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Looking Back with Our Eyes on the Future December 15, 2016

Reflecting on the top highlights of 2016 and setting objectives for the future. Adding new members and staff, enabling valuable conversations, identifying best practices, improving workforce health, bridging the gap in quality, impacting care in Minnesota, learning together in specialty pharmacy, and making the voice of purchasers heard.

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Looking Back with Our Eyes on the Future December 15, 2016

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  1. Looking Back with Our Eyes on the Future December 15, 2016 "Don't look back unless you can smile; don't look ahead unless you can dream." 

  2. Leadership in Action

  3. Looking Back…. Top Ten 2016 Highlights

  4. #1 Adding new members and staff • New members: • New staff: Kristin HaugenMichael PhillipsPete Roverud Steve Wallner Rob Brown Mary Beth Galey Sue Knutson Terri BoppChris Piehowski • Deb Krause, vice president

  5. #2 Enabling valuable conversationsIssues, workgroups and meetings in 2016 • Ninth Annual Employer Leadership Summit • MNBTE Recognition Event • Specialty Pharmacy Learning/Action Network • Specialty Pharmacy Phase II Purchaser’s Guide • Specialty Drug Community Dialogue • High Impact Health and Benefits Communications • National Diabetes Prevention Program • OpenNotes • High Value Maternity Care • Choosing Wisely Campaign • Let Your Voice Be Heard • End-of-Life Care and Advance Care Directives • Tackling Type 2 Diabetes – Tools and Best Practices • MNBTE Guiding Coalition

  6. #3 Identifying best practices and insightsAnnual Benefits Survey COST: Increased spending continued; premium trend in Minnesota tends to run higher than national averages. Consumer education is #1 tactic to control trend. Lots of tactics. Lots of vendors. Neutral ratings. HOT TOPICS. Cost Transparency, Wellness ROI, and Specialty Drug Costs. VENDOR MANAGEMENT. One-fourth of all employers are planning on changing health plan vendors this coming year. Cost is #1 driver, along with increased access and different delivery. SERVICES/INNOVATION. The most commonly used services have the lowest ratings. Many employers are “not interested” in some of the highest rated, newer services. Respondents are contemplating programs with both high and low ratings

  7. #4 Increasing awareness and understandingResources to support advance care planning

  8. #5 Improving workforce health and productivity through access to NDPP THE PROBLEM: 86 MILLION Americans have prediabetes—and 90 percent don’t know it. TAKING ACTION: • Convene employers and other stakeholders • Raise awareness of the DPP by employers and health plans • Share best practice models • Help organize and recruit providers for the DPP • Collaborate with MDH in 4 communities

  9. #6 Bridging the gap in qualityMinnesota Bridges to Excellence UNIQUELY STRUCTURED TO ADD VALUE: • Collaborative and unbiased • Fully transparent • High standards • Continuous improvement

  10. #7 Impacting care delivered in MinnesotaMinnesota Bridges to Excellence “Our focus is to deliver on the Triple Aim of improving health and enhancing the patient experience while making care affordable. It’s an honor to be recognized by Minnesota Bridges to Excellence for our dedication to achieving these results. Our clinicians and teams work tirelessly to ensure the best possible care and outcomes for every patient.” Steven Connelly, M.D. President, Park Nicollet Health Services “The (Minnesota Bridges to Excellence) recognition is important to our system as acknowledgement of the work we do every day. We recognize that there’s still room for improvement. We don’t have all our clinics on the system, but the recognition for the hard work is nice.” Jennifer Johnson Regional physician lead for clinical outcomes and quality for Mayo Clinic Health System “We reinvest the dollars (rewards received from Minnesota Bridges to Excellence) in our care system. That is how we have been able to improve and build better services for our patients.” Julie Gerndt, M.D. Chief Medical Officer, Mankato Clinic

  11. #8 Learning together: specialty pharmacy Adapted with permission from Pembroke 2013-14 Economic Report on Retail, Mail and Specialty Pharmacies; Drug Channels Institute

  12. #9 Translating learning to impactPowerful framework; community dialogue RightDRUG RightPRICE RightPLACE RightPATIENT SUPPORT RightDATA

  13. #10 Making the Voice of Purchasers Heard “We believe that full transparency is critical. The total cost of care measures should be publicly reported immediately to employers and consumers, not just to the medical groups and health plans.” Your voice on the Minnesota Community Measurement Technical Advisory Group “It is important to continue to publicly report C-section rates in Minnesota. Purchasers observe that there is still variation in cost and quality of care. This measure should be retained.” Your voice on the Minnesota Community Measurement Measure Review Committee “Valid cost and quality measures and patient reported outcomes that are meaningful to patients and consumers must be a national priority.” Your voice on the National Quality Forum Committee on Standards and…

  14. Eyes on the Future…. Looking Ahead to 2017

  15. Looking ahead to 2017Three key objectives 2 3 1 Promote professional development and networking Transform the market place Shift the focus from volume to value

  16. Promoting professional development and networking 1 The Time is NOW: Putting Affordable Back into Health Care • Upcoming Member Meetings 2017 Benefits Survey • Hot topics identified: • Care coordination • Consumer education • Cancer in the workplace • Health care data

  17. Shifting the focus from volume to value 2 Empowering employees: 2017 campaign Increasing purchaser value: 2017 Mental Health Learning Network Envisioning the future: Multi-stakeholder collaboration

  18. Transforming the market place 3 2017 Specialty Pharmacy Guiding Coalition Stakeholders including health plans, provider organizations, PBMs, Specialty Pharmacies, manufacturers, and employers—with the support of national partners and collaborators

  19. Final thoughts • Join the Mental Health Care Delivery Learning Network • Be part of the 2017 Choosing Wisely campaign • High value, turnkey and free • Mark your calendars: • Annual Employer Benefits Survey • Open for responses February 6 - 24 • Results meeting March 30 • 10th Annual Employer Leadership Summit • May 19 • Stay in touch • Taking Action Express newsletter • Monthly members only fyi • Social media

  20. A powerful voice for positive change 2. Independence 1. Aligned interests The Action Group is the only Minnesota organization whose sole purpose is to align and represent the collective voice of those who pay the bill for health care – employers, public purchasers and individuals. Unlike so many others, we have no conflicts of interest in working with employers. 4. Capabilities and proven track record 3. Relationships and influence

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