Catching the Next Waiver: State Flexibility, Section 1332 and “Super Waivers”

Tuesday, October 20, 2015

The Affordable Care Act authorized the Secretary of HHS to grant states waivers from certain provisions of the Act beginning in 2017.  Section 1332 waivers could relieve states from some requirements of the law if they meet certain waiver tests related to coverage and cost.  So-called “super waivers” could allow states to better coordinate across Medicaid and the Exchange.  This session will begin with a national expert providing an overview that explores the potential scope of ACA waivers and the likely processes associated with them. Then all panelists, including state officials will discuss potential policy opportunities available through these waivers that states may want to consider.


Anya Rader Wallack, Director, HealthSource RI
anya-rayderAnya Rader Wallack was recently appointed Director of HealthSource RI by Governor Gina Raimondo. Anya has lived in Rhode Island and run her own health policy consulting firm for the past 15 years. Her consulting focus is state and federal health policy, including Medicaid policy, the effect of national health reform on states and health care payment and delivery system reform. Anya served as Chair of Vermont’s Green Mountain Care Board from 2011-2013. The Board oversees cost control and provider payment innovation in Vermont.For the past 18 months Anya served as Chair of the Vermont State Innovation Model (SIM) governing board. Vermont’s SIM project supports development of accountable care organizations, development of a statewide health information exchange infrastructure and alignment of care management strategies across payers and providers.Anya served previously as interim President of the Blue Cross Blue Shield of Massachusetts Foundation and Executive Director of the Massachusetts Medicaid Policy Institute.Anya served from 1991-1994 as Policy Director and then Deputy Chief of Staff for Vermont Governor Howard Dean, M.D. From 1995-1998 she ran the Vermont Program for Quality in Health Care, a quasi-governmental agency that specializes in quality measurement and improvement at the state level.


PDF-icon Deborah Bachrach, Partner, Healthcare Industry, Manatt

deborah-bachrach Deborah Bachrach has more than 25 years of experience in health policy and financing in both the public and private sectors and an extensive background in Medicaid policy and healthcare reform. She works with states, providers, plans and foundations in implementing federal health reform and Medicaid payment and delivery system reforms. Ms. Bachrach was a partner at Manatt from 1992 to 2006, serving as co-chair of the Healthcare Practice Group. She provided legislative, regulatory and strategic counsel to academic medical centers, safety net hospitals, community health centers, health plans and other healthcare companies. Prior to this, Ms. Bachrach served as Vice President, External Affairs, at St. Luke’s-Roosevelt Hospital Center. She also worked for four years as New York State Chief Assistant Attorney General and for three years as Chief of the Civil Rights Bureau in the Office of the New York State Attorney General.
Norm Thurston, Representative, Utah State Legislature
norm-thurston Norman Thurston, Ph.D. is the Director of the Office of Health Care Statistics (OHCS) for the State of Utah. OHCS is responsible for collecting data from the health care system on cost and quality, including the APCD, facilities databases, CAHPS, and HEDIS. Before taking this position in September 2013, Dr. Thurston was the Health Reform Implementation Coordinator for the Governor's Office and has been a policy adviser on health reform since 2005. He has a Ph.D. in economics and was on the economics faculty at Brigham Young University from 1995-2003. Dr. Thurston was recently elected to the Utah House of Representatives and serves on the Health and Human Services committee.
Marie Zimmerman, Medicaid Director, Department of Human Services
marie-zimmerman Marie Zimmerman currently serves as the State Medicaid Director at the Minnesota Department of Human Services (DHS). Marie oversees program wide Medicaid policy development and implementation across the administrations at DHS including Health Care, Chemical and Mental Health, and Continuing Care. Marie directly oversees the Department’s policy and operations of federal relations, managed care contracting, rate-setting, benefits policy, new delivery and purchasing strategies including the state’s ACO demonstration, behavioral health homes, and the implementation of the state’s State Innovation Model (SIM) grant activities. Prior to her role as Medicaid director, Marie served in several positions at DHS including policy director where she lead the development and launch of the Department’s new purchasing reform initiatives including direct provider contracting under a new ACO demonstration, integrated managed care products for seniors and people with disabilities including Minnesota’s duals demonstration, and served as Minnesota's project director for its SIM grant. Prior to her role as policy director, Marie served as the deputy director of DHS' Medicaid managed care purchasing division and as the budget and legislative director for the Health Care Administration. Marie also worked in Minnesota's state legislature for six years as a fiscal analyst on health and human services and tax issues. Marie has a bachelor’s degree in economics and political science from the University of St. Thomas in Minnesota and master’s in public policy from the University of Minnesota’s Humphrey Institute of Public Affairs.

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