Transcript Thomas P. Traylor, Boston Medical Center - (ITUP)

Insured the Uninsured Project Conference
February 17, 2015
The Future of Reform
Thomas P. Traylor
Vice President Boston Medical Center/Boston HealthNet
“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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7
Boston
HealthNet
Community
Health
Centers
Boston
Medical
Center
22
Patients
BMC
HealthNet
Plan
Physician
Practice
Plans
Boston Medical Center’s Evolution
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Network
Merger
Boston
HeatlhNet
created
including 15
CHCs, BU
School of
Medicine &
BMC
Boston
City
Hospital +
Boston
University
Medical
Center =
BMC
Medicai
d MCO
BMC
HealthNet
Plan
created
DSTI
ACO
BMC
DSTI
programs
begin
Boston
Accountable
Care
Organization
formed
Merger
Exploration:
BMC + Tufts
Medical Center
“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.
2.
3.
4.
5.
6.
7.
Detail clear cost, quality and coverage goals.
Hold stakeholders accountable for results.
Invest in data collection and analysis.
Consider relationship among coverage programs.
Create a sustainable Medicaid financing plan.
Set a realistic timeframe.
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/oversightagencies/health-policy-commission/
– Cost Trends Reports
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For Additional Information
Contact:
Tom Traylor, Vice President
Boston Medical Center
(617) 638-6730
[email protected]
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