1. Minnesota Task Force on Health Care Financing | Manatt, Phelps & Phillips, LLP August 26, 2015 Support for this resource provided through a grant from the Robert Wood Johnson Foundation’s State Health Reform Assistance Network Minnesota Task Force on Health Care Financing

2. 1 Agenda  Task Force Timeline  Proposed Task Force Priorities  Workgroup Structure and Process  Next Steps Minnesota Task Force on Health Care Financing | Manatt, Phelps & Phillips, LLP

3. 2 1.Provides seamless access to health care insurance across the public programs and private markets; 2.Reduces barriers to accessibility and affordability of coverage, including transitions from the public to private markets; 3.Addresses sustainable financing of health insurance programs, including their impact on the state budget; 4.Assesses the impact of innovative financing options for reducing health disparities; 5.Develops or expands innovative health care purchasing and delivery system strategies that reduce cost and improve health; 6.Promotes effective and efficient alignment of program resources and operations; 7.Increases transparency and accountability of program operations. Within the context of the triple aim, The Health Care Financing Task Force will develop innovative recommendations in order to create a health care financing and delivery system which: Task Force Charge

4. Task Force Timeline

5. 4 Task Force Timeline Overview Minnesota Task Force on Health Care Financing | Manatt, Phelps & Phillips, LLP

6. Proposed Task Force Priorities

7. 6 Potential Task Force Priorities Minnesota Task Force on Health Care Financing | Manatt, Phelps & Phillips, LLP

8. Workgroup Structure and Process

9. 8 Phases of Task Force Activity Overview Minnesota Task Force on Health Care Financing | Manatt, Phelps & Phillips, LLP

10. 9 TimingAugust 7 – 31September 1 – October 15October 16 – November 30December 1 – January 15 Key Tasks  Define Task Force structure  Approve charters  Establish meeting schedule  Identify opportunities and challenges  Consider alternative structures and financing  Develop preliminary recommendations  October 16: Present preliminary workgroup recommendations  November 1: Prepare report outline  November 30: Draft report  January 1: Review final report  January 15: Submit final report Meetings  2 Task Force meetings –1 regional community meeting  2-3 meetings for each workgroup  2 Task Force meetings –1 regional community meeting  1-2 meetings for each workgroup  2 Task Force meetings Phases of Task Force Activity

11. 10 Workgroup Process and Structure Minnesota Task Force on Health Care Financing | Manatt, Phelps & Phillips, LLP

12. 11 Minnesota Task Force on Health Care Financing | Manatt, Phelps & Phillips, LLP Governance: the structure for program policy development and implementation, decision making and oversight *Recommendations will take into account impact on health disparities Topic # Proposed Meeting Topics 1 Kick-off; Governance, Administration, and Operations of Medical Assistance, MinnesotaCare, and MNsure 2Financing of Medical Assistance, MinnesotaCare, and MNsure 3Opportunities and Rationale for Consolidation, Alignment, and Innovation 4Preliminary Recommendations* 5Final Recommendations* Governance of Coverage Workgroup

13. 12 Minnesota Task Force on Health Care Financing | Manatt, Phelps & Phillips, LLP *Recommendations will take into account impact on health disparities Consider consolidating with Improving Affordability for Consumers Workgroup (see next slide) Topic # Proposed Meeting Topics 1 Kick-off; Identify Non-Financial Barriers to Seamlessness (e.g. enrollment rules, different plans and providers) Across Programs 2Examine Models for Smoothing Factors Impeding Seamless Coverage 3Preliminary Recommendations* 4Final Recommendations* Creating a Seamless Coverage Continuum Workgroup

14. 13 Minnesota Task Force on Health Care Financing | Manatt, Phelps & Phillips, LLP *Recommendations will take into account impact on health disparities Consider consolidating with Creating a Seamless Coverage Continuum (see prior slide) Topic # Proposed Meeting Topics 1 Kick-off; Examine Financial Cliffs in Minnesota Including Premiums and Cost- Sharing in Current Products 2Current Evidence of Affordability (or Lack Thereof) 3Modifying Sliding Scale of Subsidies to Further Promote Affordability 4Preliminary Recommendations 5Final Recommendations Improving Affordability for Consumers Workgroup

15. 14 Minnesota Task Force on Health Care Financing | Manatt, Phelps & Phillips, LLP *Recommendations will take into account impact on health disparities and the health care workforce Topic # Proposed Meeting Topics 1 Kick-off and Level-Setting; Current State Initiatives to Reduce Cost and Increase Quality 2 Unified Strategy for Leveraging State Purchasing Power To Improve Affordability and Sustainability 3 Extending State Strategies to Medicare and Private Market To Further Improve Affordability and Sustainability 4Preliminary Recommendations 5Final Recommendations Sustainability and Innovation in Care Delivery System Workgroup

16. Next Steps

17. 16 What are the next steps? Minnesota Task Force on Health Care Financing | Manatt, Phelps & Phillips, LLP

18. 17 Minnesota Task Force on Health Care Financing | Manatt, Phelps & Phillips, LLP Deborah Bachrach, Partner dbachrach@manatt.com 212.790.4594 Patti Boozang, Senior Managing Director pboozang@manatt.com 212.790.4523 Thank You!