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STATE HEALTH REFORM INITIATIVES: Are There Lessons for Federal Policymakers?


Monday, November 20, 2006

Polls consistently show that addressing problems in our health care system remains a top concern for most Americans. But while major health care reform efforts have stalled in Washington, many states are attempting to address the rising number of uninsured on their own. This briefing focused on such efforts in three states – Massachusetts, Vermont and Utah.

What were the policy and political climates that allowed state reform efforts to go forward? What can other states learn from current state activity? Can coverage and quality be improved while curbing health care costs? Does the federal government have a role and, if so, what can policymakers do to best encourage state reform?

To discuss these and related questions, The Commonwealth Fund and the Alliance for Health Reform sponsored a November 20 briefing. Panelists were: Amy Lischko, the Massachusetts Executive Office of Health and Human Services; Jim Leddy, state senator, Vermont; Norm Thurston, research consultant and health economist, Utah Department of Health; and Alice Burton, AcademyHealth, State Coverage Initiatives. Ed Howard of the Alliance and Anne Gauthier of Commonwealth moderated.

Speakers

Amy Lischko, Massachusetts Executive Office of Health & Human Services, Speaker
Jim Leddy, State Senator, Vermont, Speaker
Norm Thruston, Utah Department of Health, Speaker
Alice Burton, AcademyHealth, State Coverage Initiatives, Speaker
Anne Gauthier, The Commonwealth Fund, Moderator
Ed Howard, Alliance for Health Reform, Moderator

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Transcript: State Health Reform Initiatives: Are There Lessons from Federal Policymakers? (Adobe Acrobat PDF), 11/20/2006
Full Webcast/Podcast: Webcast: State Health Reform Initiatives: Are There Lessons for Fedral Policymakers?
The transcript, full webcast and podcast for this briefing are provided by Kaiser Family Foundation.

Speaker Presentations

Lischko's Presentation: State Health Reform Initiatives (PowerPoint), 11/20/2006
Leddy's Presentation: State Health Reform Initiatives (Adobe Acrobat PDF), 11/20/2006
Thurston's Presentation: State Health Reform Initiatives (Adobe Acrobat PDF), 11/20/2006
Burton's Presentation: State Health Reform Initiatives (Adobe Acrobat PDF), 11/20/2006
Gauthier's Presentation: State Health Reform Initiatives (Adobe Acrobat PDF), 11/20/2006

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Health Insurance Regulation by States and the Federal Government: A Review of Current Approache (Adobe Acrobat PDF), Health Policy Institute, 4/1/2006
Uncharted Territory: current Trends in Section 1115 Demonstrations (Adobe Acrobat PDF), State Coverage Initiatives- Academy Health, 3/1/2006
Evaluating Utah’s Section 1115 Waiver (Word Document), Utah Department of Health , 1/1/2006
Overview of Vermont’s Health Care Reform (Adobe Acrobat PDF), State of Vermont Agency of Administration, 10/1/2006
Dirigo’s Next Phase (Word Document), Bangor Daily News, 8/9/2006
New Mexico State Coverage Insurance (Word Document), National Conference of State Legislatures, 1/1/2006
Massachusetts Health Plan is No Model for Other States (Word Document), Galen Institute, 10/26/2006
HMOs: State plan too easy on firms (Word Document), Boston Globe, 11/11/2006
United States: The Massachusetts Health Care Reform Act’s Health Insurance Nondiscrimination Ru (Word Document), Mintz Levin Employee Benefits and Executive Compensation Group, 11/13/2006
For Insurance, Adult Children Ride Piggyback (Word Document), New York Times, 9/17/2006
Changing Definition of ‘Dependent’ Who is insured and for how long? (Word Document), National Conference of State Legislatures, 9/28/2006
From New England to the Golden Gate Bridge: A look at Creative Coverage Expansions at the St... (Adobe Acrobat PDF), New America Foundation, 11/1/2006
Sourcelist: STATE HEALTH REFORM INITIATIVES: Are There Lessons for Federal Policymakers? (Word Document), Alliance for Health Reform, 11/20/2006

Offsite Materials (briefing documents saved on other websites)

Health Insurance Regulation by States and the Federal Government: A Review of Current Approache (Adobe Acrobat PDF),Health Policy Institute, 4/6/2006
Coverage Profile: Vermont, State Coverage Initiatives, 10/1/2005
The Baldwin-Price Health Bill: Bipartisan Encouragement for State Action on the Uninsured, The Heritage Foundation, 8/7/2006
Vermont’s Health Reform Law, Families USA, 9/20/2006
Massachusetts Health Reform Implementation Update, State Coverage Initiatives, 10/20/2006
New Program Helps Participate In Their Employer’s Health Plan (Adobe Acrobat PDF),Utah Department of Health, 10/30/2006
Coverage Profile: Utah, State Coverage Initiatives, 10/1/2005
Quick Facts: Primary Care Network (Adobe Acrobat PDF),Utah Department of Health, 1/1/2006
A Case Study of the Utah Primary Care network Waiver: insights into its development, design, & (Adobe Acrobat PDF),Kaiser Family Founation, 3/1/2006
Illinois’ All Kids: A Step in the Right Direction (Adobe Acrobat PDF),Families USA, 10/10/2006
Profiles In Coverage: Maine Dirigo, State Coverage Initiatives, 5/1/2005
West Virginia Expands Health Care for Low-Income Residents, National Governors Association, 4/20/2006
ERISA Implications for State Health Care Access Initiatives: Impact of the Maryland “Fair Share (Adobe Acrobat PDF),State Coverage Initiatives and the National Academy for State Health Policy, 1/1/2006
Excerpt from Income, Poverty and Health Insurance Coverage in the United States (Adobe Acrobat PDF),U.S. Census Bureau, 8/1/2006
States in Action News Letter, The Commonwealth Fund, 10/1/2006
States in Action News Letter, The Commonwealth Fund, 7/1/2006
How States Are Working with Physicians to Improve the Quality of Children's Health Care (Adobe Acrobat PDF),National Academy for State Health Policy and The Commonwealth Fund, 4/1/2006
State Behavioral Health Innovations: Disseminating Promising Practices- Exec Summary (Adobe Acrobat PDF),The Commonwealth Fund, 8/1/2006
In the Literature- Benefits and Premiums in Job-Based Insurance (Adobe Acrobat PDF),The Commonwealth Fund, 5/1/2006
Squeezed: Why Rising Exposure to Health Care Costs Threatens the Health and Financial Well-Bein, The Commonwealth Fund, 10/1/2006
Instability of Public Health Insurance Coverage for Children and Their Families: Causes, Conseq (Adobe Acrobat PDF),The Commonwealth Fund, 3/1/2006
A Case Study of the Utah Primary Care Network Waiver (Adobe Acrobat PDF),The Henry J. Kaiser Family Foundation, 3/1/2006

Photos

Amy Lischko, director of the Massachusetts Executive Office of Health and Human Services -- speaker at the November 20th briefing cosponsored by The Commonwealth Fund.

Norm Thurston, research consultant and health economist at the Utah Department of Health -- speaker at the November 20th briefing cosponsored by The Commonwealth Fund.

Alice Burton, vice-president at AcademyHealth and Jim Leddy, State Senator in Vermont -- speakers the the November 20th briefing cosponsored by The Commonwealth Fund.

Anne Gauthier, of The Commonwealth Fund, moderator at the November 20th briefing cosponsored by The Commonwealth Fund.

 

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