1. Alliance for Health Reform Office of Governor Bill Ritter, Jr. Lorez Meinhold August 2, 2010

2. BACKGROUND For three years, Gov Ritters health initiatives have been driven by an inter-departmental team Given the magnitude and complexity of reform, we recommend moving forward with a similar but more structured approach put in place through an Executive Order Our goal in reform: improved health Progress on health outcomes and indicators by 2020

3. EXECUTIVE ORDER Through an Executive Order: Create the Interagency Health Reform Implementing Board housed at HCPF Appoint a Director of Health Reform Implementation Establish the inter-departmental implementation council specifying which departments will participate

4. EXECUTIVE ORDER Components: Develop a strategic implementation plan Outreach to stakeholders across the state Provide accountability and transparency Pursue federal and state grants to assist in implementing Establish workgroups to assist in performing its duties and responsibilities Coordinate efforts of the state agencies

5. ACTIVITY High Risk Pool – GettingUSCovered.org 4,000 Coloradans Funded through premiums and federal funds A bridge to 2014 Health Care Exchanges Elements of a successful exchange Structure and Format– Access – Affordability – Value – Stability – Efficiency – Fairness and Equity Convening of stakeholders Discuss regional options with other states

6. ACTIVITY Colorado Healthcare Affordability Act foundation for reform in Colorado 130,000 by 2012 Engage stakeholders Forums, workgroups, website (colorado.gov/healthreform) Grant opportunities Prioritize, Create teams, engage stakeholders

7. ACTIVITY Monitor rules and regulations Department coordination Implementation Plan Assist with transition in administration Outline approved, draft Oct. and finalized by Nov

8. CHALLENGES AND THOUGHTS Challenges Administrative dollars Timing Changing relationships Alignment of priorities Moving forward Flexibility important Efficiencies Pilots to policies Patience

9. Questions / Answers Lorez Meinhold 303-866-5856 Lorez.meinhold@state.co.us