Senate Finance Committee Hearing
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Chairman Baucus, Ranking Member Hatch and distinguished members of the
The State Partnership Exchange model was first put forward by the
Establishing the Best Exchange for
Under the direction of Governor
The study's financial analysis raised concerns about the financial sustainability of a state-based Exchange in light of
Ensuring a voice in setting qualified health plan (QHP) certification standards gives
For example, the Affordable Care Act (ACA) requires health plans sold inside the Exchange to adopt a quality improvement strategy, defined as payment reforms intended to result in improved health care outcomes. In establishing state certification standards for Exchange health plans,
The DHIN technology foundation is a statewide HIE that supports the aggregation of health information from disparate health care providers, enabling true coordination of patient care to achieve the best possible outcomes, reducing duplication of services and supporting a broadened use of "health homes" or advanced primary care practices. In addition to improving care, the DHIN provides the foundation for innovation, population health research, new outcomes-based payment models, and a cost and claims database that can ultimately support reduced health care costs. The State Partnership Exchange provides an opportunity to ensure continued support and utilization of the DHIN infrastructure via the State's QHP certification requirements.
Plan Management Progress
The DOI has established an internal policies and procedures manual providing staff with an understanding of the role they will play in plan certification. DOI staff are also working with technical staff at the
The NAIC has indicated their software will be capable of accepting plan applications in late March.
When we do so, we will be sending plans to the federal portal that reflect local decisions made in
Consumer Assistance Progress
On the start of open enrollment, the MPAs will help consumers understand their enrollment responsibilities and the coverage spectrum available to them.
For example, following discussion of
We continue to be eager for final HHS guidance on operational elements that remain unclear. For example,
We are eager to see the final data collection templates from HHS that issuers will use to prepare and submit information needed to conduct QHP certification.
As of today,
Thank you again for this opportunity to share with you
Read this original document at: http://www.finance.senate.gov/imo/media/doc/BETTINA%20TWEARDY%20RIVEROS%20FinalFinal1.pdf
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