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LouHIE Intranet

Payers Committee Meeting 5-26-06

Louisville Health Information Exchange

PAYERS’ COMMITTEE

May 26, 2006 Meeting

Attendees:       Janna Meek, Humana

                        Mike Lorch, Anthem

                        Steve McCown (by phone), United Healthcare

                        Ruth Atkins (representing Joyce Hagen), Passport Health Plan

                        Lois Dailey, Passport Health Plan

                        Judah Thornewill, SPHIS, UofL

                        John Morse, SPHIS, UofL

Absent:            Joyce Hagen, Passport

                        Preston Gorman, Bluegrass Family Health

                        Melissa Dickinson, Anthem

                        Mary Morrow, Mary Murrow & Assoc

                        Alicia Johnson, LouHIE support staff

AGENDA

1. Payers’ Committee member proxy authorization

            After discussion of ongoing Board and Ethics Committee evaluation and consideration of the issue and ongoing process of engaging counsel to represent LouHIE, the Payers’ Committee decided to defer further consideration until those processes have been completed.         

2. LouHIE value proposition for payers.

            The Payers’ Committee members will review the “CostTrends with and without LouHIE NHII Advisors Benefits Estimator” document and conduct a reality check with their own organizations’ experience.  There will be a conference call in two weeks with subject matter experts to further explain the Benefits Estimator calculations.

3. Pay for Performance(P4P)/Passport & Dave Kelleher.

            Considering a common system among LouHIE payers makes sense and the Committee will evaluate  the Indiana Health Information Exchange model being proposed for Passport by David Kelleher.  Documentation will be provided committee members and a presentation will be scheduled.  Passport plans to implement P4P in calendar 2007.  Committee members questioned whether clinical guidelines and P4P performance standards are closely related such that they should be considered together in creating common clinical protocols.

4. LouHIE revised start up strategy.

            All stakeholders are reviewing the LouHIE revised start up strategy and it will be voted on at the June meeting.  How to address the need for $600,000-800,000 start up funding will be a key issue.  The Committee discussed potential grant opportunities through the foundations of Humana, Anthem and United, and approved applying for grants from the same.  Committee members agreed to e-mail Joyce Hagen their recommendations for the June board meeting vote.

5. Vendor proposal evaluation.

            The Committee asked that they be provided executive summaries of the vendor proposals for review and recommended that LouHIE form a vendor engagement committee.  Janna Meek will send committee members a vendor engagement task list.

6. Corporate briefings.

            The Committee was informed that corporate briefings on LouHIE were available to their organizations and members indicated they would request briefings as needed.

7. Public or private Payers’ Committee Meeting Notes.

            The Committee decided their meeting deliberations should be private and their decisions public.  Meeting notes should be maintained to reflect discussion that occurred and decisions made such that they could in most cases be public and decide by exception to make those to keep private.

8. Briefing on Charlie Safran visit (if time available).

      The Committee was briefed on the meetings with Charlie Safran, the consultant engaged by Passport to advise on e-health strategy.