State Accountability for Healthcare Value

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1 Welcome to State Accountability for Healthcare Value #GetStates2Value

2 Welcome and Introduction Lynn Quincy Director, Healthcare Value #GetStates2Value State Accountability 2

3 Housekeeping Thank you for joining us today All lines are muted until Q&A Technical problems? Please: text/call Tad Lee: Or use the Chat function in the #GetStates2Value State Accountability 3

4 Agenda Welcome & Introduction Lynn Quincy (Consumers Union, Healthcare Value Hub) State Accountability for Healthcare Value: HPIO s Health Value Dashboard Reem Aly (Health Policy Institute of Ohio ) Business Case for State Oversight of Healthcare Value Joel Ario (Manatt) Q & #GetStates2Value State Accountability 4

5 Background on Today s #GetStates2Value State Accountability 5

6 Poor Healthcare Value Causes Enormous Consumer, Employer and State #GetStates2Value State Accountability 6

7 While Feds are Critical Partners in Getting to Healthcare Value, States Have Unique Role to Play States are close to the unique, local market conditions that give rise to high prices, waste and entrepreneurial spirit. The only state-based stakeholder with the incentive to look broadly at the entire health system, from social determinants to physician workforce. Inter-connectedness of health system means when it works well, it works well for all helping state budgets. Consumers, employers and even providers want states to play this #GetStates2Value State Accountability 7

8 State accountability for healthcare is assuming responsibility for a fair, efficient healthcare delivery system on behalf of all state residents. Being fully accountable to their residents means establishing broad strategic goals for healthcare affordability, spending and outcomes, providing transparent oversight, collec<ng and using data to track progress towards goals and coordina<on with nongovernmental stakeholders to establish and achieve the goals. Source: State Accountability for Healthcare: A Report from a Convening of Healthcare Experts, Healthcare Value Hub (March #GetStates2Value State Accountability 8

9 What Should States Be Doing? Data infrastructure to support success Establish a comprehensive, integrated state plan, including goals Create a culture of multi-stakeholder collaboration act as convener Oversight authority and funding to achieve #GetStates2Value State Accountability 9

10 State Accountability for Healthcare Value: HPIO s Health Value Dashboard Reem Aly Vice President, Healthcare System and Innovation Policy Health Policy Institute of Ohio

11 State Accountability for Healthcare Value: HPIO s Health Value Dashboard April 21, 2017 Reem Aly, Vice-President, Healthcare System & Innovation Policy

12 Vision To influence the improvement of health and well-being for all Ohioans. Mission To provide the independent and nonpartisan analysis needed to create evidence-informed state health policy. TM Copyright 2016 Health Policy Institute of Ohio. All rights reserved. 12

13 HPIO core funders Interact for Health Mt. Sinai Health Care Foundation The George Gund Foundation Saint Luke s Foundation of Cleveland The Cleveland Foundation HealthPath Foundation of Ohio Sisters of Charity Foundation of Canton Sisters of Charity Foundation of Cleveland Cardinal Health Foundation United Way of Greater Cincinnati Mercy Health CareSource Foundation SC Ministry Foundation United Way of Central Ohio Copyright 2016 Health Policy Institute of Ohio. All rights reserved. 13

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15 Pathway to improved health value: A conceptual framework

16 Pathway to improved health value: A conceptual framework

17 Data in context 17

18 Thank you Thank you 18

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21 Health Value Dashboard logic model

22 How does Ohio do?

23 Where does Ohio rank?

24 Why does Ohio rank so poorly? Ohio performs poorly on many of the factors that impact health value 24

25 Where do other states rank on healthcare spending?

26 Where do other states rank on healthcare spending? States in the north tend to have higher healthcare spending, while states in the south have lower healthcare spending

27 Where do other states rank on population health?

28 Where do other states rank on population health? The Appalachian region and parts of the South tend to have the worst population health outcomes

29 Where do other states rank on health value?

30 Where do other states rank on health value? There is wider geographic variation in health value rank

31 What is the path to health value? There are many paths to health value and it is possible for Ohio to improve

32 Key findings: Strengths and challenges

33 Key findings: Trends Ohio is moving in the right direction overall Percent of metrics that improved or worsened, not including healthcare spending

34 Key findings: health equity Health disparities are differences in health status among segments of the population such as by race or ethnicity, education, income or disability status Health inequities are disparities that are a result of systemic, avoidable and unjust social and economic policies and practices that create barriers to opportunities

35 Policy spotlight

36 Approaches most likely to yield positive outcomes

37 Evidence-informed policies

38 Where do we go from here?

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40 Reactions to the Dashboard The Health Value Dashboard is an amazing tool utilized at the organizational level to persuade policymakers to make changes in statute and regulation to improve Ohio's health care outcomes.

41 Reactions to the Dashboard HPIO's Dashboard is recognized on a bi-partisan basis as setting benchmarks for Ohio's performance on quality indicators.

42 Reactions to the Dashboard The Dashboard has really become a go-to report. Now it's part of the fabric of what we do."

43 Dashboard material Full Dashboard 2-page executive summary 8-page snapshot Methodology Local-level data crosswalk FAQ Excel with metric descriptions

44 Contact Reem Aly Health Policy Institute of Ohio

45 Business Case for State Accountability Joel Ario Managing Director Manatt Health

46 State Accountability Resources Links to key studies Webinar slides Helpful tools All available at: #GetStates2Value State Accountability 46

47 Questions for the panelists? Use the chat box OR to unmute, press *6 *Please do not put us on #GetStates2Value State Accountability 47

48 Thank you! Robert Wood Johnson Foundation Reem Aly Joel Ario Next Webinar May 19: Laissez Faire Healthcare? Opportunities and Limits of a Free Market in Healthcare Contact Lynn Quincy at lquincy@consumers.org with your follow-up Visit us at HealthcareValueHub.org with questions