insured the uninsured project conference february 17, 2015 the future of reform thomas p. traylor...
TRANSCRIPT
Insured the Uninsured Project ConferenceFebruary 17, 2015
The Future of Reform
Thomas P. TraylorVice President Boston Medical Center/Boston HealthNet
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“Be patient. Reform takes time”
Reform Takes Time….in Massachusetts
• Massachusetts health reform = 20 year process– 1997 Medicaid Waiver; 14% uninsured– 2006 Medicaid Waiver; vehicle to expand coverage– 2010 Medicaid waiver; launch of Delivery System Transformation
Initiative (DSTI), which is similar to DSRIP– 2014 Medicaid Waiver; 2% uninsured. Uncompensated care pool
and DSTI only funded for 3 years of five-year waiver.
• Reform is still playing out in safety net:– 10% uninsured at BMC today– Medicaid underpayments
• Key policy questions among state and feds– DSTI evolution and continuation post 2017– Open question about funding uncompensated care beyond 2017
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"Your market must evolve. Hospitals & health centers can work together to improve patient care.”
Boston Medical Center’s Evolution5
1995
1996
1997
2012
2014
2015
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“Make a plan. Consider where California wants to be in five years and detail clear cost, quality, and coverage goals. Map out the role of Medicaid.”
What’s the Plan?
1.Detail clear cost, quality and coverage goals.
2.Hold stakeholders accountable for results.
3.Invest in data collection and analysis.
4.Consider relationship among coverage programs.
5.Create a sustainable Medicaid financing plan.
6.Set a realistic timeframe.
7.Convert your complex plan into an understandable story.
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Additional Resources
• Massachusetts Center for Health Information & Analysis– http://chiamass.gov/– Information on cost, quality, access and health system
performance
• The Blue Cross Blue Shield Foundation of Massachusetts – http://bluecrossfoundation.org– Summaries and analysis of MA health reform
• Massachusetts Health Policy Commission– http://www.mass.gov/anf/budget-taxes-and-procurement/oversight-
agencies/health-policy-commission/– Cost Trends Reports
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For Additional Information
Contact:
Tom Traylor, Vice President Boston Medical Center(617) [email protected]
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