IN211 Healthcare Project Advisory Committee
Monday, April 28, 3pmET/2pmCT
(held via conference call – 1-800-377-8846 with 43227223#)
ALL Members on the call : Chair Brendan Miller, Carl Ellison, Lynn Engel, Sara Murray, Amy Roberts, Sara Waddle
Staff: Peggy Matson, IN211 Healthcare Resource Specialist and Brian Metzler, IN211 Healthcare Project
Coordinator with Lucinda Nord as project liaison between IaUW and IN211 HC projects.
1. Any questions on Reports and Materials emailed 4/22
a) Copy of the presentation (Project Overview)- Amend by removing Navigator info and post. Received
specific feedback to improve clarity and will disseminate…to IN211 Board and Centers.
b) Copy of the Draft Grant Report (Project Deliverables in Word) – Note we discussed with THFGI the
opportunity to move funds among the line items. Keep internal with 2 modest changes
c) Copy of the Financials from the Accounting system as of 3/31/2014 – We might move some of the “ask”
line to the “pre-screening” line, etc. See next page for better detail. May need to provide the increased
detail to THFGI
d) Navigator accepting referrals Map – Share on IN211.org
e) Progress Report – 4 map from Ask to All referrals – Share these
2) Reports
a) Any other information that should be presented? To whom?
b) Which of the reports above should be internal? (shared with Centers and Board only)
c) Which should be shared with healthcare stakeholders?
d) Which should be posted on IN211 site for any and all?
3) Your feedback on Current Service Activity
a) Serving consumers who need health insurance—especially those with SSI or applying for it,
people who experience life changes who might be eligible for a Special Enrollment Period. Need
to train and screen on these. Need to move forward with this anyway
b) Outcome survey adaptations – In a desire to increase sample, ask Peggy to complete surveys.
Great idea
c) Training and Adaptations, Quality Assurance and Program Design modifications - - Plan to hold
special call with centers in the coming weeks. Will discuss the in-reach model with both SNAP
and Healthcare relative to other program designs, as well as ways to improve the HC project for
year 2 of open enrollment and off period. Adding “introductory messages” each week. Discussed
program model in light of new SNAP restrictions on pay-for-performance. Cmte members asked
for staff to prepare scenarios, discuss with centers and then bring back to HC Cmte.
d) Pilot of Collecting contact information for later outreach. “Would you like us to remind you
immediately prior to the next open enrollment period? What method do you prefer contact?
Phone, Email, Text, Mail? Remember that if you have any life changes in your family or job, you
could re-contact us to see if you might qualify for a Special Enrollment Period before November.”
Good idea to test this, especially with special funding that does not take away from existing
work. Need to put this in front of centers. Is this an opt-in/opt-out or amendment to the
contract? Definitely worth a discussion with the centers. What is the statute of limitations with a
verbal permission to keep information? What is the effective expiration of data (usefulness) for
contacts in the future, esp given what we know about call-backs now? Need to have a
conversation about the mechanics.
4) Billings and Budget Per the discussion at the last meeting, the Cmte wanted to wait for another month of
activity before considering any changes to goals, payment points, etc. The attached page illustrates the funds
used to date. We have used 31% of total grant YTD, but have used 69% of pre-screening. We are permitted to
move some funds from one line to another, as long as we are achieving all outcomes. Options to alter the
budget include:
a) Changing the goals to reflect actual averages or for two periods: open enrollment and not open
enrollment.
b) Tying the goals together…that a center would meet both goals in order to receive full payment in both.
c) Capping the amounts reimbursed in a given month to a certain amount over goal, i.e. to 125% of goal or
150% of goal or some other capping method.
d) Something else???
Committee wanted to discuss LCC and A9 a 0% for entire open enrollment. Brian had emailed both on April 2
and has not had a response. Need to come up with a set or recommendations for June to address this.
Regarding the budget, desire to ride along a little longer to see how much of the overperformance is a result
of open enrollment period.
Discussed SNAP issue of not being able to pay for performance in future and desire to come up with similar
model for all projects and centers. Cmte members preferred to have staff recommend a model. Carl
suggested proportional to performance, with a not-to-exceed. Wants to make sure that under performers or
zero-based performers are not paid as much as those who are trying or exceeding performance.
5) Other items
IN211 Center
Services
Budget
Amount
Training
Specialists
14,000
Pilot - IVR
messaging
13,400
In-reach (educ
& ins Q)
In-Reach (applic
Dec-Jan
Feb
March
2,810.00
20%
500.00
500.00
400.00
1,400.00
10% discuss texting pilot?
5,203.90
6,093.90
8,235.90
19,533.70
208.62
291.84
943.92
23%
12,015.00 16,620.00
41,205.00
69%
When combining In-reach
Q with screening, we are
at 41% of YTD. See
options in agenda.
26%
on target; discuss
increasing sample w HC
Resource Spec
Kept back for innovation;
Pre-screening
and referrals
60,000
12,570.0
0
Outcome Survey
Attempts
472.00
11,600
IN211 Phone
18,000
Coordination
Expenses
Mileage
76,800
4,800
Office space,
supplies
2,500
Telephone
1,800
Data Reporting
0.00
0.00
2,575.00
3,047.00
0.00
0.00
1,500.00
1,500.00
0.00
0.00
7,905.10
6,828.67
4,847.35
19,581.12
25% On target
211.12
450.81
264.94
926.87
19% on target
77.37
126.37
77.37
281.11
11% updates
0.00
0.00
0.00
0.00
0.00
1,500.00
4,500.00
25% on target
0.00
may reserve for web
0%
7,200
0.00
0.00
0.00
0.00
0%
Subtotal
300,100
0.00
0.00
0.00
0.00
0%
Indirect
12,004
1,003.57
1,003.57
1,003.57
3,010.70
25%
Correction
amounts
Total
Many are trained, few
have completed the quiz.
Need to revamp training.
715.00
443.46
Staff
salary/benefits
Notes and Possible
Changes
275.00
90,000
Phone
Total
1,820.00
pending w/ contact)
Outcome Survey
Completions
% of
Budget
Spent
10.70
312,104
31,234.5
2
29,012.64 37,002.97
10.70
97,250.12
31%
May hold or move to
website upgrade, pilot
with contacting in fall or
call handling