NGA WORKSHOP ON FEDERALLY-FACILITATED AND STATE PARTNERSHIP HEALTH INSURANCE MARKETPLACES Baltimore Marriott Waterfront Hotel 700 Aliceanna Street Baltimore, Maryland 21202 April 2-3, 2013 Tuesday, April 2 7:00 am-8:00 am Foyer 8:00 am-9:00 am D 8:30 am-9:00 am AGENDA Conference Registration Breakfast Setting the Stage: Dan Crippen, Executive Director, National Governors Association Gary Cohen, Director, Center for Consumer Information and Insurance Oversight Deborah Bae, Senior Program Officer, Health Care Group Robert Wood Johnson Foundation Plenary Session: Eligibility and Enrollment: Critical Decisions for Today and Tomorrow In this session, states will have the opportunity to discuss eligibility determination processes, leverage lessons learned in state CHIP and Medicaid programs, and explore viable and interoperable health information technology solutions. 9:00 am-10:30 am Ben Walker, Director, Eligibility Policy and Operations Branch, Division of Eligibility and Enrollment Policy and Operations, Exchange Policy and Operations Group, 10:30 am-10:40 am Break Ann Marie Costello, Director, Division of Eligibility, Enrollment & Outreach Centers for Medicare and Medicaid Services 1
Facilitated Discussion: Eligibility and Enrollment: Critical Decisions for Today and Tomorrow Deborah Bachrach, Partner, Manatt, Phelps and Phillips, LLP 10:40 am-12:00 pm Contributor: Suzanne Bierman, Assistant Director, Division of Medical Services Arkansas Department of Human Services Nico Gomez, Chief Executive Officer, Oklahoma Health Authority State and Federal Attendees Only Brooks Daverman, Director, Strategic Planning and Innovation Tennessee Division of Health Care Finance and Administration Lessons learned in Medicaid and CHIP Interagency coordination between state and federal government Defining state and federal roles o State administrative responsibilities moving forward o IT infrastructure and data coordination Luncheon Presentation: Communications and Outreach Strategies for Individuals and Small Businesses As the open enrollment period draws near, states will need to coordinate with the federal government to create effective and appealing advertisements to attract hard to reach populations. This session will explore opportunities for public and private partnerships to increase individual and small business participation. Jason Hsieh, Program Director, Health Division, National Governors Association 12:00 pm-1:30 pm D Speakers: Kelly DiNicolo, Technical Advisor on Health Insurance Marketplaces, Office of Communications, Centers for Medicare and Medicaid Services Jennifer Patterson, Life, Accident and Health Legal Counsel New Hampshire Insurance Department Keith Heckel, Vice President of Consumer Marketing WellPoint Companies, Inc. Federal public relations campaigns Marketing campaigns and message coordination within a state partnership marketplace Advertisement and outreach strategies by insurers 2
Plenary Session: Plan Management Key Decisions This session will identify state partnership and federally-facilitated marketplace approaches relating to plan certification and rate review, assess state insurance department capabilities, network adequacy and oversight responsibilities. 1:30 pm-2:45 pm Brian Osberg, Program Director, Health Division National Governors Association Michael Adelberg, Deputy Director, Exchange Policy and Operations Group 2:45 pm-3:00 pm Break Linda Nemes, Assistant Director of Market Regulation Delaware Insurance Department Sandy Praeger, Commissioner, Kansas Insurance Department Facilitated Discussion: Plan Management Key Decisions Moderators: Brian Webb, Manager of Health Policy and Legislation, Government Relations National Association of Insurance Commissioners 3:00 pm-4:15 pm State and Federal Attendees Only Contributors: Michael Adelberg, Deputy Director, Exchange Policy and Operations Group, Gina Zdanowicz, Acting Director, Plan Rate and Benefit Branch, Division of Plan Management, Exchange Policy and Operations Group, Center for Consumer Information and Insurance Oversight Joy Kraybill, Director, Issuer Oversight Branch, Division of Plan Management, Exchange Policy and Operations Group, Center for Consumer Information and Insurance Oversight Federal exchange relationship with health plans Data coordination o Rate and form review o Flow of information between federal and state Network adequacy and essential community providers QHP certification and oversight Benefits for AIDS Drug Assistance Programs High risk pools 3
Plenary Session: Consumer Assistance Functions and Next Steps Per federal regulation, all exchanges must provide consumer assistance. In addition to providing a website and call center for consumers, marketplaces must carry out a number of functionalities. This session will highlight the role of navigators, brokers, and other assisters, identify state best practices within existing Children's Health Insurance Programs and explore opportunities for state and federal collaboration. 4:15 pm-5:25 pm Asha Cesar, Policy Analyst, Health Division, National Governors Association Vicki Gottlich, Director, Consumer Support Group Cindy Crone, Director, Health Insurance Exchange Planning Arkansas Insurance Department Monica Lindeen, Commissioner of Securities and Insurance & State Auditor Montana Department of Insurance 5:25 pm-5:30 pm 5:30 pm-6:30 pm Waterview CD Closing Remarks: Reception 4
Wednesday, April 3 7:00 am-8:30 am Foyer 7:30 am-8:30 am D 8:30 am-9:30 am State and Federal Attendees Only 9:30 am-10:45 am Registration Breakfast Facilitated Discussion: Consumer Assistance Functions and Next Steps Kevin Lucia, Research Professor and Project Director Georgetown University Health Policy Institute Contributor: Vicki Gottlich, Director, Consumer Support Group Cathy Caldwell, CHIP Director, Alabama Department of Public Health Brian Gorman, Director of Outreach and Consumer Education Illinois Health Insurance Marketplace Review federal regulations o Roles of navigators/in-person assisters/brokers o Training and selection oversight o Certification processes Role of the Department of Insurance and other state agencies Best practices and lessons learned from Medicaid and CHIP Patient assister programs (e.g. Ryan White) Plenary Session: Insurance Market Dynamics This session will review regulatory updates on market reforms and the impacts on state insurance departments and private issuers. Additionally, approaches to risk mitigation and leveling the playing field moving forward will be discussed. Monica Lindeen, Commissioner of Securities and Insurance & State Auditor Montana Department of Insurance Teresa Miller, Acting Director, Oversight Group John Bertko, Director, Office of Special Initiatives and Pricing Sandy Praeger, Commissioner, Kansas Insurance Department Regulatory updates and CCIIO simulations Level playing field Premium stabilization 5
10:45 am-11:00 am Break Plenary Session: Transition to a Partnership or State-Based Marketplace In this session, states will have the opportunity to assess the regulatory landscape related to exchanges and discuss fiscal and administrative considerations relating to the transition process. 11:00 am-12:00 pm Chiquita Brooks-LaSure, Deputy Director of Policy and Regulations Jeremiah Samples, Insurance Program Manager West Virginia Health Benefit Exchange Dan Schuyler, Director, Leavitt Partners Federal expectations State processes and timing Fiscal and administrative considerations 12:00 pm-12:15 pm Foyer 12:15 pm-12:30 pm Lunch Break Closing Remarks: 6