Blue Ribbon Task Force on Adult Health Care Expansion September 28, 2006 Kick-Off Meeting San Mateo County Blue Ribbon Task Force on Adult Health Care Coverage Expansion

Blue Ribbon Task Force on Adult Health Care Coverage Expansion Welcome Agenda and Meeting Format Introductions San Mateo County Blue Ribbon Task Force on Adult Health Care Coverage Expansion

Blue Ribbon Task Force on Adult Health Care Coverage Expansion Framing the Task 13% of San Mateo County Adults age 19-65 report being uninsured The total number of uninsured adults is between 60,000-80,000 The number of uninsured adults has increased significantly in recent years San Mateo County Blue Ribbon Task Force on Adult Health Care Coverage Expansion

Framing the Task: Board of Supervisors’ Charge To explore options for providing comprehensive health care access and/or insurance to uninsured adults in San Mateo County living at or below 400% Federal Poverty Level; and to bring recommendations to the Board of Supervisors by July 2007 San Mateo County Blue Ribbon Task Force on Adult Health Care Coverage Expansion

Big Picture: San Mateo County and the Nation Enrique Martinez-Vidal Robert Wood Johnson Foundation State Coverage Initiative San Mateo County Blue Ribbon Task Force on Adult Health Care Coverage Expansion

Reflection: California Perspective Len Finocchio, California HealthCare Foundation Peter Long, The California Endowment Brenda Solorzano, Blue Shield Foundation San Mateo County Blue Ribbon Task Force on Adult Health Care Coverage Expansion

Reflection: Task Force Members Key Questions for the Task Force to Probe Suggestions for Analysis Opportunities for San Mateo County San Mateo County Blue Ribbon Task Force on Adult Health Care Coverage Expansion

Next Steps: Structure Blue Ribbon Task Force on Adult Health Care Coverage Expansion Frequency: Every 2 months ( approx. 6 meetings total; 2hrs/meeting) Health Care Model Development Workgroup Frequency: Up to monthly Financing Mechanism Development Workgroup Frequency: Up to monthly Population Definition Workgroup Frequency: 1x month Oct-Jan Interdepartmental Workgroup Frequency: 1x month Delivery Mechanism* Safety-Net Integration Care Delivery Model(s) Scope of Benefits Provider Capacity Charity Care Taskforce Business Impact Analysis* State Health Care Coverage Initiative* Actuarial Analysis* WELL Pilot CHI * Consultant/Advisor Expertise San Mateo County Blue Ribbon Task Force on Adult Health Care Coverage Expansion

Next Steps: Population Definition Workgroup Key Questions: What do we know about uninsured adults in San Mateo County? (e.g. Income, Employment Status, Ethnicity, City of Residence, Health Profile) What information about uninsured adults in San Mateo County do we need to find out to move forward? Chair: Glen H. Brooks, Jr., San Mateo County Human Services Agency San Mateo County Blue Ribbon Task Force on Adult Health Care Coverage Expansion

Next Steps: Health Care Model Development Workgroup Key Questions: What benefits should we include in an expansion or insurance product? What innovative delivery mechanisms can we employ? What is the existing and needed provider capacity to provide health care to the uninsured? Chair: Luisa Buada; Ravenswood Family Health Center San Mateo County Blue Ribbon Task Force on Adult Health Care Coverage Expansion

Next Steps: Financing Mechanism Development Workgroup Key Questions: How much will new coverage and/or insurance options cost? What public and private financing streams are available for this effort? How will the costs be shared by our community? Chair: Ron Robinson, Health Plan of San Mateo San Mateo County Blue Ribbon Task Force on Adult Health Care Coverage Expansion

Blue Ribbon Task Force on Adult Health Care Coverage Expansion Next Steps: Meetings Next Meeting: December 4 8-10:00 am East Palo Alto San Mateo County Blue Ribbon Task Force on Adult Health Care Coverage Expansion

Blue Ribbon Task Force on Adult Health Care Coverage Expansion Task Force Feedback Additional Areas of Inquiry, Voices Workgroup Activity Technical Assistance San Mateo County Blue Ribbon Task Force on Adult Health Care Coverage Expansion