Events Calendar

Health Benefits Exchange & Insurance Oversight Workgroup 2-2-2012

2012-02-02, 09:00am to 12:30pm, 630 Davis Drive, Morrisville, NC 27560

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This event is related to the Health Reform: Health Benefits Exchange and Insurance Oversight Workgroup Task Force.

Agenda

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    9:00-9:10 Welcome and Introductions

    Louis Belo
    Chief Deputy Commissioner
    North Carolina Department of Insurance
    Co-Chair

     

    Allen Feezor
    Senior Policy Advisor
    North Carolina Department of Health and Human Services
    Co-Chair

     

    9:10-9:20 Update on NC Department of Insurance Exchange Activities

    Lauren Short, MSPH
    Exchange Coordinator
    North Carolina Department of Insurance

     

    9:20-12:00

     

    QHP Certification Issues

    Pam Silberman, JD, DrPH
    President & CEO
    North Carolina Institute of Medicine

     

    Workgroup will be asked to consider pros and cons of different QHP Certification and HBE operational issues, including:

    • Should the HBE have the authority to limit the number or types of plan variations?
    • Should the HBE have the authority to require health plans to participate in all four metal plans?
    • Should the HBE have the authority to require health plans to offer standardized plan design, either exclusively or in additional to non-standard plan designs?
    • Should the HBE have the authority to impose additional quality standards beyond accreditation and ACA quality standards?
    • Should HBE have the authority to impose additional requirements in the QHP certification requirements (such as requirements intended to foster broader NC state health policy goals)?

    If we have time, the workgroup will also be asked to consider:

    • If the HBE has flexibility, should it allow a phase-in of the accreditation process, and if so—how long?
    • Who should set network adequacy standards, and what should these standards be?
    • Should network adequacy standards be the same inside and outside the HBE?
    • Should quality standards be the same inside and outside the HBE?
    • Should we limit the option to offer catastrophic plans to certain issuers?  Should it be limited to issuers offering insurance inside the HBE?
    • What, if any are the barriers which prevent state innovation to enhance value and reduce costs?
    • Any other comments or suggestions related to QHP certification
    12:00-12:15 Navigator Subcommittee Update

    Pam Silberman, JD, DrPH

    12:15-12:30 Public comment period

     

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    1.  Please join my meeting, Thursday, February 2, 2012 at 9:00 AM Eastern Standard Time.
    https://www1.gotomeeting.com/register/910841192


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    Meeting ID: 910841192

    Presentations and Handouts