Minnesota Health Insurance Exchange Advisory Task Force



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Minnesota Health Insurance Exchange Advisory Task Force Commissioner Mike Rothman February 15, 2012 2/15/2012 1

Background Secretary of State s open appointment process 15 members appointed 2 year terms Work groups 2/15/2012 2

Membership Over 100 applicants Broad spectrum of stakeholders consumers, employers, labor, health care providers, health insurers, Medicaid, agents/brokers and those with experience navigating health plan enrollment, experts in public and private health care markets, and legislators 2/15/2012 3

Membership (cont) Sue Abderholden, Executive Director of the Minnesota Alliance on Mental Illness Alfred Babington Johnson, CEO, Stair Step Foundation Dannette Coleman, Vice President/General Manager, Individual & Family Business, Medica Phillip Cryan, Health Policy Specialist and Organizing Director, SEIU Mary Foarde, Attorney, Fmr. General Counsel, Allina Dorii Gbolo, CEO/Executive Director, Board Member, Open Cities Health Center Robert Hanlon, Founder and President of Corporate Health Systems Roger Kathol, Owner, Cartesian Solutions, Inc. Phil Norrgard, Director of Human Services, Fond du Lac Indian Tribe Stephanie Radtke Deputy Director, Community Services Division, Dakota County Daniel Schmidt, Vice President, Great River Office Products Senator Ann Rest, District 45, Minnesota State Senate Senator Tony Lourey, District 8, Minnesota State Senate Representative Joe Atkins, District 39B, Minnesota House of Representatives Representative Tom Huntley, District 7A, Minnesota House of Representatives Commissioner Lucinda Jesson, Minnesota Department of Human Services (ex-officio) Commissioner Ed Ehlinger, Minnesota Department of Health (ex-officio) Commissioner Mike Rothman, Minnesota Department of Commerce (ex-officio/chair) 2/15/2012 4

The Task Force will advise on the following items: Size of the small employer market Merger of the individual and small group markets Provisions to avoid adverse selection Risk adjustment Regulatory simplification Cost, quality, satisfaction rating for insurers and health benefit plans Navigator program provisions Long-term governance Ongoing funding mechanisms 2/15/2012 5

10 Technical Work Groups Adverse Selection and Encouraging Market Competition/Value Navigators and Agents/Brokers Governance Finance Tribal Consultation IT and Operations Individual Eligibility Small Employers and Employees Measurement and Reporting Outreach, Communications and Marketing 2/15/2012 6

Meetings To Date Tuesday November 8, 2011 St. Paul, MN Charge, Process, and Structure Exchange Overview Discussion of Key Exchange Issues Thursday November 17, 2011 St. Paul, MN Economic and Actuarial Modeling Results Discussion of Recommendation/Deliverable timeline Wednesday December 7, 2011 Rochester, MN Adverse Selection IT Prototypes and Public Feedback 2/15/2012 7

Meetings To Date (cont.) Wednesday December 21, 2011 St. Cloud, MN Navigators and Agents/Brokers Long-Term Governance Financing Tuesday January 10, 2012 St. Paul, MN Task Force Discussion and Recommendations: Adverse Selection Financing Governance Navigators and Agents/Brokers Tuesday January 17, 2012 Minneapolis, MN Health Disparities 2/15/2012 8

Meetings to Date (cont) Wednesday January 18, 2012 St. Paul, MN Task Force Discussion and Voting on Recommendations: Adverse Selection Recommendations to ensure a well-functioning market that provides a level playing field and encourages greater market competition on value Financing Recommendations to ensure fair and equitable long-term financing starting in 2015 Governance Recommendations to ensure a sustainable governance structure that is responsive and accountable Navigators and Agents/Brokers Recommendations to ensure all consumers and businesses served by a Minnesota-made exchange will get the assistance they need and want 2/15/2012 9

Going Forward The Task Force plans to continue to meet Work groups plans to continue to offer technical assistance to the task force 2/15/2012 10