ࡱ> TS( / 00DArialngsRomantt$ax: 0DTimes New Romantt$ax: 0 DVerdanaw Romantt$ax: 0"0DWingdingsRomantt$ax: 0 A .  @n?" dd@  @@`` H(W   !"#$%&'()* 0AA@8mS ʚ; 2ʚ;g4<d<d ax: 0 ppp@ <4dddd@ 0ta<4!d!d@ 0ta 0___PPT10 X___PPT9:2? ,O  =_'Lessons Learned from Health Care Reform((6 Presentation to Citizens Health Care Working Group September 23, 2005 Jean Thorne, Administrator Oregon Public Employees Benefit Board (PEBB)*GJGJ BackgroundyState Medicaid Director 1987-1995 Director, Department of Human Services 2003-2004 Administrator, PEBB 2004-PresentVZ Z1ZZZZzPre-Oregon Health Plan1987 Coverage for transplants discontinued Coverage for pregnant women and children expanded Discussion of trade-offs begins 1988 Growing public awareness of need for health care reform zx8x8  Pursuing Federal Waivers for OHPdCriticism from national advocacy groups National press focus on health care  rationing Importance of a united front Discussion of trade-offs National reaction when waiver denied Implementing the OHPChanges occurring Benefits based on prioritized list Managed care delivery system Expansion of eligibility to FPL Approach Start-up would not be delayed Constant communications We re all in this together xZ`Z ZQZZ` Q *OHP Start-Up (under a national spotlight)Cries for coverage No  big stories Change in press focus Working through the kinks Involvement of advocates Being part of positive change Use of the Prioritized ListTool to force explicit policy decisions Allowed policy makers to reduce services in rational manner Unwillingness of federal government to accept Impact on ability to sustain program Purchaser Role in Moving ChangePEBB Vision for 2007 Systems of care Outcomes Evidence-based medicine Transparency Need for provider ownership Collaborative efforts in a competitive market? Challenges in engaging members f>j o_ o_>n Lessons LearnedWe re all part of the problem  and the solution No magic bullets  trade-offs are necessary Need for provider ownership to achieve change Importance of credible political leadership Stakeholder groups can help Media can be a partner  ChallengesLimitations of a competitive model Need for all providers to focus on greater good Limitations of a consumer-based approach Limitations of a purchaser-based approach Gaining public understanding of a complex issue/   0` ___ff3ff` ___33f̙ffff` CCC` d___a%qw` *(Z___fFQt` 6CCCff3` CCCff` CCCf3f` f333ff` f333f3̙>?" dd@$?Fd@l A@lF`< n?" dd@   @@``PP   @ ` `(p>>     (   XT ``    "`` B   C H{a@AB}C}EvFGxGH`I{QUNVWX}} }}}} `$ }} }}  G H I }} }} }}           `  `` "(`  B0 B   C HHa@AB}C}EvFGFH`I}QUNVWX}} }}}} `$ }} }}  G H I }} }} }}           `  `` "  hB   s *D1"``  <da "_^ a T Click to edit Master title style! !*  6a "_^ a RClick to edit Master text styles Second level Third level Fourth level Fifth level!     S  6x&a #" `` ` a `*0   66 |(  |X | C t   D6 | S 8Dt 0  D Lessons Learned from Health Care Reform; presentation to the Citizens Health Care Working Group, in Portland, OR, September 23, 2005, by Jean Thorne, Administrator, Oregon Public Employees Benefit Board.o RH | 0޽h ? 3380___PPT10.)r 0 0(  X  C t   z  S H&zt 0  z JThorne s background: State Medicaid Director, 1987-1995 Director, Department of Human Services, 2003-2004 Administrator, Public Employees Benefit Board, 2004-PresentH  0޽h ? 3380___PPT10.)E 0 @U(  X  C t   z  S #zt 0  z WPre-Oregon Health Plan: 1987 Coverage for transplants discontinued Coverage for pregnant women and children expanded Discussion of trade-offs begins 1988 Growing public awareness of need for health care reformjx8x8 H  0޽h ? 3380___PPT10.) 0 nfP(  X  C t   zf  S Dj!.>jH  0޽h ? 3380___PPT10.)ЧT 0 d(  X  C t   z  S 8zt 0  z f,Lessons learned: We re all part of the problem and part of the solution There are no magic bullets; trade-offs are necessary Providers need to have ownership in order to achieve change Credible political leadership is important Stakeholder groups can help Media can be a partnerH  0޽h ? 3380___PPT10.)Чrh@`(:@<#?OA{CEGI+LWN4PS|WZC^9bfqjtmp,u1Oh+'0p hp   Slide 1State of Oregon DASEclipseWhyde7Microsoft PowerPoint@ 4@@zx @0-]GT g  "2  y--$xx--'--%,,--'--2$ "&*.38<AEI MPSUUU--'ff--2$    $(, 0 4 8<?BEEE --'@Arial-. 33f%2 Lessons Learned from ."System:-@Arial-. 33f"2 '"Health Care Reform   .-@"Verdana-. +2 :Presentation to Citizens.-@"Verdana-.  2 :g.-@"Verdana-. 2 :k Health Care .-@"Verdana-. 2 B= Working Group.-@"Verdana-. "2 K5September 23, 2005.-@"Verdana-. .2 [LJean Thorne, Administrator.-@"Verdana-. *2 cOregon Public Employeess.-@"Verdana-.  2 cZ.-@"Verdana-. %2 c^Benefit Board (PEBB).-՜.+,0     On-screen ShowState of Oregon DASu   ArialTimes New RomanVerdana WingdingsEclipse(Lessons Learned from Health Care Reform BackgroundPre-Oregon Health Plan!Pursuing Federal Waivers for OHPImplementing the OHP+OHP Start-Up (under a national spotlight)Use of the Prioritized List Purchaser Role in Moving ChangeLessons Learned Challenges  Fonts UsedDesign Template Slide Titles _u0WhydeWhyde  !"#$%&'()*+,-./0123456789:<=>?@ABDEFGHIJLMNOPQRURoot EntrydO)Current UserKSummaryInformation(;PowerPoint Document(uDocumentSummaryInformation8C