December 16, 2016
Volume 60, Issue 50
WHA Leaders Discuss ACA Changes with Speaker Ryan
On December 12, a delegation of WHA leaders met with House Speaker Paul Ryan at his district office in Janesville to discuss key issues related to the potential replacement of Obamacare. WHA 2016 Board Chair Mike Wallace, Past Chair Therese Pandl and Chair-elect Bob Van Meeteren joined WHA President/CEO Eric Borgerding to share their views with Ryan.
"Given the initial stages we are in, and uncertainty with many elements of changing the ACA, I thought it was an excellent discussion," said Borgerding. "There are many questions, and a fair amount of angst, that are universal to hospitals, health systems, physicians and providers across the country, and then there are issues that are more unique to states like Wisconsin. Speaker Ryan has to keep an ear to both levels, and we were able to have that multi-leveled conversation."
Topics discussed included coverage expansion in Wisconsin, various aspects of Medicaid and the pace and implementation of changes to the ACA and ongoing communication.
"It was a great opportunity to bring a ground level, Wisconsin perspective to these monumental issues," Wallace said. "I speak for all WHA members in expressing our gratitude to Speaker Ryan for the opportunity to have this important discussion, the first of many dialogues."
Top of page (12/16/16)
Gov. Scott Walker is looking to do things differently in Wisconsin, and that includes how the Medicaid program is funded and operated. Speaking at the December 15 WHA Board meeting in Madison, Walker asked WHA members for their assistance in designing a program that works for the people of Wisconsin and for providers.
"That is part of the challenge as we go forward. Help us think about things from the frontlines on how we would do this, but don’t think about it within the confines of this is how we have always done it," Walker said, "Let’s not limit ourselves. Let’s think big. Let’s ask for the moon or we won’t even get a sliver. Let’s dream big on reforms on Medicaid and how we go about doing that. It will be a big step forward from where we are now."
In introducing the Governor, WHA President/CEO Eric Borgerding noted the long record of partnership between the Walker Administration and WHA and its importance today.
"With Paul Ryan in the Speaker’s chair and (Governor Walker) chairing the Republican Governor’s Association, Wisconsin has a tremendous opportunity to be at the table, to shape and influence the path forward," Borgerding said. "Our partnership with you and your team has probably never been so important as it is now."
Walker said he looks to Paul Ryan’s ideas on Medicaid block grants as a way to reform the program, not as a way to cut costs.
"The block grants afford us an opportunity to do it differently. We want to get something in place that works better for our health systems, for our patients and for our constituents throughout the state," according to Walker. "I view block grants as a way to reform the program and make it work better, not as a way to cut funding or costs."
Walker said while Wisconsin did not take the Medicaid expansion, it did make anyone at 100 percent FPL eligible for the program, while those above the FPL were moved onto the insurance exchange where they could access subsidized coverage. In the past, Walker said, there were folks who were eligible for Medicaid, but state funding was not available (due to enrollment freezes implemented in the Doyle Administration), so they ended up as uncompensated care. "That has essentially created a tax on all the other private payers and employers," Walker added.
"You think of all the top 10 states with low uninsured rates, we are the only one with the lowest uninsured rates in the country that did not take Medicaid expansion," the Governor said. "It’s a great reminder we worked together to do something that worked for Wisconsin. We can do the same with Medicaid reform and transitioning from the ACA."
The Governor added that "access, quality and affordability" all are linked, and when he discusses infrastructure, he always includes quality health care.
On the ACA repeal, Walker said he would not be surprised if Congress votes to repeal the ACA in January, but he thinks it would be best to not let it take "maybe three years to implement" to ensure that there is a smooth transition. "The last thing we want is for people to fall through the cracks," Walker said. Walker asked WHA Board members to give him feedback on how to best implement any changes.
Walker reiterated his support for funding three of WHA’s key priorities—the Disproportionate Share Hospital Program (DSH), graduate medical education (GME) and workforce initiatives.
"Obviously we are going to continue to support DSH payments. It is important, and for the state as a whole, we will continue to make that commitment as we have in the past," Walker said. "And, for the larger workforce needs, we support GME in rural and underserved areas, focusing on the appropriate level of support. Not just to attract physicians, but it is critically important that we keep them in these areas."
The Governor said he is pleased the Medical College of Wisconsin and the UW School of Medicine and Public Health have created campuses and training sites in rural and underserved areas of the state. Where a physician gets a residency is a good indicator of where they will practice, according to Walker.
The Governor voiced his appreciation to WHA members for supporting Project Search, which provides training and jobs for those with developmental disabilities. He said the "lion’s share" of Project Search job sites are in hospitals and health systems.
WHA Chair Report: WHA owns the issues that matter to members
WHA had a very successful year, as documented by WHA 2016 Chair Mike Wallace, president/CEO, Fort HealthCare, in his year-end report. He directed Board members to the Results document that summarizes WHA’s accomplishments in 2016. (This document will be shared with members later this month).
Wallace said WHA’s advocacy effectiveness is punctuated by the fact that legislators and policymakers listen to WHA and work very well with us. "WHA is nicely aligned with the legislative process to influence things that really matter to us," according to Wallace.
Wallace noted that WHA is more than just "hospitals"; the Association is active in a variety of matters related to the health care delivery system, including those issues that impact physicians working in an integrated health system.
"We’ve accomplished a lot and we’ve done it together," Wallace said. "There are a lot of owners of issues—not renters—that is why we are where we are today."
Wallace also introduced new Board members. See their profiles.
WHA President’s Report: "We won’t rest on our laurels."
In his last report for 2016, Borgerding said WHA’s core deliverable and value is leading on public policy development and advocacy. Expanding on Wallace’s comment about WHA being more than "hospitals," Borgerding said staff has started discussions about broadening WHA’s brand to encompass a wider range of issues related to integrated care delivery systems, a hallmark of Wisconsin health care.
Borgerding said while the 2017 WHA goals are now being drafted and will be presented to the Board for approval at their February meeting, he said "our focus next year will fall into three areas – who we are, what we do and how we do it." As it relates to "what we do," he said staff are already developing an issues framework that includes sustaining Medicaid coverage expansion; post-acute care; expansion of the reimbursement agenda; advanced practice clinician regulatory reforms; and, sustaining and evolving clinical performance improvement.
New partnerships with allied health care organizations will be formed in the months ahead, along with new alliances with employer groups. To do this, Borgerding said WHA will continue to enhance staff capabilities, both internally and externally. He introduced WHA’s newest staff member, Laura Rose, who has a legal background and was deputy director of Wisconsin’s Legislative Council, who will add expertise to and bring considerable experience to her new position as vice president of policy development.
Following the election results November 8, Borgerding said he communicated with WHA members at 8:05 a.m. November 9 to provide initial insights. By the next morning the WHA team had prepared and shared with members a thorough analysis of the potential impact that repealing and replacing ObamaCare would have in Wisconsin. Since then, WHA has been in frequent communication with members, elected officials at the state and federal level, including Paul Ryan and Governor Walker. (See
article above on visit with Ryan.)
WHA Continues to Closely Watch Group Insurance Board and Self-Insurance Proposal
WHA Senior Vice President Joanne Alig presented an overview of the recent actions of the Group Insurance Board related to the state’s deliberations regarding self-insuring the state employee health insurance plan. (See full article below.)
Alig also reported on the WHA Medicaid Policy Workgroup, which was charged with developing achievable policies aimed at preserving Medicaid access. The workgroup developed a set of 20 recommendations that will help form WHA’s platform for advocacy work in the 2017-2019 state biennial budget.
President Obama Signs the WHA-supported HOPD Fix into Law
Relief is in sight for some hospital outpatient departments (HOPDs) caught "mid-build" when Section 603 was enacted in late 2015. After aggressive advocacy efforts by WHA and other groups nationally, the President signed a targeted fix into law under Public Law-114-255. Jenny Boese, vice president federal affairs & advocacy, said WHA is pleased to see this fix and that WHA led or participated in several trips to Washington DC on the issue along with other advocacy-related activities.
WHA 2016 Workforce Report Warns of Unprecedented Shortages
Steven Rush, WHA vice president, workforce and clinical practice, provided a preview of the WHA 2016 Workforce Report that will be released December 20. Rush said the report confirms what health care leaders have been anticipating and that is health care is heading toward unprecedented shortages. He outlined the recommendations in the report and responded to questions from Board members. The full report will be released to the media December 20, and a Capitol Briefing on health care-related workforce issues for state legislators will be held that same day.
Wisconsin Hospitals PAC & Conduit Reaches Goal!
WHA Past Chair Therese Pandl, president/CEO, Eastern Wisconsin Division, Hospital Sisters Health System, reported that the Wisconsin Hospitals PAC & Conduit reached its 2016 goal of raising $300,000. In fact, the campaign raised $305,000 from 353 individual contributors, putting it at 12.5 percent over the previous year’s record and the most ever raised in the campaign’s history. The campaign also disbursed more than $347,000 this year, another record. She thanked Board members for their continuing support of WHA’s advocacy efforts. (Read the full report below.)
WHA Foundation Supports Quality, Workforce Initiatives
WHA Foundation Director Jennifer Frank reported on recent programs and projects funded by the Foundation. Focusing on initiatives that have statewide impact in the areas of health care workforce development and quality/safety improvement, Frank said the Foundation’s newest effort was developing and funding a scholarship program for interdisciplinary health care provider teams to participate in clinical simulation training, focusing specifically on OB-related scenarios in 2016. The Foundation also continues to fund scholarships for technical college students in health care-related degree programs, as well as provide start-up funding for both the WHA/RWHC Quality Residency Program and the BSN completion website.
WHA Physician Leaders Council Provides Feedback on Several New Initiatives
Chuck Shabino, MD, WHA chief medical officer, and Matthew Stanford, WHA general counsel, provided a report to the Board on the work of the WHA Physician Leaders Council’s December 7 meeting. Highlights were implementation of prescription drug monitoring database (PDMP) interoperability with EHRs, the creation of a new WHA MACRA education video to help physician leaders explain MACRA to their physicians, and the creation of a new WHA Engagement and Retention Toolkit. They said the new Toolkit would be made available to WHA member CEOs and CMO. It provides a checklist of considerations and resources that can help WHA member organizations review and refine their strategic plans for physician engagement and retention.
Top of page (12/16/16)
As a direct result of input from WHA’s Physician Leaders Council, WHA has developed a brief high-level video targeted at an audience of staff physicians that our members’ physician leaders can show in departmental staff meetings, etc., to help educate their physicians in advance of and during their organizations’ implementation of MACRA.
The video can be found here: https://www.youtube.com/watch?v=zKAvKDy2tIY&feature=youtu.be.
The video features WHA’s incoming 2017 physician leader representatives on the WHA Board of Directors—Andy Anderson, MD and Mark Thompson, MD.
MACRA has been a significant focus of WHA in 2016, both advocating for flexibility in CMS MACRA rulemaking and providing education to members on this significant change to how Medicare reimburses physicians. WHA also knows that as our members begin to implement MACRA-driven changes in 2017 they will face challenges in helping to educate and explain MACRA to their physicians. The goal of the new WHA video is to provide an additional resource to our members and their physician leaders to help them meet those challenges.
Additional resources on MACRA are also available on the MACRA section of WHA’s website, including two webinars provided in August and November. The MACRA section of WHA’s website can be found at www.wha.org/macra.aspx.
For more information about the new video, contact Matthew Stanford, WHA general counsel, at firstname.lastname@example.org or Chuck Shabino, MD, WHA chief medical officer, at email@example.com or call WHA at 608-274-1820.
Top of page (12/16/16)
Shortly after the November elections, the Wisconsin Hospitals State PAC & Conduit surpassed its aggressive 2016 fundraising goal of raising $300,000. But even then more contributions continued to come in. All total in 2016, the campaign raised $305,000 from 353 individuals. This is the largest amount raised in the history of the Wisconsin Hospitals State PAC & Conduit.
"This is a tremendous achievement, and it is to be celebrated," said WHA Advocacy Committee Chair Therese Pandl. "Thank you to the 353 individual donors who saw the importance of supporting candidates for office who value the role of hospitals and health systems in Wisconsin. Your support and generosity is to be commended and helps keep health care strong in Wisconsin!"
While the campaign’s 2016 fundraising goal of $300,000, a 10 percent increase over 2015, the campaign actually came in at 12.5 percent over last year. The 2016 Wisconsin Hospitals State PAC & Conduit campaign saw 80 new contributors join the effort this year. The average contribution in 2016 was $864. On average, $6,000 was contributed each week!
"Thank you, again, to all the contributors who understood that elections matter and that participation in those elections is essential," said WHA President/CEO Eric Borgerding. "I would like to also thank those contributors who gave at one of the three donor recognition levels, which begin at $1,500. I am grateful for your leadership and your commitment to this important program."
See the list of contributors below.
|Contributors ranging from $1 to $499|
|Alstad, Nancy||Fort HealthCare|
|Anderson, Eric||Aspirus, Inc.|
|Anderson, Philip||HSHS Sacred Heart Hospital|
|Arnett, Eugene||Aurora Health Care|
|Babbitts, Jamie||HSHS - St. Mary's Hospital Medical Center|
|Babler, David||Babler Associates|
|Baenen, Sharla||Bellin Psychiatric Center|
|Bayer, Tom||HSHS St. Vincent Hospital|
|Berken, Nathan||Froedtert & The Medical College of Wisconsin|
|Boehm, Donna||HSHS - St. Nicholas Hospital|
|Boese, June||Wheaton Franciscan - All Saints|
|Bortner, Barbara||Mercy Health System|
|Brabant, Christopher||HSHS - St. Vincent Hospital|
|Braddock, Jonathan||ISG Advisors, LLC|
|Breen, Melissa||Marshfield Clinic|
|Brenner, Holly||Agnesian HealthCare|
|Brice, Kaitlin||HSHS - Eastern Wisconsin Division|
|Burch, Todd||Aspirus Riverview Hospital & Clinics|
|Carlson, Peter||Aurora Psychiatric Hospital|
|Clark, Julie||HSHS St. Joseph's Hospital|
|Clementi, Bridget||Children's Hospital of Wisconsin|
|Collins, Sherry||Wisconsin Hospital Association|
|Cook, John`||Mercy Health System|
|Coopman, Dianne||SSM - St. Mary's Janesville Hospital|
|Cormier, Laura||Bellin Hospital|
|Cranley, Patrick||Mercy Health System|
|Danner, Forrest||Aspirus Clinics|
|Davis, Brett||Aspirus, Inc.|
|Dombrowski, Alice||ThedaCare Medical Center - Waupaca|
|Donnelly, Margaret||Aspirus Wausau Hospital|
|Drone, Kim||Wisconsin Hospital Association|
|Dux, Larry||Froedtert & MCW Community Memorial Hospital campus|
|Erdmann, Dorothy||ThedaCare Medical Center - Shawano|
|Evenson, Rock||Froedtert & The Medical College of Wisconsin|
|Ewald, Sandra||Aurora Health Care|
|Ferrigno, Sandra||SSM - St. Mary's Hospital|
|Fielding, Laura||Holy Family Memorial, Inc.|
|Fischer, Deborah||Bellin Health System|
|Franzen, Kimberly||HSHS - St. Vincent Hospital|
|Garibaldi, Isabelle||Watertown Regional Medical Center|
|Geronime, Mark||Milwaukee Regional Medical Center|
|Giles, Barbara||HSHS - St. Vincent Hospital|
|Goelzer, Mark||Mercy Health System|
|Gormican, John||Agnesian HealthCare|
|Grabow, Peter||Mayo Clinic Health System -Franciscan Healthcare LaCrosse|
|Grasmick, Michael||Wisconsin Hospital Association|
|Groskreutz, Kevin||HSHS St. Joseph's Hospital|
|Gustafson, Sara||UW Health|
|Gutsch, Mike||Cumberland Healthcare|
|Halida, Cheryl||HSHS St. Joseph's Hospital|
|Hall, Jennifer||Mercy Health System|
|Hallatt, Jennifer||Mercy Health System|
|Hamilton, Mark||UW Health|
|Hanson-Mays, Joan||Black River Memorial Hospital|
|Harrington, Kathleen||Mayo Clinic Health System - Eau Claire|
|Hedrington, Brian||HSHS Sacred Heart Hospital|
|Helgeson, Jason||HSHS - Eastern Wisconsin Division|
|Hermel, Cindy||Aspirus Wausau Hospital|
|Hernandez, Teresa||HSHS - Sacred Heart Hospital|
|Herzog, Sarah||Wheaton Franciscan Healthcare|
|Hieb, Laura||Bellin Hospital|
|Hill, Juliet||HSHS - Sacred Heart Hospital|
|Jaffrey, Jonathan||UW Health|
|Jamerson, Barbara||ProHealth Care - Oconomowoc Memorial Hospital|
|Kaiser, Ann||HSHS Sacred Heart Hospital|
|Kantos, Craig||ThedaCare Medical Center - Waupaca|
|Kaufmann, Marilyn||Holy Family Memorial, Inc.|
|Kelsey Foley, Kathy||Aspirus, Inc.|
|Kempen, Jacob||Aspirus Wausau Hospital|
|Kingston, Mary Beth||Aurora Health Care|
|Kirsch, Jennifer||Gundersen Health System|
|Klapperich, Linda||Ministry - Our Lady of Victory Hospital|
|Klay, Chris||HSHS St. Joseph's Hospital|
|Kluth, Doreen||HSHS - St. Vincent Hospital|
|Koch, Mark||Mayo Clinic Health System|
|Kocourek, Cathie||Aurora Medical Center - Two Rivers|
|Kruse, Joe||Mayo Clinic Health System -Franciscan Healthcare LaCrosse|
|Kuehn, David||Rusk County Memorial Hospital|
|Lux, Teresa||Froedtert & The Medical College of Wisconsin|
|Luehring, Sally||HSHS - St. Vincent Hospital|
|Lynch, Sue||Mayo Clinic Health System -Franciscan Healthcare LaCrosse|
|Malone, Virginia||SSM - St. Mary's Hospital|
|Manley, Paula||Prevea Health/Hospital Sisters Health System|
|Mannix, Peter||HSHS - St. Clare Memorial Hospital|
|Markgraf, Janelle||Aspirus Langlade Hospital|
|Marquardt, Amy||Hospital Sisters Health System|
|Maurer, Mary||Holy Family Memorial, Inc.|
|Mays, Laura||Stoughton Hospital Association|
|McArdle, PeggyAnn||Agnesian HealthCare|
|McElligott, Marilyn||Gundersen Health System|
|McMeans, Scott||Aurora BayCare Medical Center - Green Bay|
|Meicher, John||SSM - St. Mary's Hospital|
|Nevers, Rick||Aspirus, Inc.|
|Newcomer, Peter||UW Health|
|Nicklaus, Todd||Aspirus, Inc.|
|Norell, Brett||Holy Family Memorial, Inc.|
|O'Hara, Tiffanie||Sundial Software|
|Olson, Bonnie||HSHS - Sacred Heart Hospital|
|Ose, Peggy||Aspirus Riverview Hospital & Clinics|
|Ostrander, Gail||HSHS Eastern Wisconsin Division|
|Pavelec-Marti, Cheryl||Ministry - St. Michael's Hospital|
|Pearson, Jane||SSM - St. Mary's Janesville Hospital|
|Peck, Lori||Aspirus, Inc.|
|Peiffer, Susan||HSHS - Sacred Heart Hospital|
|Peirick, Marcie||Watertown Regional Medical Center|
|Pempek, Kalynn||Aspirus, Inc.|
|Penczyskowski, James||SSM - St. Mary's Hospital|
|Penovich, Carrie||Aurora Medical Center - Two Rivers|
|Prise, Eric||Tomah Memorial Hospital|
|Prunty, Brian||Aspirus, Inc.|
|Quackenboss, Tatum||HSHS St. Vincent Hospital|
|Rakes, Gary||Aspirus, Inc.|
|Rauber, Jill||Holy Family Memorial, Inc.|
|Revnew, Dorothy||ProHealth Care - Oconomowoc Memorial Hospital|
|Richman, Tim||Affinity Health - Calumet Medical Center|
|Riddle, Roberta||Rusk County Memorial Hospital|
|Ripsch, Sue||Mercy Health System|
|Risley-Gray, Ruth||Aspirus, Inc.|
|Schaetzl, Ron||SSM - St. Clare Hospital & Health Services|
|Schneider, David||Aspirus Langlade Hospital|
|Selle, Ginger||SSM - St. Clare Hospital & Health Services|
|Shaw, Vonda||UW Health|
|Shear, Jim||Reedsburg Area Medical Center|
|Sheehan, Heather||Hayward Area Memorial Hospital & Nursing Home|
|Sisel, Scott||Eide Bailly, LLP|
|Sparacino, Gloria||Aurora West Allis Medical Center|
|Spindler, Ralph||Wheaton Franciscan - Elmbrook Memorial Hospital|
|Stapelfeldt, Kimberly||Aurora Medical Center - Washington County|
|Statz, Darrell||Rural Wisconsin Health Cooperative|
|Stelzer, Jason||SSM - St. Clare Hospital & Health Services|
|Stephens, Brian||Ministry - Door County Medical Center|
|Stich, Dan||Rural Wisconsin Health Cooperative|
|Strasser, Kathy||Aspirus, Inc.|
|Tandberg, Ann||HSHS - St. Joseph's Hospital|
|Tapper, Joy||Milwaukee Health Care Partnership|
|Telitz, Rita||Rusk County Memorial Hospital|
|Thornton, Eric||SSM - St. Mary's Janesville Hospital|
|Tincher, Pat||Aspirus Langlade Hospital|
|Ulrich, Janice||Columbus Community Hospital|
|Van den Heuvel, Paul||Mercy Health System|
|Waldoch, Timothy||Columbia St. Mary's, Inc.|
|Walker, Troy||SSM - St. Clare Hospital & Health Services|
|Warpinski, Heidi||HSHS - St. Vincent Hospital|
|Washburn, Juliane||Bay Area Medical Center|
|Westbrook, Diane||River Falls Area Hospital|
|Wetenkamp, Vicki||Holy Family Memorial, Inc.|
|Whitinger, Margaret||Agnesian HealthCare|
|Wilmet, Jodi||Bellin Hospital|
|Wipperfurth, Kay||Fort HealthCare|
|Wysocki, Scott||SSM - St. Clare Hospital & Health Services|
|Yarbrough, Ruth||Mercy Health System|
|Contributors ranging from $500 to $999|
|Anderson, Andy||Aurora Health Care|
|Ashenhurst, Karla||Ministry Health Care|
|Bagnall, Andrew||HSHS St. Nicholas Hospital|
|Bea, Javon||Mercy Health System|
|Behl, Kevin||Columbia St. Mary's Hospital - Milwaukee|
|Braun, James||Flambeau Hospital|
|Breen, Melissa||Marshfield Clinic|
|Brenny, Terrence||Stoughton Hospital Association|
|Busch, Rebecca||Spooner Health System|
|Byrne, Frank||SSM - St. Mary's Hospital|
|Cadieux, Marc||Children's Hospital of Wisconsin|
|Connors, Lawrence||HSHS St. Mary's Hospital Medical Center|
|Curran-Meuli, Jane||Holy Family Memorial, Inc.|
|DeGroot, Dan||HSHS St. Clare Memorial Hospital|
|Dexter, Donn||Mayo Clinic Health System - Eau Claire|
|Doeringsfeld, Jean||WHA Information Center|
|Edwards, Gordon||Marshfield Clinic|
|Ericson, Allen||Froedtert & The Medical College of Wisconsin|
|Flannery, Bob||UW Health|
|Froemming, Lisa||Columbia St. Mary's Hospital - Milwaukee|
|Gille, Larry||HSHS St. Vincent Hospital|
|Gorelick, Marc||Children's Hospital of Wisconsin|
|Hartberg, David||Gundersen - Boscobel Area Hospital and Clinics|
|Heaney, Dwight||Fort HealthCare|
|Houlahan, Beth||UW Health|
|Jarjour, Nizar||UW Health|
|Jensema, Christine||HSHS Eastern Wisconsin Division|
|Johnas, Lora||HSHS - Sacred Heart Hospital|
|Johnson, Kenneth||HSHS St. Vincent Hospital|
|Kellar, Richard||Aurora West Allis Medical Center|
|Kersten, Juliet||Children's Hospital of Wisconsin|
|King, Steve||SSM - St. Mary's Hospital|
|King, Vivian||Aurora Health Care|
|Kluesner, Kevin||Ascension - St. Joseph Hospital|
|Kneiser, Patti||Froedtert & The Medical College of Wisconsin|
|Lange, George||Columbia St. Mary's Hospital - Milwaukee|
|Larson, Margaret||Affinity Health - Mercy Medical Center|
|Lentz, Darrell||Aspirus Wausau Hospital|
|Logemann, Cari||Aspirus, Inc.|
|Mance, Jennifer||Children's Hospital of Wisconsin|
|McCawley, Thomas||Beloit Health System|
|McGrail, Michael||Aspirus, Inc.|
|McNally, Maureen||Froedtert & The Medical College of Wisconsin|
|Miller, Brent||Marshfield Clinic|
|Miller, Clint||Spooner Health System|
|Mlynraek, Robert||Milwaukee Regional Medical Center|
|Mugan, James||Agnesian HealthCare|
|Mulder, Doris||Beloit Health System|
|Myers, Karen||Stoughton Hospital Association|
|Nelson, James||Fort HealthCare|
|O'Farrell, Rick||Holy Family Memorial, Inc.|
|O'Keefe, James||Mile Bluff Medical Center|
|Ordinans, Karen||Children's Hospital of Wisconsin|
|Peterson, Douglas||Chippewa Valley Hospital|
|Quinn, George||Wisconsin Hospital Association|
|Reardon, Brian||Hospital Sisters Health System|
|Richards, Theresa||Ministry - Saint Joseph's Hospital|
|Richardson, Todd||Aspirus, Inc.|
|Rocole, Theresa||Wheaton Franciscan Healthcare|
|Roesler, Bruce||The Richland Hospital|
|Roethle, Linda||Bellin Hospital|
|Rohrbach, Dan||Southwest Health Center|
|Roundy, Ann||Columbus Community Hospital|
|Rude, Nels||The Kammer Group|
|Rutkowski, Jennifer||Grant Regional Health Center|
|Schmitz, Bonnie||Agnesian HealthCare|
|Schubring, Randy||Mayo Clinic Health System - Eau Claire|
|Sczygelski, Sidney||Aspirus, Inc.|
|Selberg, Heidi||HSHS Eastern Wisconsin Division|
|Shabino, Charles||Wisconsin Hospital Association|
|Shorter, Tom||Godfrey & Kahn, SC|
|Sohn, Jonathan||Wheaton Franciscan Healthcare|
|Statsick, Nora||Wisconsin Hospital Association|
|Theiler, Brian||Gundersen Tri-County Hospital & Clinics|
|Thurmer, DeAnn||Agnesian - Waupun Memorial Hospital|
|VanCourt, Bernie||Bay Area Medical Center|
|Van Meeteren, Bob||Reedsburg Area Medical Center|
|Wolf, Edward||Lakeview Medical Center|
|Worrick, Gerald||Ministry - Door County Medical Center|
|Contributors ranging from $1,000 to $1,499|
|Bagemihl, Katherine||Froedtert & The Medical College of Wisconsin|
|Bakkum, Kyle||Vernon Memorial Healthcare|
|Bedwell, Elizabeth||Children's Hospital of Wisconsin|
|Bergmann, Michael||Aurora Medical Center - Summit|
|Brenton, Andrew||Wisconsin Hospital Association|
|Brussow, Julie||Marshfield Clinic|
|Butler, John||Froedtert & The Medical College of Wisconsin|
|Colman, Gerard||Aurora Health Care|
|Curry, Anthony||Aurora Health Care|
|Dietsche, James||Bellin Hospital|
|Francaviglia, Stephen||Aurora Health Care|
|Garcia-Thomas, Cristy||Aurora Health Care|
|Geraghty, Tricia||Children's Hospital of Wisconsin|
|Gunn, Veronica||Children's Hospital of Wisconsin|
|Gutzeit, Michael||Children's Hospital of Wisconsin|
|Hafeman, Paula||HSHS St. Vincent Hospital|
|Jacobson, Terry||St. Mary's Hospital of Superior|
|Jelle, Laura||SSM - St. Clare Hospital & Health Services|
|Just, Lisa||Aurora Health Care - South Region|
|Keddington, Richard||Watertown Regional Medical Center|
|Lewis, Jonathan||SSM - St. Mary's Hospital|
|Lindberg, Steve||Mayo Clinic Health System - Red Cedar|
|McGowan, Kathryne||Aspirus, Inc.|
|Miller, Kim||Beaver Dam Community Hospital|
|Nelson, David||HSHS Sacred Heart Hospital|
|Oland, Charisse||Rusk County Memorial Hospital|
|Olson, David||Froedtert & The Medical College of Wisconsin|
|Pollard, Dennis||Froedtert & MCW Community Memorial Hospital campus|
|Punzenberger, Lindsay||Children's Hospital of Wisconsin|
|Rai, Ashok||Prevea Health/Hospital Sisters Health System|
|Rakowski, Mark||Children's Hospital of Wisconsin|
|Robertstad, John||ProHealth Care - Oconomowoc Memorial Hospital|
|Sanders, Robert||Children's Hospital of Wisconsin|
|Schafer, Michael||Spooner Health System|
|Sliwinski, Ron||UW Health|
|Stuart, Philip||Tomah Memorial Hospital|
|Swanson, Kerry||SSM - St. Mary's Janesville Hospital|
|Teigen, Seth||SSM Health Care of Wisconsin|
|Voelker, Thomas||Aspirus Riverview Hospital & Clinics|
|Wessels, Bill||Aspirus Wausau Hospital, Inc.|
|White-Jacobs, Mary Beth||Black River Memorial Hospital|
|Wilson, Kelly||UW Health|
|Woleske, Chris||Bellin Hospital|
|Contributors ranging from $1,500 to $1,999||Gold Club|
|Anderson, Sandy||Ministry Health Care|
|Bard, Jeffrey||Aurora Medical Center - Oshkosh|
|Brophy, Michael||Aurora Health Care|
|Buck, Catherine||Froedtert & The Medical College of Wisconsin|
|Clapp, Nicole||Grant Regional Health Center|
|Coffman, Joan||HSHS St. Joseph's Hospital|
|Court, Kelly||Wisconsin Hospital Association|
|Frank, Jennifer||Wisconsin Hospital Association|
|Graebner, David||Aurora Sheboygan Memorial Medical Center|
|Grasmick, Mary Kay||Wisconsin Hospital Association|
|Gullingsrud, Tim||Hayward Area Memorial Hospital and Nursing Home|
|Gustafson, Andy||SSM Healthcare of Wisconsin|
|Hanson, Gail||Aurora Health Care|
|Harding, Edward||Bay Area Medical Center|
|Heywood, Matthew||Aspirus, Inc.|
|Kaplan, Alan||UW Health|
|Kief, Brian||Ministry - St. Joseph's Hospital|
|Lewis, Gordon||Burnett Medical Center|
|McKevett, Timothy||Beloit Health System|
|Roller, Rachel||Aurora Health Care|
|Rozenfeld, Johnathan||SSM - St. Mary's Hospital|
|Rush, Steven||Wisconsin Hospital Association|
|Russell, John||Columbus Community Hospital|
|Schulze, Connie||Ministry Health Care|
|Contributors ranging from $2,000 to $2,999||Gold Club|
|Alig, Joanne||Wisconsin Hospital Association|
|Bloch, Jodi||Children's Hospital of Wisconsin|
|Duncan, Robert||Children's Hospital of Wisconsin|
|Hanus, Andrew||Aurora Health Care|
|Herzog, Mark||Holy Family Memorial Hospital|
|Hilt, Monica||Ministry Health Care/St. Elizabeth Hospital|
|Kachelski, Joe||Wisconsin Statewide Health Information Network|
|Killoran, Carrie||Aurora Health Care|
|Lappin, Michael||Aurora Health Care|
|Leitch, Laura||Hall Render Killian Heath & Lyman|
|Levin, Jeremy||Rural Wisconsin Health Cooperative|
|Manas, Julie||HSHS - Sacred Heart Hospital|
|Natzke, Ryan||Marshfield Clinic|
|Nelson, Nanine||Aurora Health Care|
|Potter, Brian||Wisconsin Hospital Association|
|Rislov, Amy||Aurora Health Care|
|Robaidek, Jay||UW Health|
|Sexton, William||Crossing Rivers Health Medical Center|
|Sherry, Bernie||Ascension Health|
|Simons, Preston||Aurora Health Care|
|Stanford, Matthew||Wisconsin Hospital Association|
|Starmann-Harrison, Mary||Hospital Sisters Health System|
|Steines, Sara||Children's Hospital of Wisconsin|
|Turney, Susan||Marshfield Clinic|
|Wallace, Michael||Fort HealthCare|
|Contributors ranging from $3,000 to $4,999||Platinum Club|
|Andersen, Travis||Columbia St. Mary's, Inc.|
|Boese, Jennifer||Wisconsin Hospital Association|
|Boatwright, Damond||SSM Health Care of Wisconsin|
|Jacobson, Catherine||Froedtert & The Medical College of Wisconsin|
|Kammer, Peter||The Kammer Group|
|Little, Steven||Agnesian HealthCare|
|Mettner, Michelle||Children's Hospital of Wisconsin|
|Meyer, Daniel||Aurora BayCare Medical Center|
|Neufelder, Daniel||Ministry Health Care|
|Normington, Jeremy||Affinity Health - Mercy Medical Center|
|O'Brien, Kyle & Laura||Wisconsin Hospital Association|
|Pandl, Therese||HSHS Eastern Wisconsin Division|
|Sanders, Michael||Monroe Clinic|
|Sheehan, John||UW Health American Center|
|Turkal, Nick||Aurora Health Care|
|Contributors ranging from $5,000 to $9,999||Leaders Circle|
|Borgerding, Eric & Dana||Wisconsin Hospital Association|
|Brenton, Stephen||Wisconsin Hospital Association|
|Kerwin, George||Bellin Hospital|
|Size, Tim||Rural Wisconsin Health Cooperative|
|Standridge, Debra||Wheaton Franciscan Healthcare|
|Troy, Peggy||Children's Hospital of Wisconsin|
|$10,000+ Contributors||Leaders Circle|
|Tyre, Scott||Capitol Navigators, Inc|
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Group Insurance Board Delays Decision on Self Funding/Regionalization Model
On December 13, the Group Insurance Board (GIB) met to deliberate again on whether to move forward with a self-funded model for the state employee health care program, but again delayed making a decision on the program structure.
To recap, the GIB last met on November 30, mostly in a session that was closed to the public, to deliberate on the responses to a request for proposals (RFP) on a data warehouse vendor and on the RFP responses to its self-funding proposal. At the November 30 meeting, part of the discussion involved a regional fully-insured model as an alternative to self funding. (See previous The Valued Voice article.)
At the December 13 GIB meeting, Department of Employee Trust Funds (ETF) staff elaborated on the options for restructuring the state employee group health care program and offered seven possible scenarios for the GIB’s consideration during another closed session meeting. The scenarios are described in more detail in a memo dated December 8.
The December 8 memo indicates the results of the RFP process for seeking a vendor to implement self funding yielded a potential for "significant" cost savings. However, ETF has not provided the public with an estimate of what those savings might be.
Despite not revealing a cost savings target, the ETF memo lays out seven options for the GIB’s consideration. The seven include: one model similar to the current fully-insured model with as many as 16 vendors participating; two other fully-insured regional models with fewer health plans participating; two hybrid models involving regional self funding and regional fully-insured options; one regional self-funded model; and one statewide self-funded model. The ETF memo indicates that neither ETF nor their consultant recommends the statewide self-funded model.
All of the scenarios would have ETF establishing the premium level, rather than negotiating the premium level as they do today. The premium level according to ETF would be set so that GIB can achieve the same level of savings as they might under a self-funding arrangement. Any plan not able to achieve those premium levels would likely no longer participate. ETF notes in the memo that another alternative is for the GIB to direct ETF to pursue a fully-insured strategy but move to a self-funded strategy if plans appear unwilling to participate in the fully-insured option.
Any model that involves self funding would trigger a review by the Joint Finance Committee before a contract could be finalized. Other models could be approved by the GIB and implemented by ETF under their current statutory authority. The Group Insurance Board is expected to reconvene again in January to continue its deliberations.
Top of page (12/16/16)
In the closing weeks of 2016, hospital members met with Sen. Luther Olsen at Ripon Medical Center and newly elected Senator-elect Patrick Testin at Ministry St. Michael’s Hospital in Stevens Point to gain support for Medicaid and other budget initiatives WHA will be pursuing in the next legislative session. These initiatives include investments to strengthen the health care workforce through the Rural Wisconsin Initiative, a proposal put forward by several members of the state Assembly to bolster rural communities in Wisconsin.
HEAT Roundtables have now been held in 10 Senate districts throughout the state.
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The Injured Patients and Families Compensation Fund ("Fund") Board approved at its December meeting a 30 percent reduction in Fund assessments on health care providers for the upcoming year. This is the fifth reduction in Fund fees over the past five years.
In 2016, the Wisconsin Council on Medical Education and Workforce, Inc. (WCMEW) produced a report focusing on current and future physician supply in Wisconsin and policy implications and recommendations to help ensure Wisconsin’s physician workforce supply can meet Wisconsin’s patient demand. Maintaining a balanced medical malpractice system in Wisconsin was identified as a key policy factor impacting Wisconsin’s ability to have a physician workforce supply that meets patient demands.
"The malpractice environment in particular is a factor impacting retention and in-migration [of physicians] that can be most readily impacted by policy decisions," states the WCMEW report. "Just as surveys show that a state’s litigation environment is an important factor in the decisions businesses make when deciding where to locate, a state’s medical liability environment affects physician decisions to practice in a particular state."
"Wisconsin must maintain those policies and characteristics in which Wisconsin is comparatively more attractive as a place to practice medicine," the WCMEW report states. "One of the often-mentioned reasons for physicians relocating to Wisconsin is our malpractice environment. Over time, Wisconsin’s Legislature has worked to maintain that advantage over other states by preserving Wisconsin’s comprehensive and balanced medical malpractice system. That base of stability has enabled Wisconsin to proactively focus on additional efforts to add new physicians to Wisconsin."
Top of page (12/16/16)
Consider attending or submitting a proposal for a breakout session and/or poster presentation for the 2017 Wisconsin Health Literacy Summit, "Health Literacy: A Critical Link in Patient Engagement." This event, sponsored by Wisconsin Health Literacy, will be held April 4-5, 2017, at Monona Terrace Convention Center in Madison. The Wisconsin Hospital Association is one of the Summit’s Host Partners in recognition of the significant impact improved health literacy can have on patient engagement and community health. The WHA Foundation is a supporting sponsor of the Summit.
Speaker proposals are due December 30, 2016. To download the application form and for Summit updates, go to bit.ly/hlsummit.
Among six plenary speakers include Cindy Brach, Agency for Healthcare Research and Quality; Dr. Winston F. Wong, Kaiser Permanente; Karen N. Drenkard, GetWellNetwork; and, Anne Fadiman, award-winning author of The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors and the Collision of Two Cultures. The conference also includes 25 breakout sessions and a posters presentation.
New to the Summit this year will be the Medication Label Summit, which will be held April 3, 2017, one day prior to the Health Literacy Summit. Speakers include Dr. Michael Wolf, Northwestern University Feinberg School of Medicine and Dr. Ruth Parker, Emory University Department of Medicine. Other workshops will also be held that day, including one on the Share Approach, which will center on learning cutting-edge, evidenced-based information about shared decision making.
Top of page (12/16/16)
Department of Workforce Development (DWD) Assistant Deputy Secretary Dave Anderson visited Aspirus Wausau Hospital (AWH) recently to highlight DWD’s Youth Apprenticeship (YA) program. The visit was part of Governor Walker’s Cabinet on the Road Series.
The visit included a meet and greet with the students, their advisors, hospital leaders and a tour of AWH. Established in 1991, Wisconsin’s YA program provides high school students with hands-on work experience at a local business along with related classroom instruction. Aspirus currently employs four youth apprentices from the Wausau East, Mosinee, D.C. Everest and Wittenberg-Birnamwood School Districts.
The Youth Apprenticeship program is a rigorous one- or two-year elective statewide program that combines academic and technical instruction with mentored, paid, on-the-job learning that makes a real world connection for students.
Top of page (12/16/16)