insured the uninsured project conference february 17, 2015 the future of reform thomas p. traylor...
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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”
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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.”
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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.”
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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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