health care medicaid transformational partnership lr22 ne unicameral 103rd 1st 2013 am937

Upload: shelli-dawdy

Post on 03-Apr-2018

216 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/28/2019 Health Care Medicaid Transformational Partnership LR22 NE Unicameral 103rd 1st 2013 AM937

    1/5

    $0 $0

    /5 /5

    0/8 0/8

    $0(1'0(176 72 /5

    ,QWURGXFHG E\ +HDOWK DQG +XPDQ 6HUYLFHV

    6WULNH WKH RULJLQDO SURYLVLRQV DQG LQVHUW WKH

    IROORZLQJ QHZ SURYLVLRQV

    :+(5($6 VSHQGLQJ RQ KHDOWK FDUH LQ WKH 8QLWHG 6WDWHV KDV

    JURZQ IDVWHU WKDQ WKH JURVV GRPHVWLF SURGXFW *'3 WKH UDWH RI

    LQIODWLRQ DQG WKH UDWH RI SRSXODWLRQ JURZWK IRU PRVW RI WKH ODVW

    IRXU GHFDGHV DQG

    :+(5($6 WKH VKDUH RI *'3 GHYRWHG WR KHDOWK FDUH LQ WKH

    8QLWHG 6WDWHV KDV ULVHQ IURP LQ WR LQ DQG

    :+(5($6 WKH WRWDO SXEOLF DQG SULYDWH KHDOWK FDUH

    H[SHQGLWXUH LQ 1HEUDVND LQ ZDV DQG

    :+(5($6 VLQFH UHDO KRXUO\ ZDJH JURZWK QHW RI

    KHDOWK EHQHILWV KDV VWDJQDWHG ZKLOH LQIODWLRQDGMXVWHG IDPLO\

    KHDOWK LQVXUDQFH SUHPLXPV KDYH LQFUHDVHG DQG

    :+(5($6 WKH DYHUDJH HPSOR\HUEDVHG KHDOWK LQVXUDQFH

    DQQXDO SUHPLXP FRVW LQ 1HEUDVND LQ ZDV DQG

    :+(5($6 HOHYHQ RI 1HEUDVNDV QLQHW\WKUHH FRXQWLHV KDYH

    QR SULPDU\ FDUH SK\VLFLDQV DQG REVHUYHUV EHOLHYH WKH ODFN RI

    SULPDU\ FDUH SK\VLFLDQV ZLOO EHFRPH PRUH DFXWH DV PRUH SHRSOH HQWHU

    WKH KHDOWK FDUH V\VWHP DV D UHVXOW RI WKH IHGHUDO $IIRUGDEOH &DUH

    $FW DQG

    :+(5($6 RIILFLDOV HVWLPDWH WKDW XQGHU FXUUHQW GHPDQG

    1HEUDVND ZLOO EH VKRUW DSSUR[LPDWHO\ WKUHH KXQGUHG SULPDU\ FDUH

    SK\VLFLDQV E\ 7KH QXPEHU RI SK\VLFLDQV ROGHU WKDQ VL[W\ILYH

    Original source: http://www.nebraskalegislature.gov/FloorDocs/Current/PDF/AM/AM937.pdf

    http://www.nebraskalegislature.gov/FloorDocs/Current/PDF/AM/AM937.pdfhttp://www.nebraskalegislature.gov/FloorDocs/Current/PDF/AM/AM937.pdf
  • 7/28/2019 Health Care Medicaid Transformational Partnership LR22 NE Unicameral 103rd 1st 2013 AM937

    2/5

    $0 $0

    /5 /5

    0/8 0/8

    \HDUV RI DJH KDV MXPSHG E\ LQ WKH SDVW ILYH \HDUV DQG

    :+(5($6 LW LV DQWLFLSDWHG E\ WKH 8QLYHUVLW\ RI 1HEUDVND

    0HGLFDO &HQWHU WKDW E\ WKH VWDWH ZLOO QHHG DW OHDVW

    SULPDU\ FDUH SK\VLFLDQV SULPDU\ FDUH QXUVH SUDFWLWLRQHUV DQG

    SULPDU\ FDUH SK\VLFLDQ DVVLVWDQWV WR PHHW WKH LQFUHDVHG GHPDQG

    IURP WKH QHZO\ LQVXUHG UHVXOWLQJ IURP KHDOWK FDUH UHIRUP DQG

    :+(5($6 1HEUDVNDV XQLQVXUHG UDWH IRU SHUVRQV \RXQJHU

    WKDQ VL[W\ILYH \HDUV RI DJH LV PRUH WKDQ ZKLFK LV

    DQ LQFUHDVH RI VLQFH DQG

    :+(5($6 1HEUDVND FRXQWLHV ZLWK XQLQVXUHG UDWHV RI RU

    JUHDWHU H[LVW RQO\ LQ UXUDO DUHDV DQG

    :+(5($6 1HEUDVNDV IXWXUH HFRQRPLF DQG ILVFDO VXFFHVV

    UHTXLUHV D KHDOWK\ SRSXODWLRQ KLJK TXDOLW\ KHDOWK FDUH DW ORZHU

    FRVW DQG JUHDWHU HIILFLHQF\ DQG

    :+(5($6 1HEUDVNDV IDPLOLHV DQG VPDOO EXVLQHVVHV DUH

    IDFHG ZLWK LQFUHDVLQJ DQG XQVXVWDLQDEOH KHDOWK FDUH FRVWV DQG

    :+(5($6 VXFFHVVIXO WUDQVIRUPDWLRQ RI 1HEUDVNDV KHDOWK

    FDUH V\VWHP LV HVVHQWLDO WR WKH VWDWHV HFRQRPLF ZHOOEHLQJ DQG WKH

    TXDOLW\ RI FDUH SURYLGHG WR 1HEUDVNDQV DQG

    :+(5($6 KHDOWK FDUH UHIRUP LV QRW RQO\ D PDWWHU

    RI FRYHUDJH RU LQFUHDVLQJ DFFHVV 7UXH UHIRUP LV WRWDO V\VWHP

    WUDQVIRUPDWLRQ LQWR D SDWLHQWFHQWULF KLJKYDOXH HQWHUSULVH DQG

    :+(5($6 XQGHUVWDQGLQJ WKH FKDOOHQJH RI KHDOWK FDUH

    UHIRUP DQG VROYLQJ 1HEUDVNDV KHDOWK FDUH V\VWHP FULVLV UHTXLUHV

    D QHZ OHYHO RI FRRSHUDWLRQ EHWZHHQ DOO KHDOWK FDUH SDUWQHU

    VWDNHKROGHUV DQG SROLF\PDNHUV LQ 1HEUDVND DQG

    :+(5($6 VWDWH JRYHUQPHQW PXVW SURYLGH FOHDU OHDGHUVKLS

  • 7/28/2019 Health Care Medicaid Transformational Partnership LR22 NE Unicameral 103rd 1st 2013 AM937

    3/5

    $0 $0

    /5 /5

    0/8 0/8

    DQG DFFRXQWDELOLW\ WR KHDOWK FDUH V\VWHP WUDQVIRUPDWLRQ HIIRUWV DQG

    PXVW GR VR LQ D ZD\ WKDW GHPDQGV WUDQVSDUHQF\ WUXVW DQG IXOO

    SDUWLFLSDWLRQ IURP DOO SDUWQHU VWDNHKROGHUV

    12: 7+(5()25( %( ,7 5(62/9(' %< 7+( 0(0%(56 2) 7+( 21(

    +81'5(' 7+,5' /(*,6/$785( 2) 1(%5$6.$ ),567 6(66,21

    7KDW WKH +HDOWK DQG +XPDQ 6HUYLFHV &RPPLWWHH RI

    WKH /HJLVODWXUH LQ FRRSHUDWLRQ ZLWK WKH %DQNLQJ &RPPHUFH DQG

    ,QVXUDQFH &RPPLWWHH RI WKH /HJLVODWXUH EH GHVLJQDWHG WR GHYHORS

    SROLF\ UHFRPPHQGDWLRQV WRZDUGV WUDQVIRUPDWLRQ RI 1HEUDVNDV KHDOWK

    FDUH V\VWHP

    ,Q RUGHU WR GHYHORS LWV SROLF\ UHFRPPHQGDWLRQV

    WKH +HDOWK DQG +XPDQ 6HUYLFHV &RPPLWWHH RI WKH /HJLVODWXUH LQ

    FRRSHUDWLRQ ZLWK WKH %DQNLQJ &RPPHUFH DQG ,QVXUDQFH &RPPLWWHH RI

    WKH /HJLVODWXUH VKDOO EULQJ WRJHWKHU WKURXJK LQIRUPDWLRQJDWKHULQJ

    PHHWLQJV DQG ZRUN JURXSV SDUWQHU VWDNHKROGHUV DW DOO OHYHOV

    LQFOXGLQJ VWDWH DQG ORFDO JRYHUQPHQWV SXEOLF DQG SULYDWH LQVXUHUV

    KHDOWK FDUH GHOLYHU\ RUJDQL]DWLRQV HPSOR\HUV VSHFLDOW\ VRFLHWLHV

    FRQVXPHU JURXSV SDWLHQWV FRQVXPHUV DQG DOO RWKHU LQWHUHVWHG

    SDUWLHV WR ZRUN WRJHWKHU ZLWK WKH VKDUHG REMHFWLYHV RI FRQWUROOLQJ

    KHDOWK FDUH FRVWV DQG LPSURYLQJ KHDOWK FDUH TXDOLW\

    :LWK LQSXW IURP SDUWQHU VWDNHKROGHUV DQG LQ

    FRQMXQFWLRQ ZLWK WKH %DQNLQJ &RPPHUFH DQG ,QVXUDQFH &RPPLWWHH RI

    WKH /HJLVODWXUH WKH +HDOWK DQG +XPDQ 6HUYLFHV &RPPLWWHH RI WKH

    /HJLVODWXUH VKDOO

    D 3URYLGH D FRPSUHKHQVLYH UHYLHZ RI 1HEUDVNDV KHDOWK

    FDUH GHOLYHU\ FRVW DQG FRYHUDJH GHPDQGV

    E (QJDJH VWDNHKROGHUV LQ GLDORJXH URXQGWDEOH

  • 7/28/2019 Health Care Medicaid Transformational Partnership LR22 NE Unicameral 103rd 1st 2013 AM937

    4/5

    $0 $0

    /5 /5

    0/8 0/8

    GLVFXVVLRQV DQG SXEOLF SROLF\ GLVFRXUVH

    F 'HYHORS D IUDPHZRUN IRU KHDOWK FDUH V\VWHP

    WUDQVIRUPDWLRQ WR PHHW SXEOLF KHDOWK ZRUNIRUFH GHOLYHU\ DQG

    EXGJHWDU\ UHVSRQVLELOLWLHV DQG

    G 'HYHORS FRRSHUDWLYH VWUDWHJLHV DQG LQLWLDWLYHV IRU WKH

    GHVLJQ LPSOHPHQWDWLRQ DQG DFFRXQWDELOLW\ RI VHUYLFHV WR LPSURYH

    FDUH TXDOLW\ DQG YDOXH ZKLOH DGYDQFLQJ WKH RYHUDOO KHDOWK RI

    1HEUDVNDQV

    7KH +HDOWK DQG +XPDQ 6HUYLFHV &RPPLWWHH RI WKH

    /HJLVODWXUH PD\ FRQGXFW SXEOLF KHDULQJV DQG ZLWK WKH %DQNLQJ

    &RPPHUFH DQG ,QVXUDQFH &RPPLWWHH RI WKH /HJLVODWXUH PDNH

    UHFRPPHQGDWLRQV UHODWLQJ WR KHDOWK FDUH IRU 1HEUDVNDQV 7KH +HDOWK

    DQG +XPDQ 6HUYLFHV &RPPLWWHH RI WKH /HJLVODWXUH DQG WKH %DQNLQJ

    &RPPHUFH DQG ,QVXUDQFH &RPPLWWHH RI WKH /HJLVODWXUH VKDOO KROG

    D MRLQW KHDULQJ E\ 1RYHPEHU WR GLVFXVV WKH LQIRUPDWLRQ

    REWDLQHG SXUVXDQW WR WKLV UHVROXWLRQ

    7KH +HDOWK DQG +XPDQ 6HUYLFHV &RPPLWWHH RI WKH

    /HJLVODWXUH DQG WKH %DQNLQJ &RPPHUFH DQG ,QVXUDQFH &RPPLWWHH

    RI WKH /HJLVODWXUH DORQJ ZLWK DQ\ ZRUN JURXSV FUHDWHG SXUVXDQW

    WR WKLV UHVROXWLRQ VKDOO UHO\ RQ LQIRUPDWLRQ GDWD DQG VXEMHFW

    PDWWHU H[SHUWLVH DQG FRQVXOWDWLRQ IURP D ZLGH UDQJH RI HQWLWLHV

    LQFOXGLQJ WKH 'LYLVLRQ RI 0HGLFDLG DQG /RQJ7HUP &DUH DQG WKH

    'LYLVLRQ RI 3XEOLF +HDOWK RI WKH 'HSDUWPHQW RI +HDOWK DQG +XPDQ

    6HUYLFHV WKH 'HSDUWPHQW RI ,QVXUDQFH DQG DQ\ RWKHU DJHQFLHV WKH

    FRPPLWWHHV LGHQWLI\ WR SURYLGH FROODERUDWLRQ ZLWK WKH FRPPLWWHHV

    DQG DQ\ VXFK ZRUN JURXSV WR DWWDLQ WKH JRDOV IRU KHDOWK FDUH V\VWHP

    WUDQVIRUPDWLRQ

  • 7/28/2019 Health Care Medicaid Transformational Partnership LR22 NE Unicameral 103rd 1st 2013 AM937

    5/5

    $0 $0

    /5 /5

    0/8 0/8

    7KH IXQGLQJ RI WKH DFWLYLWLHV RI WKH +HDOWK DQG +XPDQ

    6HUYLFHV &RPPLWWHH RI WKH /HJLVODWXUH XQGHU WKLV UHVROXWLRQ ZLOO EH

    SURYLGHG IURP H[LVWLQJ DSSURSULDWLRQV IRU WKH FRPPLWWHH IURP WKH

    1HEUDVND +HDOWK &DUH &DVK )XQG