1. 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

2. 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

3. Blue Ribbon Task Force on Adult Health Care Coverage Expansion
Framing the Task
13% of San Mateo County Adults
age 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

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

13. 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