Health Care Data Collection Reporting Models for PublicPrivate

Health Care Data Collection & Reporting: Models for Public-Private Partnerships Presented by Nancy Nankivil Bennett Director; WI Department of Employee Trust Funds February 7, 2005

Employee Trust Funds Public Healthcare Purchaser ETF Statistics l l l More than 250, 000 active employees and 115, 000 retirees in Wisconsin Retirement System 10 th largest public pension fund in United States; 19 th largest in world Assets currently valued at $65 billion Annual health care expenditures of $800 million Secretary is non-partisan & not appointed by Governor ETF Mission Develop and deliver quality benefits and services to our customers while safeguarding the integrity of the Trust

Value-based Purchasing Managing thru Cost AND Quality 4 4 Leverage purchasing power for implementation of common quality & patient safety standards Gain transparency (disclosure) of comparative information at provider level Reward superior provider value through pay for performance contracting with Plans/Providers Empower consumers to make more informed decisions regarding their health care

Employee Trust Funds 2003 Healthcare Directive l l Implementation of Tiered Health Plan Premium Contributions using Objective Cost & Quality Data Management of RX program through single Pharmacy Benefit Manager (PBM) Integration of Quality & Patient Safety Standards into all health related programs Participation in Public/Private statewide healthcare collaborative efforts

State Role in Health Care Policy l l l Use “Bully Pulpit” to set healthcare agenda Promote effective Group Purchasing initiatives Encourage public/private Collaboration among healthcare stakeholders Endorse Standard Set of Measures to ensure quality/patient safety Support initiatives that reward value-based purchasing Advance efforts to improve health literacy among purchasers and consumers