Rosemarie Day

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Assessing the Connectors Progress Fiscal Year
2007 Results and Fiscal Year 2008 Goals

• Rosemarie Day
• Deputy Director and Chief Operating Officer
• Thursday, July 12, 2007

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• Outline of Contents

• 6 Month Objectives (Fiscal Year 2007)
• Results (Fiscal Year 2007)
• Critical Projects Results (Fiscal Year 2007)
• Fiscal Year 2008 Goals

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I. 6 Month Objectives (Fiscal Year 2007)

• Commonwealth Care Achieve stability and begin
  attracting members
• Commonwealth Choice Launch fully on May 1st
• Health Care Reform Help communicate new
  responsibilities by July 1st
• Operations and Finance Establish infrastructure
  to allow Connector to function independently and
  stabilize operations

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II. Results (Fiscal Year 2007)
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II. Results (Fiscal Year 2007)
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II. Results (Fiscal Year 2007)
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II. Results (Fiscal Year 2007)
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II. Results (Fiscal Year 2007)
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II. Results (Fiscal Year 2007)
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II. Results (Fiscal Year 2007)
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II. Results (Fiscal Year 2007)
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II. Results (Fiscal Year 2007)
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II. Results (Fiscal Year 2007)
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III. Critical Projects Results(Fiscal Year
2007)

• Commonwealth Care
• Commonwealth Choice
• Health Care Reform
• Operations and Finance
• 22 major projects initiated to support these
  areas
• 17 projects completed, 3 in progress, 2
  deferred

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III. Critical Projects Results(Fiscal Year
2007)
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III. Critical Projects Results(Fiscal Year
2007)
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III. Critical Projects Results(Fiscal Year
2007)
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III. Critical Projects Results(Fiscal Year
2007)
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Fiscal Year 2008 Goals (Draft)

• Commonwealth Care Solidify program and continue
  enrolling members.
• Commonwealth Choice Begin attracting members and
  fully launch employer services.
• Health Care Reform Work towards short and long
  term success of health care reform through
  outreach, website enhancements, and program
  evaluation.
• Operations and Finance Enhance infrastructure
  and reporting.

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A. Commonwealth Care
IV. Fiscal Year 2008 Goals (Draft)

• Overall Goal
• Solidify program and continue enrolling members.
• Objectives
• Based on 2006 DHCFP survey data, cover virtually
  all qualified uninsured people whose incomes are
  below 300 percent of the federal poverty level
  (FPL)
• ?Goal by 7/1/08 136,000 members
• Control costs of contracting with MMCOs.
• Refine program structure and operations to
  support continue growth and overall Connector
  objectives (e.g. S 125 rollout).

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B. Commonwealth Choice
IV. Fiscal Year 2008 Goals (Draft)

• Overall Goal
• Begin attracting members and fully launch
  employer services.
• Objectives
• Enroll nongroup members quickly
• ? Goal by 12/31/07 8,500 members
• ? Goal by 7/1/08 14,000 members
• Establish fully automated Voluntary Employer
  services by 10/1/07
• ?Goal by 12/31/07 7,000 members
• ?Goal by 7/1/08 14,000 members
• Establish Contributing Employer services by
  1/1/08
• ?Goal by 7/1/08 7,000 members
• Continue investing in website as a critical tool
  for businesses and consumers.
• Develop coordinated management of key
  partnerships
• ?Health plans (Seal of Approval
  reprocurement)
• ?SBSB and CSC.

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IV. Fiscal Year 2008 Goals (Draft)
C. Health Care Reform

• Overall Goal
• Work towards short and long term success of
  health care reform through outreach, website
  enhancements, and program evaluation.

• Objectives
• Enhance Connectors role as an easy-to-use source
  of information on health reform (includes web
  site) and inform/train employers, brokers and
  affected parties.
• Coordinate with other state agencies on health
  reform, including waiver renegotiation.
• Define enforcement process for individual
  mandate.
• Define key measures of how Connectors health
  care reform will be evaluated and invite
  researchers to participate.
• Begin to develop cost containment strategies to
  ensure health care reforms longer term success.

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D. Operations and Finance
IV. Fiscal Year 2008 Goals (Draft)

• Overall Goal
• Enhance infrastructure and reporting.
• Objectives
• Achieve administrative breakeven budget by end of
  FY08.
• Establish routine operational reporting for all
  Connector programs.
• Ensure premium billing systems meet all
  programmatic needs.
• Identify and implement operational efficiencies.