Board Of Directors Meeting - Connecticut

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Board of DirectorsMeetingNovember 19, 2015

AgendaA.B.C.D.E.F.G.H.I.J.K.L.M.2Call to Order and IntroductionsPublic CommentReview and Approval of Minutes – VoteVote – Cancellation of December Board of Directors MeetingCEO ReportOperations Update2016 OE UpdateMarketing UpdateTechnical Operations & AnalyticsAPCD UpdatePlan Management UpdateStrategy Committee UpdateAdjournment

Public Comment3

Review and Approval of Minutes (Vote)4

Cancellation of DecemberBoard of Directors Meeting (Vote)5

CEO Update6

Operations Update7

Open Enrollment Member Update as of 11-17-2015New AHCT Accounts CreatedNew QHP Enrollment13,3005,470Total QHP Enrollments as of 11‐17‐201599,127APTC/CSRAPTC OnlyNo APTC48,11226,04024,975New Medicaid Eligibility Determinations as of 11‐17‐2015*23,905* This figure represents all completed and subsequently submitted applications with a positive Medicaid determinationmade after 10/31 for individuals who did not have an active enrollment status in the AHCT system on 10/31. This figureincludes return customers, transitions from Non‐MAGI to MAGI, etc.8

Open Enrollment Update Interactive Voice Response (IVR), Call Center scripts and workinginstructions were updated. Call Center Representatives were re-certified through the LearningManagement System (LMS). Additional staffing has been added to allow for additionalresources during open enrollment. November 1, 2015 through November 17, 2015CallsAnswered byCall Center75,3759Store and CEPVisitors1,748Total Store &CEP QHPEnrollments502Total Store &CEP QHPRenewals234Total Store &CEP MedicaidEnrollmentsTotal Store &CEP MedicaidRenewals551306

Community EnrollmentEnrollment Centers(Store Fronts)EC QHP49%10EC Medicaid51%ECMedicaidEC QHPCommunity EnrollmentPartners (CEP’s)CEP QHP43%CEP Medicaid57%CEPMedicaidCEP QHP10

Call Center and Store Front Hours of Operation Call Center Hours of Operation – 1-855-805-4325(During Open Enrollment)Monday – Friday 8:00 a.m. through 6:00 p.m.Saturday 10:00 a.m. – 3:00 p.m. (will be assessed weekly based on call volume)(Ongoing)Monday – Friday 8:00 a.m. through 4:00 p.m. Store Front Hours of Operation – New Britain and New HavenMonday – Friday 9:00 a.m. through 5:00 p.m.Saturday 9:00 a.m. – 1:00 p.m.New Britain – 200 Main Street - 860-515-3225New Haven – 55 Church Street – 203-889-200011

CEP Location Hours of OperationDanbury – Danbury’s Women’s Center– Public hours: Mon-Fri 9:30am – 4:30pm, Sat-Sun ClosedEast Hartford – Raymond Main Library (Navigator)– Public hours: Mon-Thu 9:30am – 5:00pm, Fri 9:30am-4:30pm, Sat-SunClosedNorwich – United Community and Family Services– Public hours: Mon-Thu 9:30am – 5:00pm, Fri 9:30am-4:30pm, Sat-SunClosedStamford – The Ferguson Library– Public hours: Mon Closed, Tue-Fri 10:30am-6:00pm, Sat 10:30am5:00pm, Sun ClosedWaterbury – Opportunities Industrialization Center (Navigator)– Public hours: Mon-Fri 10:00am – 4:30pm, Sat-Sun Closed12

Enrolling or Get Help OptionsAccessHealthCT.comCall the Call Center1‐800‐855‐805‐4325Contact a Certified Brokeror a Certified ApplicationCounselor – VisitAccessHealthCT.com andclick on “Get Help” tolocate one near youVisit a CEP Location inEast Hartford,Waterbury, Danbury,Norwich or Stamford13Visit or call a Store LocationNew Britain 200 Main Street860‐515‐3225New Haven 55 Church Street203‐889‐2000Go to the Website –VisitAccessHealthCT.com

1095 A, B & CProof of Compliance with Individual MandateFormRecipientAccountable1095AQHP enrollee receivesfrom Market PlaceExchangeMarket Place Exchange1095BMedicaid & Medicarerecipients andindividuals whopurchase insurancethrough a HealthInsurerState Medicaid Organizations,Health & Human Services(Medicare) and Health Insurers1095CEmployee receives from EmployerEmployer*As of August 2015 4

Daily Husky A Conversion Volume121086420Husky A Transition to QHPBy Metal Selection & Financial Assistance SelectionMetal TierBronzeSilverGoldPlatinumGrand TotalFinancial Assistance StatusNonAPTC CSRAPTCSubsidized Grand Total13141281011661235101511119417167Husky A Transition to QHPBy Financial Assistance SelectionFinancial Assist.APTC & CSRAPTC OnlyNo Financial Asst.Grand TotalAvg. IndividualPerson CountPremium119 706.8741 804.007 524.13167 723.06* Husky A Parents with no earned income slated to lose coverage 9/1/2015. Approximately 1,200 enrollees impacted.15Avg.AfterAvg. APTCAPTC 592.64 114.23 561.95 242.06 ‐ 524.13 560.27 162.79

2016 Open Enrollment Update16

Open Enrollment Dashboard – On Track2016 Open Enrollment Release rketingPM ITRenewalTechCCSalesTrainingField ServiceCSO / IRDOpen Enrollment Functional Area StatusComponentStatusFunctional LeadPlan Management100%Ellen Kelleher / Ann Lopes Prepare for 2017 plan designMarketing /Communication100%Andrea Ravitz Continue to work outreach, events and store front media requestRenewals80%Shan Jeffreys Monitor renewal population reporting changesWork with Department of Social Services on batches during December timeframeTechnology100%Peter Van Loon Monitor nightly batches and mitigate where neededCommunicate high volume dates to downstream stakeholdersCall Center100%David Lynch Continue to monitor call volume, call reasons and mitigation / escalation if neededSales100%Josephine Sempere / RonChoquette Continue to work and monitor activity within lead broker agenciesContinue to work with brokers on renewal book of businessTraining90%Josephine Sempere / RonChoquette Continue training for existing brokersField Services100%Tony Crowe Monitor store front trafficCustomer ServicesOrganization100%Jennifer June Continue turning around the 1095’s in a timely manner.Backlog CompleteLegendUpcoming Priorities Next WeekCompletedOn TrackIssue / RiskNext MilestoneJanuary

2016 Open Enrollment & Renewals Process(Open Enrollment November 1, 2015 through January 31, 2016)2

Marketing Update19

Summer/Fall Outreach Program SummaryOVERALL TOUR STATISTICS:Tour Stops: 35Total Attendance: 450K Premium Items: 13,530Photos Collected: 1,054Emails Captured: 2,36320

2015/16 Open Enrollment Paid Media Flowchart21

TV Ads PSA’s Informational videos22

Media Summary, cont. TV Customers testimonials Diversity Theme: “That’s Access Health CT!” Paid Search Launched 10/19 (Google and Bing) First 18 days of search campaign drove: Over 120K searches Close to 18K clicks Social: launched w/o 11/02 segments: Caucasian, African-American,Hispanic A25-64 (all in CT) Digital campaign: banners, audio, video launched w/o11/0223

Media Summary, cont. Newspaper: Majority of newspapers droppedweek of 11/9. Door Hangers Door Hangers posting week of 11/9 5 mile radius of 7 location Text message campaign Text GETCOVEREDCT to 30644 Text ASEGURATECT to 30644 Coverage Status (YES/NO) Website visit Text Opt-in: 200K emails sent, 38K opened, close to 1,200 subscribedalready24

Media Summary SponsorshipsNews 8 - Gr8 Holiday Gift Give, Toy for Tots : 11/12 –12/16 Competition: News & Weather Team for most unwrappedtoys donated. AHCT Enrollment Centers are drop off locations. Featured in live interviews at each location to trackprogress throughout the campaign. Kickoff interview 11/12 at New Britain Enrollment Centerduring Good Morning CT.NBC Connecticut - Joy of Sharing Food Drive 11/21 Live interview (W. Hartford) Benefiting the CT Food Bank and Foodshare.NBC Connecticut - Joy of Sharing Toy Drive 12/12 Featured in a live interview when dropping off thedonated toys benefiting Toys for Tots.25

Media Summary SponsorshipsNovember 2, 2015 – January 31, 2016WTNH (New 8), Storm Closings On-air and online presence.WFSB (Channel 3) Early Warning Network and Storm Closings. on-air, online, and social presence.NBC First Alert Weather and Closing Central. On-air, online, text, and email presence.FOX CT Evening News and Weather. Interview segment to be featured during the morning newsalong with online and social integration.CT Style Channel 8 Featured in a segments on CT Style with focus oncommunity chats and the health literacy in addition tocore Open Enrollment messaging.26

Outreach Strategy Community Chats: Hartford, New Haven, Stamford, Waterbury, New Britain, Norwich,Danbury Planning stages for other locations 80 attendees: Brokers; Community Organizations; Elected Officials;Places of Worship; Health Departments; Libraries; School Districts. Over 100 new organizational contacts (through attendees)27

Community Chats Survey ResultsHow did you hear about today'sevent?AHCT WebsiteAHCT EmailPhone CallWord of MouthOtherBefore today's presentation,how familiar were you withAccess Health CT?ExtremelyVeryModeratelySlightlyNot at all 285%59%15%17%4%How helpful was theinformation presented?ExtremelyVeryModeratelySlightlyNot at all30%54%15%1%0%23%20%34%20%3%How likely are you to share thisinformation with thecommunity you work with?ExtremelyVeryModeratelySlightlyNot at all66%26%6%2%0%17% heard through word of mouth23% was slightly or not at all familiar with AHCTClose to 85% thought that the information provided was helpful92% feel extremely or very likely to share what they learned.

Outreach Strategy Diverse Media Receptions Objectives: Inform multicultural outlets about AHCT and provide them withinformation relevant to their specific demographics Questions, comments & concerns from their specific communities Information about AHCT and the current open enrollment period Target Outlets African American Polish Asian French/Creole Brazilian Hispanic (Nov. 19th. New Britain)29

Outreach Strategy Enrollment Centers/Community Enrollment Partners Enrollment Centers opened on October 14th CEPs opened on 10/19 (Waterbury, Danbury, and Norwich) andOctober 26th (Stamford and East Hartford Material Distribution Posters and brochures (85 entities 187 sites across the state). Information available in 50 CVS stores, statewide. Encouraged all entities to use their social, digital and electroniccommunications to share the AHCT Open Enrollment message. Community partner section of the site includes all marketingmaterials, community info, events, news etc. Enrollment Fairs St. Vincent's Medical Center (Bridgeport) November 21 Manchester Memorial Hospital - December 5 Job fair / enrollment session In the planning stages for additional dates andlocations30

Outreach Strategy Community Organizations These 242 organizations represent over 500 branches Targeting Diverse organizations around the stateTargetChamber of CommerceCommunity Health CentersCommunity CollegeCommunity OrgDepartment of LaborFaithHealth DepartmentHospitalLibraryPharmacySchoolsWalk‐In 8%0.4%26.9%8.7%2.5%11.6%1.2%0.8%0.8%100.0%

Radio Community Outreach Strategy November 2, 2015 – February 14, 2016 Segments in Community Access hosted byiHeartMedia’s Renee DiNino across all 9 iHeartMediaConnecticut stations: Hartford: WHCN, WKSS, WWYZ, WPOP, WUCS New Haven: WKCI, WELI, WAVZ, WKCI HD-2 Additional brand messages and event coverage willair on Kiss 95.7, Country 92.5, and The River 105.9 toreinforce the messaging in the Hartford market. AHCT had presence the Veterans Rock Job Fair at on11/11 as part of the iHeart Media/Community Accessbooth. This campaign will continue after open enrollment tostress the importance of plan utilization.32

Communication Strategy Retention Strategy Renewal video and AHCT/Kaiser Family Foundation info video Renewal mailer was released 10/22 and is also posted on the website along with theinformational flyers. Birthday mailer: October sent November released. Working on the 1095 communications Text message campaign33

Communication Strategy Acquisition Strategy Acquisition video to be added this week. Enrollment Brochure and informational flyers (translated in 5 languages) areposted on site. Door hangers 5 mile radius from 7 locations. SSI complete Enrollment banners Text message campaign34

Communication Strategy Learn More Site 35Learn.AccessHealthCT.comEnglish &Spanish is live and mobile enabledBetter Customer experience.Carrier value proposition pageCustomer Decision toolInformational tools (videos, flyers, brochures)

Communication Strategy Broker Support Password protected site collateral, plan info. Developing additional sales broker collateral36

Technical Operations & Analytics37

New l Summary(NewAssistance(PreO. e.Fi.Carrier41,171ConnectiCareBenefits35,614Anthem BCBS16,323HealthyCTUnitedHealthcare2,4490K 2K4K6K8K 10K 12K 14K 16K 18K 20K 22K 24K 26K 28K 30K 32K 34K 36K 38K 40K 42K 44K 46KMembers

New tsAnthem hareByFinancial Summary(NewAssistance(PreO. EEnrollees)NewWindham Fairfield Hartford Litchfield Middlesex New Haven ribution(NewEnrolleesvsPre.Tolland 56%3.33%100.00%Fi.

New mentShareByFinancial Summary(NewAssistance(PreO. ctiCareBenefits0.47%10.25%26.17%4.89%Anthem Fi.

New ByMetalLevel(PreOE)APTC CSRCarrierMarketEnrollmentShareByFinancial Summary(NewAssistance(PreO. s21.02%11.72%10.34%43.09%Anthem (NewEnrolleesvsPre.Fi.

nrollmentE(PreNew w ial Summary(NewAssistance(PreO. e.Anthem B. Connecti. EnrolleesvsPreOEEnrollees).

New mparisonsC CarrierMarketa ShareByMetal. inancial Summary(NewAssistance(PreO. 7.27%Anthem BCBS e 10/31NewEnrollees11/1611.52%2.56%2.71%0%5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 65% 70%% ofTotalMembers

New mparisonsC CarrierMarketa ShareByMetal. l Summary(NewAssistance(PreO. 6Hartford PreOE10/31NewEnrollees11/16Litchfield PreOE10/31NewEnrollees11/16Middlesex PreOE10/31NewEnrollees11/16New 16Windham %0%5%10%15%20%25%% ofTotalMembers30%35%

New mparisonsC CarrierMarketa ShareByMetal. inancial Summary(NewAssistance(PreO. s)TimeframeAPTC 1/1625.69%17.66%0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 65% 70%% ofTotalMembers

New mparisonsC CarrierMarketa ShareByMetal. l Summary(NewAssistance(PreO. EnrolleesvsPre.AgeB.Timeframe 6%5.54%NewEnrollees11/169.40%18-25 PreOE10/3111.66%NewEnrollees11/1614.68%26-34 PreOE10/3119.25%NewEnrollees11/1613.07%35-44 PreOE10/3117.13%NewEnrollees11/1622.82%45-54 PreOE10/3122.05%NewEnrollees11/1630.84%55-64 PreOE10/3123.20%NewEnrollees11/16 1.34%NewEnrollees11/161.17%0%4%8%12%16%20%24%% ofTotalMembers28%32% 36%

All-Payer Claims Database Update1

APCD Highlights Upon the successful completion of security audit, we are happy to announcethat CT’s APCD vendor is now ready to accept data from all payers Access Health CT has conducted the most thorough review of its datamanagement vendor in the industry, thus assuring the residents of this state thatwe value data security and privacy very highly We are working with the commercial data submitters in understanding theirmembership to be expected from their APCD submissions We are also examining the SB-811 bill thoroughly, having identified anddiscussed reporting strategies last week with the APCD Advisory Group2

APCD Implementation TimelineQTR 4, ‘17Price & QualityTransparency –Physician ServicesQTR 3, ‘17Costs of Surgeriesby HospitalsSB‐811 ReportsQTR 2, ‘1730‐Day ReadmissionPrice Transparency –By Select ProceduresSB‐811 ReportsQTR 1, ‘17Healthcare UtilizationPopulation IllnessTotal Cost of CareSB‐811 ReportsQTR 4, ‘16ER CostsSB‐811 ReportsQTR 2, ‘16‐ Data Validation‐ Historical Data Build‐ Reporting Analytics‐ Web Report buildQTR 1, ‘16‐ Infrastructure Build‐ Security Compliance‐ Data ETL‐ APCD Website3QTR 3, ‘16Disease PrevalencePopulation CoveragePhysician DensitySB‐811 Reports

Completion of Consumer Decision Support (CDS) tool- Overview We developed a consumer decision support tool to enable applicants in theexchange to select the right metal and plan We presented the consumer decision support tool early design to theConsumer Advisory Committee on 8/6 and the APCD Advisory Group on 8/13for inputs for making this tool easy to understand; CID has been a consultingpartner in all phases of the tool’s development The tool has incorporated their inputs and thus improved the usabilityeasiness and functional fluidity considerably Tool has been launched for the consumers in CT –https://cds.accesshealthct.com We also have initiatives launched to enable brokers and assistors tounderstand how to use the tool for improved advisements We have built in Google Analytics as part of the tool for understanding usage –frequency, abandonment, completions, etc.4

Consumer Decision Support Tool –Google Analytics (11/1 – 11/17)Sessions – number of instances of anyone using siteUsers – number of unique people using sitePageviews – number of total pages on site loadedPages/Session – number of pages loaded per useAvg. Session Duration – average length of time people spend on siteBounce Rate – percentage of users viewing one page and then leaving site% New Sessions – users divided by sessions

Plan Management6

Plan ManagementProjected Timeline for 20177

Plan Management – 2016 CertificationIndividual MarketQualifiedHealth PlansSmall Group tand‐AloneDental Plans(SADPs)*Including all cost sharing variant plans (Silver Cost Sharing Reduction and Zero & Limited CostSharing Reduction for American Indians/Alaskan Natives), 144 plans were reviewed8

Plan Management Life Cycle (PMLC)FederalRegulations& GuidanceOpenEnrollmentNovember‐ FebruaryNovemberPortalUpload /IssuerPreviewDecember ‐FebruarySeptember‐ OctoberJanuary ‐MarchSeptember‐ lansMay ‐SeptemberQHPApplicationSubmission& ReviewFebruary –AprilMarch ‐AprilQHPApplicationQHPSolicitationPM SystemSupportFinalized

Plan Management – Quality Rating System (QRS)QHPIssuersCMSAHCT10 Contract with approved vendor to administerenrollee survey & validate clinical measure data Submit data to CMS by product type byspecified deadline Apply QRS rating methodology to validated QRSclinical measure data & subset of QHP EnrolleeSurvey response data Produce quality ratings on a 5‐star rating scale Display QHP quality rating information onwebsite for the 2017 Open Enrollment Period

Plan Management – Quality Improvement Strategy (QIS)Improve HealthOutcomesDescribed in ACASection 1311(g)as apayment structure thatprovides increasedreimbursement orincentives to:Prevent HospitalReadmissionsImprove PatientSafety & ReduceMedical ErrorImplement Wellness& Health PromotionActivities11Reduce Health &Health CareDisparities

Plan Management – Moving Forward to 2017 12BenchmarkPlan Selection deral Officeof PersonnelManagementMeetingPlannedAttended CIDMeeting re:Filings2017 KeyMilestoneCalendar

Plan Management – Moving Forward to 2017 Upcoming ActivitiesCMS QualityRatings &ImprovementStrategyGuidance:November ‐December2015CMS Letter toIssuers inFFMs: LateDecember2015CMS ProposedRegulation &AV Calculator:LateNovember201513Standard PlanDesignsFinalized:March 2016CMS FinalRegulation,AV Calculator& Letter toIssuers:February 2016QHP & SADPSolicitationsReleased for2017: March2016

Strategy Committee Update14

Adjournment15

Plan Management 100% Ellen Kelleher / Ann Lopes Prepare for 2017 plan design Marketing / Communication 100% Andrea Ravitz Continueto work outreach, events and store front media request Renewals 80% Shan Jeffreys Monitorrenewal population reporting changes

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