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Description

This work group was charged with identifying opportunities to encourage consumer choices based on quality and cost of care, including adoption of shared decision making. This includes evaluating the essential health benefit set and other opportunities to streamline coverage and increase portability. The group also considered how to maximize enrollment for those eligible for public or private coverage, including evaluation of the Basic Health Plan option. The group  recommended ways for Minnesotans to easily know and get answers about their coverage and care options, including links with the Health Insurance Exchange. The group also assessed the strength of the safety net to consider the needs of those who will not be covered in 2014.

The work group's recommendations were included in the Roadmap to a Healthier Minnesota , which was endorsed by the Minnesota Health Care Reform Task Force on December 13, 2012. The Access work group's recommendations can be found in the Roadmap Supplement.

Archive/Meeting Materials:

January 8, 2013

Agenda (PDF)
Draft Meeting Minutes from November 8, 2012 (PDF)
Gruber and Gorman Analysis Presentation (PDF)
Dental Services Definitions (PDF)

November 8, 2012

Agenda (PDF)
Draft Meeting Minutes - September 13, 2012 (PDF)
Medicaid Expansion Options Presentation (PDF)
Compendium of Public Comment Received on the Medicaid Expansion (PDF)
State Medicaid Expansion - New England Journal of Medicine (PDF) 

Additional materials provided by organizations during meeting:
Take Action Minnesota Letter - Medicaid Expansion (PDF)
Minnesota Budget Project Report - Medicaid Expansion (PDF)

September 13, 2012

Agenda (PDF)
Draft Meeting Minutes - August 28, 2012 (PDF)
Draft Safety Net Recommendations - Revised (PDF)
Basic Health Plan and Wraparound Scenarios (PDF)
Hennepin Health Handout on Medicaid Expansion (PDF)
Medicaid Expansion Options Presentation (PDF)
The Affordable Care Act and Medicaid Expansion Handout (PDF)

Safety Net Comments - Portico HealthNet (PDF)
Safety Net Comments - LPaC Alliance (PDF)
Minnesota Hospital Association - MA Expansion (PDF)

August 28, 2012

Agenda (PDF)
ACA and Medicaid Expansion (PDF)
Draft Safety Net Recommendations (PDF)
Draft Meeting Minutes - August 16, 2012 (PDF)
Uninsurance Projections for 2016 (PDF)
Basic Health Plan and Wraparound Analysis Scenarios (PDF)

Medicaid Payments to Doctors - Health Affairs (PDF)
Guide to the Supreme Court's Decsion on the ACA's Mediacid Expansion - Kaiser Family Foundation (PDF)

Public Comment
Minnesota Hospital Association - Uncompensated Care (PDF)
Dr. Jim Hart (PDF)
Dr. Richard Wilson (PDF)

August 16, 2012

Agenda - Revised (PDF)
Draft Meeting Minutes - July 23, 2012 (PDF)
Criteria for coverage for Adults 138-205% FPL (PDF)
Essential Health Benefits - Fact Sheet and FAQs (PDF)
Basic Health Plan Scenarios (PDF)

Minnesota Safety Net Panel:
    Panel Bios (PDF)

Panel Materials:
    SHADAC (PDF)
    Safety Net Coalition (PDF)
    St. Mary's Health Clinics (PDF)

July 23, 2012

Agenda (PDF)
Draft Meeting Minutes - June 21, 2012  Revised (PDF)
Access Work Group Preliminary Recommendations to the Task Force on 7-12 - Corrected (PDF)
Criteria or Principles Related to 138 - 200 FPL (PDF)
MDLC Letter
Essential Health Benefits Chart (PDF) 
HealthPartners Small Employer Schedule of Payments (PDF)
HealthPartners Small Employer Contract (PDF)


Public Comment
Charlie Mischek - MAARCH/MATD
Coalition for Whole Health
Kitty Westin - The Emily Program

June 21, 2012

Agenda (PDF)
Draft Minutes from June 14 (PDF)    Final Minutes from June 14 (PDF)
Draft Minutes from May 10 (PDF)     Final Minutes from May 10 (PDF)
Draft Minutes from April 26 (PDF)
Criteria or Principles Related to 138 - 200 FPL (PDF)
MN Budget Project Handout

Public Comment
MACMHP Memo
Children's Defense Fund
MMHAG Cost Comparison
MHA Memo

Draft Meeting Minutes - June 21, 2012  Revised (PDF)

June 14, 2012

Agenda (PDF)
Draft Minutes from May 10 (PDF)       Final Minutes from May 10 (PDF)
Proposed Regulations on Essential Health Benefits (PDF)
Minnesota's Request for Comments (PDF)

Final Minutes from June 14 (PDF)

May 10, 2012

Agenda (PDF)
DRAFT Minutes from April 26, 2012 (PDF)
Best/Worst - Case Scenarios (PDF)
MinnesotaCare Cost and Enrollment Counts (PDF)
Annual Cost of Adding Benefits to MinnesotaCare (PDF)
Coverage Options for Individuals with Incomes Above 138% FPL (PDF)
MN Health Care Programs Summary of Coverage, Cost Sharing and Limits (PDF)
Comparison of Exchange and MinnesotaCare Premiums (PDF)

Public Comment - Nilles

Final Minutes from May 10 (PDF)

April 26, 2012

Agenda (PDF)
DRAFT Minutes from April 26, 2012 (PDF)
Public Program Benefits
Premium Contributions Comparison
EBS Default Scenario
Key Issues

April 12, 2012

Agenda (PDF)
Minutes - April 12, 2012 DRAFT (PDF)
Gruber/Gorman Methodology and Affordability Analysis (PDF)
Gruber Affordability Baseline (PDF)
Jonathan Gruber: Health Care's Mr. Mandate (PDF)
KFF - BHP Opportunities and Risks (PDF)
Minutes - March 29, 2012 FINAL (PDF)
Children's Defense Fund-MN Public Comment (PDF)
MN Budget Project Public Comment 1 (PDF)
MN Budget Project Public Comment 2 (PDF)

March 29, 2012

Minutes - March 29, 2012 FINAL (PDF)
Agenda (PDF)
MN Access Survey Fact Sheet (PDF)
MN Health Access Survey (PDF) corrected 4-15-2013
Gruber/Gorman Methodology and Affordability Analysis (PDF)
Gruber Affordability Baseline (PDF)
Minutes - March 8, 2012 FINAL (PDF) 

March 8, 2012

Minutes - March 8, 2012 FINAL (PDF)
Agenda (PDF)
Premium Contributions (PDF)
MN Population Counts by Income Level (PDF)
Non-Coverage Rates Unpaid Initial Premiums (PDF)
Summary of Health Care Affordability Provisions (PDF)
Minnesota Insurance Affordability Programs in 2014v3 (PDF)
Minutes FINAL - February 23, 2012 (PDF)

February 23, 2012

Agenda 2012-02-23

Minutes FINAL - February 23, 2012 (PDF)
EHB Potential Recommendations 2012-02-16
Request for Comment 2012-02-23
Essential Health Benefits FAQ 2012-02-17
EHB Comments Received - Chamber
EHB Comments Received - Consumer
EHB Comments Received 2012-02-22
Minutes FINAL 2012-02-09

February 9, 2012

Minutes FINAL 2012-02-09
Agenda (PDF)
Minutes - FINAL (PDF)
EHB - Benefits Comparison (PDF)
EHB - State Mandates (PDF)
EHB - Benefit Chart - Revised (PDF)
EHB - Potential Recommendations (PDF)
EHB - Essential Benefit Set Default (PDF)
Minutes FINAL - February 9, 2012 (PDF)

January 25, 2012

Minutes 1-25-2012 FINAL (PDF)
Agenda 1-25-2012 (PDF)
43A.23 SEGIP Mandates (PDF)
62.Q.188 Flex Benefits (PDF)
CHCS EHB Bulletin Memo (PDF)
CHCS Benefit Inventory Chart (PDF)
Commerce Mandated Benefits Checklist (PDF)
Essential Health Benefits Bulletin (PDF)
Federal Plan A and B (PDF)
Federal Plan C (PDF)
HMO A Contract (PDF)
HMO B Contract (PDF)
HMO B Summary (PDF)
HMO Mandate Checklist (PDF)
SEGIP Summary of Benefits (PDF)
SM GRP A Contract (PDF) 
SM GRP A Summary (PDF)
SM GRP B Contract (PDF)
SM GRP B Summary (PDF)
SM GRP C Contract (PDF)
SM GRP C Summary (PDF)
Minutes 1-9-2012 FINAL (PDF)

January 9, 2012

Agenda 1-9-2012 (PDF)
Essential Health Benefits Bulletin (PDF)
Minutes 1-9-2012 FINAL (PDF)

Medicaid Expansion

Letter from AARP (PDF)
Letter from the American Cancer Society Cancer Action Network (PDF)
Letter from the Minnesota Hospital Association (PDF)
Letter from Take Action Minnesota -September 13, 2012 (PDF)
Letter from MARRCH (PDF)
Letter from MATD (PDF)
Letter from Legal Services Advocacy Project (PDF)
Report from Minnesota Budget Project (PDF)
Letter from Take Action Minnesota - November 8, 2012 (PDF)
Letter from Minnesota Association of Community Health Centers (PDF)
Letter from Minnesota Safety Net Coalition (PDF)
Letter from Minnesota Consortium for Citizens with Disabilities (PDF)
Letter from Land Stewardship Project (PDF)
Letter from Yi Li You (PDF)

Actuarial Value and Cost-Sharing Reductions

Comments Received by July 18, 2012

Interim Final Rule on Exchanges

Comments Received by July 18, 2012

Essential Health Benefits

Essential Health Benefits - October 2012
Essential Health Benefits: Basic Facts & Frequently Asked Questions (PDF)
Letter from Bonnie Bolash - Acupuncture Services (PDF)

Essential Health Benefits - September 2012
Lung Cancer Alliance - Public Comment (PDF)
Letter from the Huntington's Disease Society of America (PDF)
Citizen Letter (Carol Murray) - Dental Health Care (PDF)
Letter and Attachments from Children's Hospitals and Clinics of Minnesota (PDF)

Essential Health Benefits - July 2012
Data Collection to Support Standards Related to Essential Health Benefits;
Recognition of Entities for the Accreditation of Qualified Health Plans
(PDF)

Essential Health Benefits - June 2012
EHB - Request for Comment - June 7, 2012
EHB - Comments Received by July 2, 2012
EHB - Additional Comments Recieved

Essential Health Benefits - February 2012
EHB - Potential Recommendations - 2012-02-16 (PDF)
EHB - Guidance 2012-02-16 (PDF)
EHB - Request for Comment 2012-02-23
EHB Comments Received - Chamber
EHB Comments Received - Consumer
EHB Comments Received by 2-22-2012 (PDF)

Essential Health Benefits - January 2012
Essential Health Benefits - Comments Received by January 16, 2012 (PDF)
Essential Health Benefits Bulletin (PDF)
Essential Health Benefits - Request for Comment 1-9-2012 (PDF) 
MN Comments to HHS on Essential Health Benefits 1-31-2012 (PDF)