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PLANNING AHEAD IN A CHANGING ENVIRONMENT NOVEMBER 6, 2018

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Page 1: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

PLANNING AHEAD IN A CHANGING ENVIRONMENT

NOVEMBER 6, 2018

Page 2: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

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.

Page 3: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Policy Policy

StrategyServices

Our Work

Page 4: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Goals

See Where We’ve Come From

Identify Emerging Trends

Understand Strategies to Plan Ahead

Page 5: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

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

Page 6: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Icebreaker – balloon stress

Presenter
Presentation Notes
Balloon activity
Page 7: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

A Brief Look Back

Page 8: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies
Page 9: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

What Else?

Page 10: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Source: 2017 American Community Survey

Page 11: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Past Challenges

Cuts to Outreach and

Enrollment

CHIP Funding Uncertainty

Health Center Funding Unclear

ACA Repeal Changes to Medicaid Staffing

Page 12: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Or Remember This?

Page 13: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

…And Then This?

Page 14: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

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

Page 15: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Emerging Trends

Page 16: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Health Center Challenges Opportunities

Page 17: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Social Determinants: Health Care is Just Part of Health

Page 18: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Expanding Services

Page 19: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Do Policy Changes Also Keep You Up At Night?

Page 20: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

A Recap of What We’ve Heard So Far

Changes to Medicaid

Short-Term Plans

Association Health Plans

Affordable Care Act Repeal

Court Challenges

Page 21: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Best Practices and Strategies to Plan Ahead

Page 22: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

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

Page 23: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

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

Page 24: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Collaboration is Key!

Collaborate with

Partners

Share Ideas and Outline

a Plan

Write Down Takeaways

and Questions

Page 25: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

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

Activity 1:

Page 26: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Report Out

Page 27: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

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

Activity 2:

Page 28: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Report Out

Page 29: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

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

Page 30: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Contact Information

Liz Hagan, Senior ConsultantTransform Health

[email protected] @Hagan_Elizabeth

Page 31: PLANNING AHEAD IN A CHANGING ENVIRONMENT · Changes to Medicaid. Short-Term Plans. Association Health Plans. Affordable Care Act Repeal. Court Challenges . Best Practices and Strategies

Questions?