Quality & Company Overview July 1, 2013

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Quality Display: Board Background

• The Board voted to provide quality ratings for health plans

offered on the Exchange. 9/24/12

• The Board voted to provide a CAHPS composite rating

(customer satisfaction) and link to HEDIS information as well as

other appropriate metrics about health plan quality. 10/8/12

In 2016 the Exchange will leverage a new, national standard for quality metrics. The

solutions voted on by the board and to be discussed for today are proposed for 2014 and

open to feedback specific to 2015.

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Quality Display: Advisory Group Input

• Merged Advisory Groups met on 1/17/13 and 3/4/13 to discuss

the star rating, content of detailed quality pages, and general

display considerations like the order of information

• Advisory Group input was presented to the board on 3/11/13

o http://www.connectforhealthco.com/COHBE/media/COHBE/PDFs/Boar

d/3-11-13/4)-Quality-Display-and-Data-Collection-

Memo_Board_20130307.pdf

o http://www.connectforhealthco.com/COHBE/media/COHBE/PDFs/Boar

d/3-11-13/5)-Quality-Display-Samples-ILLUSTRATIVE-

Only_20130307.pdf

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Data Submissions from Carriers

• As a part of QHP / QDP Certification all carriers seeking to

participate through Connect for Health Colorado were required

to submit two templates by May 31, 2013:

o Quality Display Template (medical carriers only)

o Company Overview Template (medical and dental carriers)

o http://www.connectforhealthco.com/stakeholders-and-board/carriers/

• During June, the Connect for Health Colorado team has been

working with our designer to develop the branded display of

detailed quality pages and company overview pages

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Today’s Objective

• Obtain final input from our stakeholders on the display of the

detailed quality pages and the company overview pages

• Stakeholders will have an opportunity to submit written

comments to the team no later than EOD 7/3/2013

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Important Considerations

• The format of the quality and company overview pages must be

PDFs, due to technical limitations for go-live

• Colors, logos, etc. must be in aligned with Connect for Health

Colorado branding

• After the design is finalized, the following must occur by 9/1/13:

o Develop all iterations for all 17 carriers

o Validate carrier submitted informaiton vs. NCQA licensed data and

URAC information in SERFF

o Translate all pages into Spanish

o Allow carriers a final review of content before data load

o Load PDFs to system for final review (starting 9/1/13)

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Important Considerations (cont’d)

• The team would like to avoid asking for more information from

carriers due to the tight timelines and work that must be done

• The design should help consumers make comparisons across

carrier information (comparison cannot be perfect since not all

carriers have the same information)

• This informaiton will be accessible from the Connect for Health

Colorado Marketplace and may be mailed to employers as part

of proposal informaiton

• Provide information that is understandable for consumers at the

appropriate level of detail

• Make an effort not to disadvantage new or small plans

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Samples for Today’s Discussion

• SeeChange and Anthem have graciously allowed the Connect

for Health Colorado team to utilize their samples for discussion

purposes

• These samples have not yet been reviewed in detail with these

carriers

• We will review the information in the following order:

o Quality Display Page

o Company Overview Page

o Graphic Design Options

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Quality Page: General Discussion

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Company Overview Page: General

Discussion

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Quality Page: Graphic Options

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Next Steps

Action Item Timing

Submit any additional comments and feedback to

seng@connectforhealthco.com 7/3/2013