Committees

The focus includes collaboration with other Population Health Alliance Committees, including Research and Quality and the HIT Innovation Committee. The Government Affairs Medicare Sub-Committee, Medicaid Sub-Committee, and Payment Innovation Subcommittee will continue to be a priority. We will also work with external stakeholders to have a strong voice on issues of importance to our members, the industry and our market.

Committee NameFunctionProjects
Government Affairs Committee
Chair: Sean McManamy
(HealthFitness)
Ensure evidence-based advocacy on total Population Management issues by either leading efforts or partnering with strategic industry leaders. Develop and shape legislative and regulatory policy with business implications for PHA members and industry at large.
  1. Development of position statements on emerging public policy issues
  2. Educate agencies and policymakers on appropriate design and implementation of wellness and incentive strategies
  3. S456 support legislation that revises CBO scoring of wellness, prevention and health promotion programs
  4. Assure consistency of wellness and Incentives guidelines between DOL, EEOC and HHS
  5. Provide leadership on entitlement reform, including advocacy around Medicare Advantage.
 
Medicare Subcommittee Provide leadership for a Medicare Action Coalition strategy to assure no additional cuts to Medicare Advantage. Educate policy makers, government officials and stakeholders on the value to Medicare Advantage. Promote Accountable Care results and other outcome focused fee-for-service results.
2013: Ensure that care coordination, care management, and prevention in Medicare remain central focus areas regulatory and legislative activities proceed on Capitol Hill and within the Centers for Medicare & Medicaid Services (CMS).
Medicare Advantage (MA) Methodology & Payment Reforms
Medicaid Subcommittee

Ensure that improved health outcomes, high quality care and cost containment are core priorities for the Medicaid program. Medicaid Program Innovation
Payment and Care Delivery Model Improvements Chair: Sandeep Wadhwa, MD
(Noridian)
Identify the role of PHM in Payment Model Reform. Analyze and develop position statement on emerging Payment models.
Dual Eligibles Workgroup: Explore innovative payment and delivery models that provide coordinated, patient-centered, effective and cost-efficient care in dually eligible populations.
  1. Innovative Care Delivery Models
  2. craft policy statements that outline how to design and deploy key features of a PHM payment/ reimbursement model
  3. ensure PHM tools and services are adequately captured in reimbursement/ payment model proposals
  4. Educate policymakers on how to design and deploy payment/ reimbursement strategies to complement improvements in health care delivery
  5.  ID Innovative Programs for Duals
Innovations Committee Address the ongoing transition of U.S. healthcare to an integrated, coordinated, interoperable and prevention-based system. Facilitate payment and reimbursement policies to complement health innovations. Promote ways that enhance behavioral health IT coordination
  1. ID Business models incorporating innovations
  2.  Mobile Medical Devices and Applications
  3.  Educate agencies, policymakers and  industry members on the latest trends and opportunities in health technology innovations – showcase success of members
  4. shape policies regarding mobile medical devices, mobile medical applications, telehealth and other remote or mobile technologies