planning ahead in a changing environment · changes to medicaid. short-term plans. association...

PLANNING AHEAD IN A CHANGING ENVIRONMENT

NOVEMBER 6, 2018

Transform Health

Nationally certified as women & minority owned small businessWe are a full-service, mission-driven firm focused

on customized solutions that improve the quality of care and health outcomes for the most vulnerable. Our clients are government agencies, health systems,

industry leaders, philanthropy, and community-based providers tackling the most complex challenges in health care today.

Policy Policy

StrategyServices

Our Work

Goals

See Where We’ve Come From

Identify Emerging Trends

Understand Strategies to Plan Ahead

Kentucky Health – 1115 Wavier

Legislative Updates

Addressing SDOH and Improving Quality Through

Patient Engagement

Federal Policy Updates

“Don’t Worry, Be Happy”

Policies and Issues Forum Planning Session

Health Insurance Literacy

From the Ground Up: Building Grassroots Advocacy

Infrastructure and Programming to Effectively Address Policy

Challenges in 2019 and Beyond

Tools for Connecting Patients to Community

Resources

Icebreaker – balloon stress

A Brief Look Back

What Else?

Source: 2017 American Community Survey

Past Challenges

Cuts to Outreach and

Enrollment

CHIP Funding Uncertainty

Health Center Funding Unclear

ACA Repeal Changes to Medicaid Staffing

Or Remember This?

…And Then This?

Drops in the Uninsured in Kentucky

14.30%

8.50%

6.00%5.10% 5.40%

0%

2%

4%

6%

8%

10%

12%

14%

16%

2013 2014 2015 2016 2017

Uninsured Rate in Texas (Total Noninstitutionalized Population)

Source: U.S. Census Bureau, 2013 to 2017 1-Year American Community Surveys

Emerging Trends

Health Center Challenges Opportunities

Social Determinants: Health Care is Just Part of Health

Expanding Services

Do Policy Changes Also Keep You Up At Night?

A Recap of What We’ve Heard So Far

Changes to Medicaid

Short-Term Plans

Association Health Plans

Affordable Care Act Repeal

Court Challenges

Best Practices and Strategies to Plan Ahead

What Can We (Try to) Plan Around?

Impact of Election

Changes to Medicaid

Coverage Changes

Reporting and Certification Staffing Recruitment

and Retention

New Funding Expansion of Services

New Opportunities

Pro Tip: Identify the Unknowns!

“There are known knowns. There are things we know that we know. There are

known unknowns. That is to say, there are things that we now know we don't know.

But there are also unknown unknowns. There are things

we do not know we don't know.”

-Secretary Donald Rumsfeld

Collaboration is Key!

Collaborate with

Partners

Share Ideas and Outline

a Plan

Write Down Takeaways

and Questions

What are 3 main takeaways from this conference that you want to share when you get back to the office?

Activity 1:

Report Out

Who do you want or need to share those takeaways with?

Activity 2:

Report Out

Why Do We Create Action Plans?

Create Clear Direction & Purpose

Facilitate Coordinated Efforts

Make a Path for Decision-Making

Prioritize Your Work

Keep Track and Measure Success

Plan for Uncertainty

Contact Information

Liz Hagan, Senior ConsultantTransform Health

Liz@transformhc.comTwitter @Hagan_Elizabeth

Questions?