Presentation is loading. Please wait.

Presentation is loading. Please wait.

Health Reform – What it Means for WI WHPRMS March 18, 2013 Steve Brenton Wisconsin Hospital Association 1.

Similar presentations


Presentation on theme: "Health Reform – What it Means for WI WHPRMS March 18, 2013 Steve Brenton Wisconsin Hospital Association 1."— Presentation transcript:

1 Health Reform – What it Means for WI WHPRMS March 18, 2013 Steve Brenton Wisconsin Hospital Association 1

2 There are known knowns; things we know that we know. There are known unknowns; things that, we now know we don't know. But there are also unknown unknowns; things we do not know, we don't know. Donald Rumsfeld 2

3 Quality/Value Agenda WI State Budget Medicaid Physician Workforce

4 No Fireworks This Year Gov. Scott Walker 4

5 Medicaid WHA - 133% FPL above 133% - Exchange Walker - 100% FPL above 100% - Exchange 100 – 133% - 100,000 5

6 WHA Position 6 2/1/13 – WHA publicly announces position: "Above all, our hospital and health system members are looking for stability, especially when it comes to covering our most vulnerable populations, and we believe WHAs position is a measured approach that makes good fiscal and policy sense. There will be much debate on this issue with valid opinions on both sides, but at the end of the day, in this time of uncertainty, we cannot have fewer people with coverage and more uncompensated care." Strategy shifts away from Governor to Legislature and influential interest groups Hospitals back Medicaid expansion – WI Health News WI Hospital Association endorses Medicaid expansion – Milwaukee Journal Sentinel WHA urges Walker to OK Medicaid expansion – Milwaukee Business Journal A broad coalition backs expansion, includes … Wisconsin Hospital Association – San Francisco Chronicle Walker should expand Medicaid – LaCrosse Tribune editorial (quotes WHA)

7 7

8 Physician Workforce Agenda

9 Governors Announcement & Package Details Improving Rural Access to Health Care Medical College of Wisconsin – Family Medicine Residencies - $1.75 million to expand the MCW family residency program by 12 slots – Provide $7.4 million in bonding for new MCW campuses in Green Bay & Wausau UW School of Medicine and Public Health – Provide $3 million to expand the WARM & TRIUMPH programs for needs-based scholarships Hospitals – Provide $4 million to create Graduate Medical Education consortium programs. – Provide $1 million in grants to hospitals to offset the cost of certain PCP residency slots

10 Governor Announces Package – 2/11/13 – Prairie du Chien Memorial – Mayo Clinic – Eau Claire – Ministry – Rhinelander – St. Norbert - Future MCW Site WHA Organized Joint Finance Member Visit in Green Bay – February 22 nd, 2013 – The coalition will meet with Finance Co-Chairman John Nygren (R) and Finance Member Rep. John Klenke (R). – Participants include Dr. Ashok Rai of Prevea and Dr. Allen Last of the UW Fox Valley Family Medicine Residency Program. WHA Organized WCMEW Washington, DC Fly-In

11 Quality/Value Agenda Fixing Jandre decision Regulatory Reform HIPAA laws

12 Fiscal Cliffs, Debt Ceilings, Deficit Reduction… Where Are We? & Whats Next

13 Does Congress Face a Cliff in 2013?

14 14 Hospitals have become the Medicare Piñata

15 ACA Cuts SGR fix 2012 SGR 2013 Sequester 2013 Grand Bargain 2013? 15

16 Protect Hospital Care WHAs comprehensive, multi-pronged advocacy campaign against federal payment cuts Protect campaign runs until Congress acts Dozens of strategies to educate, mobilize advocates and to demonstrate to WI Congressional Members the impact of cuts on WI hospitals

17 Protect webpage Multiple trips to DC Meetings w/congressional candidates Regular WHA communication And more….. Protect Strategies Deployed

18 Theres no more money that we can take from hospitals. Cong. Reid Ribble You dont bend the cost curve down by increasing taxes on providers. Sen. Ron Johnson From my perspective, I believe health care providers were at the table during health care reform, you contributed your pound of flesh. To keep going back to you now for more contributions, for more reductions in funding is unfair…. Cong. Ron Kind during WHAs Telephone Town Hall …you have a pretty powerful group of representatives, Democrats and Republicans, who come together and know the importance of our Critical Access Hospitals … Cong. Sean Duffy during WHAs Telephone Town Hall …you have a pretty powerful group of representatives, Democrats and Republicans, who come together and know the importance of our Critical Access Hospitals … Cong. Sean Duffy during WHAs Telephone Town Hall

19 19 What we do know … Dollars are shrinking, driving and necessitating health care reform Election didnt change any of this Health care must retool/refocus to do better with the same or less Integration/alignment Population health Transparency Payment reform Commitment to improvement Quality, efficiency, VALUE Wisconsin is leading the way … Advocacy now means enabling superior performance

20 QUESTIONS ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? 20


Download ppt "Health Reform – What it Means for WI WHPRMS March 18, 2013 Steve Brenton Wisconsin Hospital Association 1."

Similar presentations


Ads by Google