The Enrollment Rodeo: Who’s Galloped In and Who Will Be Lassoed Next?
Wednesday, October 21, 2015
It has been two years since new coverage provisions under the ACA have been fully effectuated, altering the landscape of enrollment across existing and new coverage programs. Speakers from across the coverage spectrum, including Medicaid and varying insurance marketplace models, will describe enrollment trends in their states and look ahead, making projections on what this means for the future of enrollment in coverage and where their state’s efforts will be focused in the future.
Carrie Banahan Executive Director Kentucky Office of Health Benefit and Information Exchange
Carrie Banahan is the Executive Director of the Kentucky Office of the Health Benefit and Information exchange and is responsible for the implementation and operations of the Exchange. Carrie is a graduate from the University of Louisville and has over 30 years experience in State Government. From 2008-2012, she was the Executive Director of the Office of Health Policy and was responsible for the administration of the Certificate of Need program and Health Planning and development for the Cabinet for Health and Family Services. During that time, Carrie also served as the implementation Director for Medicaid Managed Care in which 540,000 individuals was transitioned from a fee-for-service delivery system to managed care.From 2006 to 2008, Ms. Banahan served as Deputy Commissioner for the Department for Medicaid Services. While at Medicaid, Carrie was instrumental in overseeing the implementation of Kentucky Health Choices and the new MMIS, as well as assisting with the development of new waiver programs.From 1998 until 2006, she was employed by the Department of Insurance and worked in the Health Division as a Branch Manager, Division Director and also served as Deputy Commissioner. While at Insurance, Ms. Banahan was responsible for overseeing and implementing HIPAA insurance requirements, prompt pay laws for insurers, an internal and external review process for consumers, and a state high risk pool for individuals who were unable or had difficulty obtaining health insurance.From 1986 to 1998, Carrie was employed by the Department for Medicaid Services and served in various capacities including policy development, drafting of Medicaid regulations and State Plan amendments and assisted with implementation of a new MMIS, and the Medicaid Partnership Program.
Elizabeth Lukanen, Deputy Director and Senior Research Fellow, SHADAC - University of Minnesota
Elizabeth Lukanen, MPH, is Deputy Director at the State Health Access Data Assistance Center (SHADAC), located at the University of Minnesota. Ms. Lukanen has over 10 years of experience in the health policy arena where she has analyzed issues related to cost, access and quality with a focus on using sound data to make informed policy decisions. Currently, she manages SHADAC’s technical assistance to states in the areas of data use, analysis and evaluation, which is targeted at helping states plan for and implement health reform. Prior to joining SHADAC, Ms. Lukanen worked as a Senior Research Economist in the Health Economics Program (HEP) at the Minnesota Department of Health where she did extensive analysis of primary and secondary data, conducted economic analyses, wrote and presented technical reports to a variety of audiences, and managed stakeholder interactions for the Governor’s statewide Blue Ribbon Panel.
Buffy Heater, Chief Strategy Officer, Oklahoma Health Care Authority
Mrs. Heater, originally from northeastern Oklahoma, received her undergraduate degree from Northeastern State University before receiving her Master’s degree in Public Health Administration and Policy from the University of Oklahoma Health Sciences Center. Mrs. Heater joined the Health Care Authority in August 2002, after leading numerous community-based projects for the Community Action Resource & Development Agency in Bartlesville. In her role as Chief Strategy Officer, Mrs. Heater is responsible for overseeing the planning and development of projects complementing the agency’s vision and strategic plan. She oversees the OHCA’s Central Portfolio and Project Management Office ensuring visibility, coordination, and measurement of project outcomes, as well as appropriate resource allocation and validation of portfolio alignment with agency and statewide goals. Mrs. Heater leads the creation of the Service Efforts and Accomplishments report wherein OHCA provides year by year data on a variety of performance measures. Additionally, annual reporting of the OHCA’s strategic planning activities as well as core functional efforts are completed under her direction.
Renee Mollow, Deputy Director, Health Care Benefits and Eligibility, California Department of Health Care Services
René has been with the California Department of Health Care Services (DHCS) since 1995, working primarily with Medi-Cal, California’s version of Medicaid. She is currently serving as the Deputy Director for Health Care Benefits and Eligibility (HCBE). She is responsible for the formulation and administration of policy development and implementation; provides leadership for policy planning, development, implementation, and evaluation of health care services and delivery systems under Medi-Cal and for the Children’s Health Insurance Program (CHIP). HCBE is comprised of five divisions and one office: Benefits, Eligibility, Pharmacy Benefits, Primary and Rural Health, Medi-Cal Dental Services and the Office of Family Planning. René directs and coordinates programs and activities in HCBE to ensure uniform program direction and maximum efficiency throughout the statewide health care delivery system. In addition, she assists the Directorate and State Legislatures in determining program direction consistent with legislative intent and consults with the Director on issues of significant policy impact involving both Medi-Cal and CHIP. Rene is currently serving a three-year term as a member of the National Association of State Health Policy, Health Care Access and Financing Steering Committee, which provides the organization with direction on issues related to providing health insurance coverage as well as financing, organization, and regulation for the health care system. René earned her Master’s Degree in Nursing Education and Bachelor’s degree in Nursing from California State University at Bakersfield, and is a certified Public Health Nurse.