Overview

June 7

States are leveraging their purchasing power and implementing advanced alternative payment models to improve healthcare value. For example, the state of Texas offers an opt-in procurement collaborative across all school districts, Colorado created a private-public employer purchasing collaborative and its Medicaid agency is implementing mandatory payment models, and the state of Washington has a single Health Care Authority that oversees the state’s Medicaid program and employee health care plan.

Join Governing on June 7 to learn how these states are approaching value-based care transformation in the public sector and the potential spillover effects for private sector employers. Register now for this live webcast, where you will:

-- Hear from state agency leaders about why they are initiating episode-based payment models and the unique challenges and opportunities these efforts face
-- Learn what key influences, limitations and considerations helped define each state's approach and what short- and long-term success looks like for them
-- Find out how these states are collaborating with stakeholders to advance their efforts and address important demographic differences

Speakers

Susan E. Birch, MBA, BSN, RN

Director, Washington State Health Care Authority

Sue Birch serves as director of the Washington State Health Care Authority (HCA), the state’s largest health care purchaser. Appointed by Governor Jay Inslee in January 2018, Birch oversees efforts to transform the health care system, helping ensure Washington residents have access to high-quality, affordable health care. Under Birch’s leadership, Washington implemented Cascade Care, the first-in-nation public option aimed at improving access to high-quality, affordable health care. Birch also helps lead an inter-governmental team to respond to the COVID-19 pandemic. Before joining Governor Inslee’s Cabinet, Birch served as the executive director of the Colorado Department of Health Care Policy and Financing. She led the state’s successful implementation of the Affordable Care Act, which expanded coverage to more low-income Coloradans while focusing on cost containment and improved service delivery. She also has served as chief executive officer of the Northwest Colorado Visiting Nurse Association.

Tara Smith

Primary Care and Affordability Director, Colorado Division of Insurance

Tara Smith is the Primary Care and Affordability Director at the Colorado Division of Insurance (DOI), where she helps lead the DOI’s payment system reforms to reduce health costs for consumers by increasing utilization of primary care. She is responsible for recruiting, convening, and facilitating activities of the Colorado Primary Care Payment Reform Collaborative, and in developing affordability standards and strategies to help ensure commercial insurance companies’ investments in primary care drive better value and quality for consumers. Tara has been actively involved in efforts to reform state’s health care system throughout her career, including Colorado’s State Innovation Model (SIM) initiative -- a four-year, $65 million initiative aimed at transforming health care delivery and payment structures through the integration of physical and behavioral health - and the implementation of the Affordable Care Act’s health insurance marketplace reforms.

Francois de Brantes

Senior Vice President, Business Development, Signify Health

François de Brantes leads customer development of the Medicare Advantage, self-insured, employer and commercial payer markets. He has spent close to two decades working to transform the U.S. healthcare system by improving incentives for providers and consumers to encourage value-based decisions. Prior to joining Signify Health, he served as vice president of Altarum, a national non-profit. From 2006 to 2016, he was executive director of the Health Care Incentives Improvement Institute (HCI3), a non-profit company that designed programs to motivate physicians and hospitals to improve the quality and affordability of healthcare delivery.

Katrina Daniel

Chief Health Care Officer, Teacher Retirement System of Texas

Katrina Daniel joined the Teacher Retirement System of Texas (TRS) in 2015. As the Chief Health Care Officer for TRS, she oversees the TRS-Care and TRS-ActiveCare health plans, which cover nearly 750,000 lives and spends nearly $4 billion on health care each year. Previously, Ms. Daniel served as the Senior Associate Commissioner for Texas Department of Insurance for the Life, Health and Licensing Division, spending a decade regulating $82 billion life and health insurance market in Texas, as well as licensing more than 30,000 insurance agents and adjusters. She has also served as a legislative aide in the Texas House of Representatives and the Texas Senate. Ms. Daniel has a degree in nursing from Texas Woman’s University and a Master of Science from The University of Texas McCombs Business School and Dell Medical School in Healthcare Transformation. She has also completed coursework for a Master of Public Health from the University of Texas School of Public Health.

Jennifer Kent — Moderator

Senior Fellow, Center for Digital Government

Jennifer Kent has more than fifteen years of extensive health administration and policy experience in California that spans over three gubernatorial administrations and encompasses both private and public delivery systems. As former director of the California Department of Health Care Services, Kent oversaw the second largest public healthcare system in the nation with an annual budget of over $100B and serving approximately 13 million Californians. She oversaw the administration of twenty-four managed care plans as well as 56 county behavioral health plans. Kent has also held leadership roles in the Health & Human Services Agency and Governor’s offices as well as experience in the private sector as a lobbyist, consultant and association executive.

Webinar

Value-Based Health Care: How States are Driving Transformation