As part of the new effort, the Governor signed an Executive Order creating the Working Group for Healthcare Innovation and appointed a varied group of healthcare professionals, patient advocates, businesspeople and other policy leaders to examine and recommend improvements across Rhode Island's entire healthcare system.
"We've shown that we can come together and take bold action that will keep people healthier, at a more affordable and predictable cost," said Raimondo. "We have laid a great foundation for reform through Reinventing Medicaid, yet too many Rhode Islanders still cannot access the coordinated services they need to be healthy, and rising costs are still a major concern for businesses, families, and the State. As we continue to reform our Medicaid system, we can and must help more people make it in Rhode Island by expanding our focus beyond publicly-funded healthcare. I look forward to coordinating this work with Senator Whitehouse and Secretary Roberts."
"Reforming our healthcare delivery system can unlock both lower costs and better care for Rhode Island patients," said Whitehouse. "I was proud to work with Neil Steinberg and healthcare leaders last year to help develop a blueprint to accomplish those goals, and I thank Governor Raimondo for taking that process to the next step. The Governor has an opportunity to keep our state at the forefront of healthcare innovation, and I look forward to supporting her and our healthcare leaders in this effort."
The state's focus on healthcare innovation will draw on recommendations offered by a group of healthcare stakeholders Senator Whitehouse and Rhode Island Foundation President Neil Steinberg convened and will build on the Medicaid action plan the Working Group to Reinvent Medicaid recently completed.
The Working Group will focus on four specific sets of deliverables, due to the Governor in December, that support the triple aim:
1. Develop benchmarks and a plan to establish a global health spending cap for Rhode Island;
2. Identify an implementation plan to achieve the "80 by '18" goals which tie 80 percent of healthcare payments to quality by 2018;
3. Develop a vision for next-generation health information technology systems for all payers to improve care and reduce waste in the system; and
4. Establish performance management frameworks to achieve population health and wellness goals outlined by the Centers for Disease Control and Prevention's Healthy People 2020 report.
In its work, the group will support and coordinate healthcare reform work already underway in the state.
"Rhode Island has some of the finest healthcare services in the country, and great work is being done across our state to rethink the way we deliver and pay for care," said Roberts. "We have an opportunity now to coordinate our efforts and build on the momentum of our Reinventing Medicaid initiative to drive effective, sustainable, affordable reform across our healthcare system. I am grateful to Governor Raimondo and Senator Whitehouse for their leadership in developing a more innovative healthcare system, and the members of the Working Group for offering their time and expertise to this important effort."
Earlier this year, the Governor appointed a Working Group to Reinvent Medicaid, whose recommendations formed the basis for the Reinventing Medicaid Act of 2015, which achieved more than $70 million in state Medicaid savings and establishes incentive programs designed to reward hospitals and nursing homes for providing better coordinated care and achieving better patient outcomes. The Working Group recently completed a long-term plan to achieve better quality, coordination, and value for Rhode Island's Medicaid system. Shifting Medicaid toward a model that pays for outcomes and quality rather than volume is a catalyst for wider reforms to the State's healthcare system.
The Working Group for Healthcare Innovation will hold its first working meeting in August and present recommendations to Governor Raimondo in December. A current list of members follows.
Elizabeth Roberts- Executive Office of Health and Human Services
TBD- RI House
Josh Miller- RI Senate
Juan Pichardo- RI Senate
Scott Avedisian- City of Warwick
Peter Andruszkiewicz- Blue Cross Blue Shield RI
Steven Farrell- United Healthcare of New England
Peter Marino- Neighborhood Health Plan
Jim Roosevelt- Tufts Health Plan
Dennis Keefe- Care New England
Tim Babineau- Lifespan
Lou Giancola- South County Hospital
Lester Schindel- CharterCare Health Partners
Al Kurose- Coastal Medical Group
Dale Klatzker- The Providence Center
Steven Horowitz- St. Elizabeth Community
Diana Franchitto- Home and Hospice Care of RI
Louis Rice- University Medicine
Pablo Rodriguez- Women's Care
Paul Calitri- RI Dental Association
Donna Policastro- Rhode Island State Nurses Association
Jane Hayward- Rhode Island Health Center Association
Alvaro Olivares (invited)- Hispanic Outpatient Psychiatric Clinic at Butler Hospital
Elizabeth Lange (invited)- Pediatrician, Coastal Medical
Al Puerini (invited)- Rhode Island Primary Care Physicians Corporation
Linda McDonald (invited)- United Nurses and Allied Professionals
Al Charbonneau- RI Business Group on Health
John Simmons- RI Public Expenditure Council
Ted Almon- Claflin Company
Jack Elias- Brown Medical School
Neil Steinberg- Rhode Island Foundation
Ira Wilson- Brown School of Public Health
John Keimig- Healthcentric Advisors
Sam Salganik- RI Parent Information Network
Reginald Tucker- Seeley RI Commission on Health Advocacy and Equity
Laura Adams (invited)- Rhode Island Quality Institute