1. Presented by Nancy Nankivil Bennett Director; WI Department of Employee Trust Funds February 7, 2005 Health Care Data Collection & Reporting: Models for Public-Private Partnerships

2. Employee Trust Funds Public Healthcare Purchaser ETF Statistics l More than 250,000 active employees and 115,000 retirees in Wisconsin Retirement System l 10th largest public pension fund in United States; 19th largest in world l Assets currently valued at $65 billion l Annual health care expenditures of $800 million l Secretary is non-partisan & not appointed by Governor ETF Mission Develop and deliver quality benefits and services to our customers while safeguarding the integrity of the Trust

3. Value-based Purchasing Managing thru Cost AND Quality 4 Leverage purchasing power for implementation of common quality & patient safety standards 4 Gain transparency (disclosure) of comparative information at provider level 4 Reward superior provider value through pay for performance contracting with Plans/Providers 4 Empower consumers to make more informed decisions regarding their health care

4. Employee Trust Funds 2003 Healthcare Directive l Implementation of Tiered Health Plan Premium Contributions using Objective Cost & Quality Data l Management of RX program through single Pharmacy Benefit Manager (PBM) l Integration of Quality & Patient Safety Standards into all health related programs l Participation in Public/Private statewide healthcare collaborative efforts

5. State Role in Health Care Policy l Use “Bully Pulpit” to set healthcare agenda l Promote effective Group Purchasing initiatives l Encourage public/private Collaboration among healthcare stakeholders l Endorse Standard Set of Measures to ensure quality/patient safety l Support initiatives that reward value-based purchasing l Advance efforts to improve health literacy among purchasers and consumers