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1:00 PM
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Convene
a. Review and approve 12/02/08 meeting minutes
b. Welcome new member(s)
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1:05 PM
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Federal Health Reform Update
a. Approach to monitoribng and advocating: Washington DC visit
b. Health IT:
i. Federal stimulus funds (HITECH) update
ii. Vermont health IT fund revenues and projections
c. Progress on Medicare participation
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Susan Besio, Director, Office of Vermont Health Access and Health Care Reform
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Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
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1:45 PM
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Health Care Reform Implementation Overview
a. Green Mountain Care update: enrollment and utilization trends
b. Federal waivers, match to 300% FPL, and depreciation issue
c. Impact of 2010 budget
d. Overview of key provisions from H.444, S.129
e. Update on prescription counter-detailing funds
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Susan Besio, Director, Office of Vermont Health Access and Health Care Reform
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Jennifer Carbee, Legislative Counsel
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Robin Lunge, Legislative Council
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2:45 PM
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VITL Update
a. CEO Search
b. Summary of 2009 projects
c. State health IT plan update and transition to new process
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Don George, Chair, Vermont Information Technology Leaders (VITL)
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Joshua Slen, Interim Director, Vermont Information Technology Leaders (VITL)
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3:15 PM
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Commission Work Plan
a. Commission budget/trends
b. Overview of Commission responsibilities from 2009 session
c. Catamount ASO and ESI study: timing, consultant, S.129 admin cost study
d. ACO pilot
e. Next Commission meeting: July 7, 2009
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Jim Hester, Director, Health Care Reform Commission
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Robin Lunge, Legislative Council
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1:00 PM
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Convene
Review and approve Minutes of 5/26/09; welcome new member
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1:05 PM
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Federal Health Reform Update
a. Update on national health reform
b. Update on coordination of ARRA Health AT funds
c. Backup options on Medicare participation
d. Joint issues paper
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Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
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Nolan Langweil, Fiscal Analyst, Joint Fiscal Office
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1:45 PM
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Health Care Reform Implementation Overview
a. Federal waivers extension letter, process for legislative approval
b. update on Catamount rate filings
c. BISHCA health insurance survey
(a) 2008 survey: who are the uninsured?
(b) Issues for 2009 survey
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Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
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Dian Kahn, Director, Department of Banking, Insurance, Securities and Health Care Administration
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2:30 PM
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Fletcher Allen Prism Electronic Medical Record
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Chuck Podesta, Senior Vice President and CIO, Fletcher Allen Health Care
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3:15 PM
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VITL Update
a. Vermont e Prescribing initiative and Surescripts award
b. Introduction to new CEO
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David Cochran MD, President and CEO, Vermont Information Technology Leaders (VITL)
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Steve LaRose, Vice President of External Affairs, Vermont Information Technology Leaders (VITL)
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3:40 PM
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Commission Work Plan
a. Catamount Options study: focus, timing, consultant
b. ACO pilot update: payers' meetings, grant request, financial model
c. Next Commission meeting: September 8, 1:00-4:00 PM, Burlington?
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Jim Hester, Director, Commission on Health Care Reform
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1:30 PM
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Convene
Review and approve 7/7/09 Minutes
Location: Not Room 10! Meeting is at the Office of Vermont Health Access, 312 Hurricane Lane, Williston: Just off Exit 12 of I-89. Please note new start time: 1:30 PM.
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1:35 PM
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Federal Health Reform Update
a. Update on opportunities for VT in national health reform--Hunt Blair
b. Update on coordination of ARRA Health IT funds--Hunt Blair
c. Coordination with other states and Congress re concerns--Jennifer Carbee
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Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
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Jennifer Carbee, Legislative Counsel, Office of Legislative Council
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2:00 PM
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Health Care Reform Implementation Overview
a) Catamount claims review and premium increase (10 min) --Christine Oliver
b) Blueprint and OVHA CCI evaluation (30 min)-- Craig Jones
c) Impact of budget rescissions on Blueprint (15 min)--Craig Jones, Nolan Langweil
d) Waiver requests update (5 min)--Jane Kitchel
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Craig Jones, Director, Blueprint for Health
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Sen. Jane Kitchel
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Nolan Langweil, Fiscal Analyst, Joint Fiscal Office
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Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
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3:00 PM
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Primary Care Access in Vermont: Current Status and implication for health reform
a) Current status and trends* (15 min)--Dennis Barton
b) Primary care workforce education programs (15 min)--Liz Cote
c) Practice conditions and potential strategies (15 min)--Paul Harrington
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Denis Barton, Director of Public Policy, Bi-State Primary Care Association
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Elizabeth Cote, Director, Vermont AHEC Network, UVM (Office of Primary Care)
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Paul Harrington, Executive Vice-President, Vermont Medical Society
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3:45 PM
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Commission Studies and Work Plan
a) Catamount Options study*: RFQ issued for consultant
b) ACO pilot update: national collaborative, financial model
c) Future commission meetings: 10/6, 11/10,12/15 1-4 pm, Montpelier
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Jim Hester, Director, Commission on Health Care Reform
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1:00 PM
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Convene, review and approve minutes
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1:05 PM
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Federal Health Reform Update
a. Update on National health reform --Hunt Blair
b. Medicare multi-payer medical home demonstration --Craig Jones
i. Overview of new federal initiative
ii. Impact on Vermont
iii. Process from here
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Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
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Craig Jones, Director, Blueprint for Health
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1:45 PM
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Health Care Reform Implementation Overview
a. Catamount rate increases --Christine Oliver
b. Implementation update -- Hunt Blair
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Hunt Blair, Assistant Director of Health Care Reform, Office of Vermont Health Access
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Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
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2:00 PM
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Health Resource Allocation Plan recommendations
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Rebecca Heinz, Assistant General Counsel, Department of Banking, Insurance, Securities and Health Care Administration
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2:45 PM
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VPQHC Quality Improvement Collaborative
a. Background and data overview -- Helen Riehle and Cy Jordan
b. MD Family Associates Medicine, Springfield -- Yolanda Lawrence
c. Cold Hollow Family Medicine, Enosburg Falls -- Candace Collins
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Candace Collins, Cold Hollow Family Medicine, Enosburg Falls
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Cy Jordan, Medical Director, Vermont Program for Quality in Health Care (VPQHC)
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Yolanda Lawrence, MD Family Associates Medicine, Springfield
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Helen Riehle, Executive Director, Vermont Program for Quality in Health Care (VPQHC)
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3:45 PM
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Commission Studies and Work Plan
a. Catamount Options study: recommended vendor
b. ACO Pilot Update
c. Next Commission meeting: November 10, 1:00-4:00 PM, Burlington?
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Jim Hester, Director, Commission on Health Care Reform
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1:00 PM
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Convene, review and approve minutes
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1:10 PM
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Act 128: Update on Health System Design and Macro-economic Model
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Jim Hester, Director, Commission on Health Care Reform
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Steve Kappel, Consultant
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1:30 PM
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Update on Federal and State Health Care Reform
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Susan Besio, Director, Department of Vermont Health Access (DVHA)
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2:10 PM
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Health Information Technology
a) Coordination of Federal funded initiatives and broader state HIT efforts (20 min)
--Hunt Blair
b) VITL implementation of Health Information Exchange and EMR’s
--Dave Cochran (30 min)
c) Overview of major hospital HIT initiatives e.g. Fletcher Allen, Rutland, Northwestern and Porter (20 min)
--Bea Grause VAHHS
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Hunt Blair, Director, Division of Health Care Reform, Department of Vermont Health Access (DVHA)
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David Cochran MD, President and CEO, Vermont Information Technology Leaders (VITL)
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Bea Grause, President, Vermont Association of Hospitals and Health Systems
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3:20 PM
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All-payer claims data base (VHCURES): status and use
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Dian Kahn, Director, Analysis and Data Management, Department of Banking, Insurance, Securities and Health Care Administration
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Christine Oliver, Deputy Commissioner, Health Care Administration, BISHCA
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3:40 PM
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Public Comment
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3:50 PM
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Future meetings of commission and draft work plan
October 12, November 16, December 14