ceo report to the board · 2012 -2014 executive dashboard information and technology migrated from...

CEO Report to the Board

1. Budget and Dashboard

2. Administrative Issues- Building Updates, IT, Website

3. Staffing- Introduce New Staff, Staff Changes

4. Legislature, CCIIO, CMS

5. External Outreach

6. Policy Issues

7. Key Implementation Milestones

8. Preview Agenda

9. Questions

Support Initial Exchange Recruitment

Internal Operations

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

2013 2012

Revenue Source/Sustainability

Health Benefits Exchange 2012 -2014 Executive Dashboard

Financial Operations and Administration

Rpt to Legis

Establish Internal Operations

Board Decision

Model Options Rec Revenue Mech/s

Hire Controller

Hire HR Manager

Impl. Accting System

Oct Nov Dec Jan

2014

Financial Management Finalize Fed. Compliance Manual

Finalize External Audit for Level 1, 2,

2014 forward

Draft – HBE Internal

Perf. Based Review/ New employee onboarding

New Office Building

Finalize Architectural/Space Planning Office Prep and Move

Marketing, Outreach, PR Communications


2013 2012

Branding

Health Benefits Exchange 2012 -2014 Executive Dashboard Communications

Design for online presence

Present Marketing/ Outreach Plan to Board

Board Approval - Name

Paid Media

Oct Nov Dec Jan

2014

Identify HBE Name

Develop Plan/Campaign

Secure Sponsorships and Partnerships

Run Paid Media

Navigators

Board Presentation

TAC/AC Refine Recs

Board Decision

Open for Applicants Select Navigators

Share selections, Outreach plan and Welcome Packet with Board

Train Outreach Network

Continuing Education Process


Present Advertising Plan to Board

Req. for In-Person assistants

Coordinated Elig. Determination process

Rating Factor Recs Info Display Plan


2013 2012

Consumer Rating System

Health Benefits Exchange 2012 -2014 Executive Dashboard Policy

Dental Plans Certification

Qualified Health Plans Certification

Board Approves Criteria

Board Decision Rating Factors

Release Application to carriers

Notify Selected QHPs

Board Approves QHPs

Issuers Submit Plans (OIC/HBE)

Oct Nov Dec Jan

2014

Phase 1 Consumer Rating Solution

2015 Phase 2 Consumer Rating Solution

Board Decision Dental Plans

Dental Plan Issues/Recs Determine Cert. Process Accept Apps

Certify Dental Plans

Develop Application

Develop single application process

Implement Eligibility Determination process

Process to verify citizenship & income with Fed. hub Develop/Define Eligibility

& Enrollment Processes

Open Enrollment Begins


2013 2012

Health Benefits Exchange 2012 -2014 Executive Dashboard External Operations

Oct Nov Dec Jan

2014

QA Process Development

Load Health P lan display data for website

Release Joint RFI

Plan Manager Certification

Plans submit information OIC/Exchange

Call Ctr. Agreement Medicaid

Select Vendor Vendor Contracted

Call Center Implemented

Call Center

Plan Operations

Customer Service Protocols/Scripts

Train Call Center staff

External Operations

Release RFP


Develop Plan and Migrate Services as needed

Establish Information & Technology Infrastructure


2013 2012

Health Benefits Exchange 2012 -2014 Executive Dashboard Information and

Technology

Vision for IT Infrastructure & Services

Impl. Initial Capabilities & System Mgmt. Processes

Oct Nov Dec Jan

2014

Go Live 7/1/13

Exchange Business Applications

Testing Complete 5/31/13

Design Complete 11/13/12

Plan Management

Open Enrollment Design Complete 2/13/13

Testing Complete 8/30/13

Go Live 9/30/13

SHOP Design Complete

12/10/12 Testing Complete

6/26/13 Go Live 8/2/13

Administration Design Complete

3/8/13 Testing Complete

9/30/13 Go Live 12/31/13

CCIIO Reviews

ID services to be migrated from

HCA/Others


Version 2.0 Estimated Completion

8/2014

Train Agents/Brokers

Collaborate with Carrier- to ID Risk Rating


2013 2012

Agent and Brokers Roles

Health Benefits Exchange 2012 -2014 Executive Dashboard SHOP

Establish SHOP

Board Action on Roles

Agent/Broker issues/Rec

Develop Training

Oct Nov Dec Jan

2014

Develop Employee, Employer, Broker SHOP Experience

Gain answers from CMS/OIC

Board Introduction to SHOP Experience

Broker SHOP Experience


2013 2012

Health Benefits Exchange 2012 -2014 Executive Dashboard Legal Services

Oct Nov Dec Jan

2014

Receive Federal Rules/Guidance (Est.)

Consult with other agencies

Transition Public Record work from HCA to HBE

Establish Legal Policies

Appeals Process

Establish Process and Records Retention Schedule


Transition Legal Work from AGO

Conflict of Interest & Ethics Policies Board Review

Develop process and hire staff

Appeals Process

Washington Health Benefit Exchange Speaking Engagement Calendar

Speaker January 2013 February 2013 March 2013 April 2013 May 2013 June 2013 July 2013 August 2013 September 2013 October 2013

Richard

Onizuka

1/9: Board (Seattle) 2/7: Virginia Mason

Health System Board

Retreat (Woodinville)

3/1: NWMGA

(Seattle

Polyclinic)

(Waiting on Form

– Trent)

4/8-10: World Health

Care Congress

(Washington DC)

5/15: Board

(Seattle)

6/19: Board

(Seattle)

7/24: Board

(Seattle)

8/21: Board

(Seattle)

9/25: Board

(Seattle)

10/23: Board

(Seattle)

1/4: WA Healthcare

Forum (Seattle)

2/8: Virginia

Mason/Group Health

Event (VMMC)

(Seattle)

3/4-7: HIMSS HIE

Symposium (New

Orleans LA)

4/17: Board (Seattle)

1/28 – 29 CCIIO

(Washington, DC)

2/14: Rotary Club /

Edit Board

(Kennewick)

3/21: Board

(Seattle)

2/21: Board (Seattle) 3/22 – 23: Board

Retreat (TBD)

Michael

Marchand

1/9: Board (Seattle) 2/21: Board (Seattle) 3/21: Board

(Seattle)

4/16: WSMGMA Payer

Forum (Tacoma)

5/15: Board

(Seattle)

6/19: Board

(Seattle)

7/24: Board

(Seattle)

8/21: Board

(Seattle)

9/25: Board

(Seattle)

10/23: Board

(Seattle)

4/17: Board (Seattle)

Curt Kwak 1/9: Board (Seattle) 2/21: Board (Seattle) 3/21: Board

(Seattle)

4/17: Board (Seattle) 5/15: Board

(Seattle)

6/19: Board

(Seattle)

7/24: Board

(Seattle)

8/21: Board

(Seattle)

9/25: Board

(Seattle)

10/23: Board

(Seattle)

1/4: Swedish

Hospital (Edmonds)


(Seattle)


(Seattle)

6/19: Board

(Seattle)

7/24: Board

(Seattle)

8/21: Board

(Seattle)

9/25: Board

(Seattle)

10/23: Board

(Seattle)

1/9: Board (Seattle) 4/23–24: RHC Spring

Conf. (Chelan)

1/9: Board (Seattle) 2/12: TCAHU

Underwriter’s Conf.

(Oregon)

3/21: Board

(Seattle)


(Seattle)

6/19: Board

(Seattle)

7/24: Board

(Seattle)

8/21: Board

(Seattle)

9/25: Board

(Seattle)

10/23: Board

(Seattle)

Keith Bell

Pam

MacEwan

Updated by Tracie Cleavelin 1/8/2013 1

Washington Health Benefit Exchange Speaking Engagement Calendar

Speaker January 2013 February 2013 March 2013 April 2013 May 2013 June 2013 July 2013 August 2013 September 2013 October 20131/29: WAHU /

NAIFA “Day on the

Hill” (Tumwater)

2/21: Board (Seattle) 4/19: NAIFA Seminar

(Leavenworth)

July or

August:

Sequim

Chamber

Luncheon

(Sequim)

1/9: Board (Seattle) 2/21: Board (Seattle) 3/19: WAHU

(Seattle)


(Seattle)

6/19: Board

(Seattle)

7/24: Board

(Seattle)

8/21: Board

(Seattle)

9/25: Board

(Seattle)

10/23: Board

(Seattle)

3/21: Board

(Seattle)

1/9: Board (Seattle) 2/1: PSBC (Seattle) 3/21: Board

(Seattle)


(Seattle)

6/19: Board

(Seattle)

7/24: Board

(Seattle)

8/21: Board

(Seattle)

9/25: Board

(Seattle)

10/23: Board

(Seattle)2/21: Board (Seattle) 3/22: WAEPS

Annual Meeting

(Seattle)

1/9: State of

Reform Health

Policy Conference

(SeaTac) - w/Teresa

M. / Melanie C.


(Seattle)


(Seattle)

6/19: Board

(Seattle)

7/24: Board

(Seattle)

8/21: Board

(Seattle)

9/25: Board

(Seattle)

10/23: Board

(Seattle)

1/9: Board (Seattle) 2/21: HFMA Trade

Fair (SeaTac) – w/Bob

N.

Speaker

Needed

1/9: State of

Reform Conference

DJ Wilson Declined

2/15: Planning &

Mgmt. Council

3/20: WAHU

(Spokane)

(Reviewing - Brad

F.)

9/18: WFOA

(Tulalip) (April

Deadline for

Confirmation)2/27: PPA

(Tumwater) (Michael

or Joan)

3/22: WA State

Bar Association

(Seattle) March: kpbx.org

(Waiting on

Form)

WSMA - Katie Kolan (No Date: Waiting on Form)

COPS - Heidi Sheldon (No Date: Waiting on Form)

Pending

InformationSignal Health - Shawnie Haas (No Date: Waiting on Form)

Phil Dyer

Joan Altman

Keith Bell

Brad

Finnegan

Updated by Tracie Cleavelin 1/8/2013 2

521 Capitol Way South | P.O. Box 657 | Olympia, Washington 98507

Direct: 360.407.4100 | Fax: 360.586.1177

TO: Washington Health Benefit Exchange Staff FROM: Brian Peyton Pam MacEwan Director of Legal Services Special Assistant to the CEO DATE: January 7, 2013 RE: State and Federal Lobbying Restrictions

State and Federal Lobbying Restrictions Federal and state laws restrict the use of public funds for lobbying activities. The use of federal funds for lobbying expenses is prohibited. State law requires the reporting of lobbying activities and restricts activities paid for with public funds. However, activities such as research and recommendations on public policy, providing information to legislators when requested, educating the public, and working with state and federal agencies are not considered “lobbying” and are allowed. What is Lobbying? "Lobbying" is an attempt to influence the passage or defeat of laws, appropriations, resolutions, or similar items by Congress or a state or local legislative body; or to influence the adoption of an agency rule or regulation. Prohibited Activities Two types of activities are generally considered to be lobbying: Direct lobbying is communicating with a member or an employee of Congress or a state or local legislative body, or with a government official who may participate in the formulation or amendment of legislation, in an attempt to influence the passage, amendment, or defeat of legislation, budget appropriations, or agency regulations. Direct lobbying involves expressing a view on the passage of a specific bill, budget item, or other measure. Direct lobbying also includes advocating for increasing one’s own funding from the federal government. "Grassroots" lobbying is communicating with the general public concerning proposed legislation when the communication calls upon members of a particular group or of the public to contact legislators or government officials to support or oppose specific legislation or regulations. This type of “call to action” is also referred to as “third party lobbying.” Allowable Activities Activities related to the development and adoption of public policy and budgets are allowable if they do not attempt to influence passage or defeat of a particular legislative measure or rule. For

example, meetings with legislators or staff to provide objective and educational information about health issues or the need for particular health insurance services, and other general information, is not considered to be lobbying. Similarly, responding to requests from a Member of Congress or Legislator for information or data is also not considered to be lobbying. Working with state agencies to develop or analyze policy proposals, and educating the public about issues and potential solutions, are also usually not considered lobbying. Whether an activity is allowable or is prohibited “lobbying” often depends on the facts of a particular situation. If you are unsure or have questions, you can contact the Legislative Team for advice.

ceo report to the board · 2012 -2014 executive dashboard information and technology migrated from...

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