of State Legislatures </li></ul>
  9. 9. September 1, 2005 Report http://www.cms.hhs.gov/faca/mc/090105rpt.pdf http://www.cms.hhs.gov/faca/mc/090105supp.pdf Report to the Honorable Secretary Michael O. Leavitt, Department of Health and Human Services and The United States Congress September 1, 2005 The Medicaid Commission
  10. 10. Recommendations from the September 1, 2005 report <ul><li>Prescription drug reimbursement formula reform </li></ul><ul><li>Extension of the Medicaid Drug Rebate Program to Medicaid managed care </li></ul><ul><li>Save $4.3 Billion </li></ul><ul><li>over 5 years </li></ul><ul><li>Save $2 Billion </li></ul><ul><li>over 5 years </li></ul>
  11. 11. <ul><li>Change the start date of the penalty period for persons transferring assets for Medicaid eligibility </li></ul><ul><li>Increase the “Look-Back” period from three to five years </li></ul><ul><li>Save $1.4 Billion </li></ul><ul><li>over 5 years </li></ul><ul><li>Save less than </li></ul><ul><li>$100 million over </li></ul><ul><li>5 years </li></ul>September 1, 2005 report (continued)
  12. 12. <ul><li>Tiered co-payments for prescription drugs </li></ul><ul><li>Reform of the Medicaid Managed Care organization provider tax requirement </li></ul><ul><li>Save $2 Billion </li></ul><ul><li>over 5 years </li></ul><ul><li>Save $1.2 Billion </li></ul><ul><li>over 5 years </li></ul>September 1, 2005 report (continued) TOTAL SAVINGS: $11 Billion over 5 years
  13. 13. December 31, 2006 report process <ul><li>Bi-monthly meetings in Washington DC </li></ul><ul><li>Topical reviews of Medicaid areas/subjects </li></ul><ul><li>Long-term care is on a short list </li></ul><ul><li>of “hot” subjects </li></ul><ul><li>Input from stakeholders </li></ul>
  14. 14. Long-Term Care issues <ul><li>Reduce institutional bias via expansion of home and community-based services </li></ul><ul><li>Separate federal-related funding source (i.e. payroll tax similar to FICA) for LTC </li></ul><ul><li>Asset divestiture / asset transfer issues / system abuse </li></ul><ul><li>Role of long-term care insurance </li></ul>
  15. 15. Long-Term Care Insurance <ul><li>Extend the Partnership Program to any willing State with improvements </li></ul><ul><li>Consumer interest and acceptance </li></ul><ul><li>Lagging stigma issues </li></ul><ul><li>Creative products (i.e. VUL-like, VUL/LTC combinations </li></ul><ul><li>Perception that insurers have highly profitable loss ratio experience </li></ul><ul><li>Partnership with elder care attorneys </li></ul>
  16. 16. Current Perspectives
  17. 17. Open discussion and questions?

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