1 Looking Back with Our Eyes on the FutureDecember 15, 2016 "Don't look back unless you can smile; don't look ahead unless you can dream."
2 Leadership in Action Why? The Action Group is the only Minnesota organization whose sole purpose is to align and represent the collective voice of those who pay the bill for health care – employers, public purchasers and individuals. We drive innovation, collaboration and engagement among these groups in ways that improve health and ensure the economic vitality of all Minnesota communities. The Action Group has a history of innovation as one of the most progressive organizations, and was the first employer-owned health plan that highlighted and offered incentives to providers based on cost and quality differences. There are a number of ways you can get involved at a level that fits your interests, experience and availability. We categorize our work into the areas of Innovation, Collaboration and Engagement, which I will go through next. If you tend to be a joiner, we can find a role for you in one or more of these areas, or you can simply focus on attending events that correlate to your interests.
3 Looking Back…. Top Ten 2016 Highlights
4 #1 Adding new members and staffNew staff: Steve Wallner Rob Brown Mary Beth Galey Sue Knutson Terri Bopp Chris Piehowski Kristin Haugen Michael Phillips Pete Roverud Deb Krause, vice president
5 #2 Enabling valuable conversations Issues, workgroups and meetings in 2016Ninth Annual Employer Leadership Summit MNBTE Recognition Event Specialty Pharmacy Learning/Action Network Specialty Pharmacy Phase II Purchaser’s Guide Specialty Drug Community Dialogue High Impact Health and Benefits Communications National Diabetes Prevention Program OpenNotes High Value Maternity Care Choosing Wisely Campaign Let Your Voice Be Heard End-of-Life Care and Advance Care Directives Tackling Type 2 Diabetes – Tools and Best Practices MNBTE Guiding Coalition
6 #3 Identifying best practices and insights Annual Benefits SurveyCOST: Increased spending continued; premium trend in Minnesota tends to run higher than national averages. Consumer education is #1 tactic to control trend. Lots of tactics. Lots of vendors. Neutral ratings. HOT TOPICS. Cost Transparency, Wellness ROI, and Specialty Drug Costs. VENDOR MANAGEMENT. One-fourth of all employers are planning on changing health plan vendors this coming year. Cost is #1 driver, along with increased access and different delivery. SERVICES/INNOVATION. The most commonly used services have the lowest ratings. Many employers are “not interested” in some of the highest rated, newer services. Respondents are contemplating programs with both high and low ratings
7 #4 Increasing awareness and understanding Resources to support advance care planning
8 86 MILLION Americans have prediabetes—and 90 percent don’t know it.#5 Improving workforce health and productivity through access to NDPP THE PROBLEM: 86 MILLION Americans have prediabetes—and 90 percent don’t know it. TAKING ACTION: Convene employers and other stakeholders Raise awareness of the DPP by employers and health plans Share best practice models Help organize and recruit providers for the DPP Collaborate with MDH in 4 communities
9 #6 Bridging the gap in quality Minnesota Bridges to ExcellenceUNIQUELY STRUCTURED TO ADD VALUE: Collaborative and unbiased Fully transparent High standards Continuous improvement
10 #7 Impacting care delivered in Minnesota Minnesota Bridges to Excellence“Our focus is to deliver on the Triple Aim of improving health and enhancing the patient experience while making care affordable. It’s an honor to be recognized by Minnesota Bridges to Excellence for our dedication to achieving these results. Our clinicians and teams work tirelessly to ensure the best possible care and outcomes for every patient.” Steven Connelly, M.D. President, Park Nicollet Health Services “The (Minnesota Bridges to Excellence) recognition is important to our system as acknowledgement of the work we do every day. We recognize that there’s still room for improvement. We don’t have all our clinics on the system, but the recognition for the hard work is nice.” Jennifer Johnson Regional physician lead for clinical outcomes and quality for Mayo Clinic Health System “We reinvest the dollars (rewards received from Minnesota Bridges to Excellence) in our care system. That is how we have been able to improve and build better services for our patients.” Julie Gerndt, M.D. Chief Medical Officer, Mankato Clinic
11 #8 Learning together: specialty pharmacyAdapted with permission from Pembroke Economic Report on Retail, Mail and Specialty Pharmacies; Drug Channels Institute
12 #9 Translating learning to impact Powerful framework; community dialogueRight PRICE Right PATIENT SUPPORT Right DRUG Right PLACE Right DATA
13 #10 Making the Voice of Purchasers Heard“It is important to continue to publicly report C-section rates in Minnesota. Purchasers observe that there is still variation in cost and quality of care. This measure should be retained.” Your voice on the Minnesota Community Measurement Measure Review Committee “We believe that full transparency is critical. The total cost of care measures should be publicly reported immediately to employers and consumers, not just to the medical groups and health plans.” Your voice on the Minnesota Community Measurement Technical Advisory Group “Valid cost and quality measures and patient reported outcomes that are meaningful to patients and consumers must be a national priority.” Your voice on the National Quality Forum Committee on Standards and…
14 Eyes on the Future…. Looking Ahead to 2017
15 Looking ahead to 2017 Three key objectives3 Promote professional development and networking Shift the focus from volume to value Transform the market place
16 Promoting professional development and networking1 2017 Benefits Survey Upcoming Member Meetings The Time is NOW: Putting Affordable Back into Health Care Hot topics identified: Care coordination Consumer education Cancer in the workplace Health care data
17 Shifting the focus from volume to value2 Empowering employees: 2017 campaign Increasing purchaser value: 2017 Mental Health Learning Network Envisioning the future: Multi-stakeholder collaboration
18 Transforming the market place3 2017 Specialty Pharmacy Guiding Coalition Stakeholders including health plans, provider organizations, PBMs, Specialty Pharmacies, manufacturers, and employers—with the support of national partners and collaborators
19 Final thoughts Join the Mental Health Care Delivery Learning NetworkBe part of the 2017 Choosing Wisely campaign High value, turnkey and free Mark your calendars: Annual Employer Benefits Survey Open for responses February Results meeting March 30 10th Annual Employer Leadership Summit May 19 Stay in touch Taking Action Express newsletter Monthly members only fyi Social media
20 A powerful voice for positive change1. Aligned interests 2. Independence The Action Group is the only Minnesota organization whose sole purpose is to align and represent the collective voice of those who pay the bill for health care – employers, public purchasers and individuals. Unlike so many others, we have no conflicts of interest in working with employers. 4. Capabilities and proven track record 3. Relationships and influence