Access to Care Policy Summit Washington, D.C.

Washington, D.C. September 8, 2016

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ACCESS TO CARE POLICY SUMMIT 2016

Nearly 60 health and cancer care leaders representing patient, provider, payer, policymaker, clinic, hospital and community perspectives met in Washington, D.C. on September 8, 2016 for a one-day workshop to create a shared action plan to improve access to cancer care for Medicaid beneficiaries in the District. A full participant list is included in Appendix A.

SPECIAL THANKS TO OUR GENEROUS SPONSORS

Funding for this meeting was made possible in part by the Centers for Disease Control and Prevention. The views expressed in written materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

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WELCOME

Mandi Pratt-Chapman, MA, associate center director for patient-centered initiatives and health equity at the George Washington University (GW) Cancer Center, welcomed participants and gave a brief overview of last year’s summit. She introduced the Access to Care Task Force members who worked over the past year to address the barriers facing Medicaid patients in the District.

Task Force members included:

• Jennifer Bires, Program Coordinator, Patient Support Services and Community Outreach, GW Cancer Center

• Gigi El-Bayoumi, Executive Director, the Rodham Institute • Heidi Floden, Clinical Specialist – Northeast Region, McKesson

Specialty Health • Elizabeth Glidden, American Cancer Society Patient Resource

Navigator, GW Cancer Center • Elizabeth Franklin Hoffler, Director, Policy and Engagement, GW

Cancer Center • Kimberly Hayes, Reimbursement Specialist, the GW Medical Faculty Associates • Delores Jewell, Associate Chair for Finance and Operations/Departments of Medicine and Pharmacy • Bonita Pennino, Government Relations Director, American Cancer Society Cancer Action Network • Sybil Green, Director, Coverage and Reimbursement, American Society of Clinical Oncology • Sara Rosenbaum, Professor of Health Policy, Milken Institute School of Public Health at GW • Eduardo Sotomayor, Director, GW Cancer Center

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MEETING AGENDA

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OPENING ROUNDTABLE

Participants introduced themselves in an opening roundtable and each person proposed a single change that would help to improve access to cancer care for Medicaid beneficiaries in Washington, D.C.

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RECENT CHANGES TO IMPROVE ACCESS TO CANCER CARE FOR MEDICAID PATIENTS

One of the major challenges facing oncologists in D.C. was a low reimbursement rate for many oncology medications. In May 2015, the DC Department of Health Care Finance (DHCF) announced that the Medicaid reimbursement rate for oncology medications would be adjusted to 100% of the Medicare rate. This policy change has allowed for greater access to care as additional providers have begun to accept Medicaid for chemotherapy services. George Washington University has created a partnership with the DC DHCF and managed care organizations in order to continually improve services and processes to better serve Medicaid patients in the District.

Claudia Schlosberg, Medicaid Director, DC Department of Health Care Finance (DHCF), spoke to summit participants regarding the recent changes in DHCF policies to improve access to care for Medicaid beneficiaries in the District.

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CURRENT LANDSCAPE OF CANCER CARE FOR MEDICAID PATIENTS IN THE DISTRICT

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PANEL DISCUSSION – CANCER CARE FOR THE MOST VULNERABLE PATIENTS

The panel focused on cancer care for the most vulnerable patients in the District.

Panelists included:

• Jennifer Bires (Moderator), Program Coordinator, Patient Support Services and Community Outreach, GW Cancer Center

• Diana Garcia, Patient Navigator, GW Cancer Center • Elizabeth Glidden, American Cancer Society Patient Resource Navigator, GW

Cancer Center • Eva Ruiz, Patient Navigator, GW Cancer Center

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PANEL DISCUSSION – CANCER CARE FOR THE MOST VULNERABLE PATIENTS

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IDENTIFYING AND PRIORITIZING BARRIERS TO PROVIDER PARTICIPATION IN MEDICAID

Attendees brainstormed obstacles to participation in Medicaid from the perspectives of patients, providers and payers. Participants prioritized the barriers by identifying the most pressing issues as well as those that were most feasible to address (see page 11 for more information).

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BARRIERS TO PROVIDER PARTICIPATION IN MEDICAID

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SMALL GROUP WORK – ACTION PLANNING TO OVERCOME BARRIERS

For the remainder of the afternoon, groups selected one of four barriers that were ranked as most important and most feasible, then brainstormed action plans and strategies to overcome them. Action plans included a description of what the group wanted to accomplish, critical factors to achieve success and identifying necessary stakeholders to carry the work forward.

Top barriers facing Medicaid beneficiaries in D.C. included:

1. Referral challenges 2. Transportation challenges 3. Care coordination challenges and system fragmentation 4. Inadequate provider networks

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ACTION PLAN GROUP REPORTS

Groups reported back regarding the significance of addressing their chosen challenge and the most important action steps the group could take to overcome the issue.

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NEXT STEPS AND WRAP-UP

To close the day, Mandi Pratt-Chapman, thanked participants and summit sponsors for making the event a success. She described next steps from the meeting and gave participants the opportunity to sign up for continued engagement opportunities.

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APPENDIX A: ACCESS TO CARE POLICY SUMMIT 2016 PARTICIPANTS

Many thanks to all of our summit participants:

• Gidey Amare, DC Department of Health Care Finance • Bunmi Ayanwale, Providence Hospital • Tommy Ballard, GW Medical Faculty Associates • Michael Benedict, GW Cancer Center • Jennifer Bires, GW Medical Faculty Associates • Cavella Bishop, DC Department of Health Care

Finance • Deborah Carter, Medstar • James Christian, AmeriHealth Caritas District of

Columbia • Carrie Dahlquist, American Cancer Society • Liz Davey, Breast Care for Washington, D.C. • Jose Diaz-Luna, Trusted Health Plan • Jehan El-Bayoumi, The Rodham Institute • Heidi Floden, McKesson Specialty Health • Elizabeth Franklin Hoffler, GW Cancer Center • Liza Fues, GW Cancer Center • Diana Garcia, GW Medical Faculty Associates • Elizabeth Glidden, GW Medical Faculty Associates • Rosa Goyes, Mary’s Center • Sybil Green, American Society of Clinical Oncology • Kenny Greene, Trusted Health Plan • Stacy Hall, Crowley and Company • Kimberly Hayes, GW Medical Faculty Associates • Kimberly Head-Smith, American Society of Clinical

Oncology • Delores Jewell, GW Medical Faculty Associates • Ata Khan, GW Hospital

• Rana Kianni, GW Hospital • Antonio Lacey, DC Department of Health Care

Finance • Keith McCannon, AmeriHealth Caritas District of

Columbia • Taylor Patton, GW Cancer Center • Jonathan Perry, DC Primary Care Association • Bathsheba Philpott, GW School of Medicine and

Health Sciences • Robin Pirtle, Health Services for Children with Special

Needs, Inc. • Mandi Pratt-Chapman, GW Cancer Center • Mamie Preston, Medstar • Sara Rothenberg, Milken Institute School of Public

Health at GW • Eva Ruiz, GW Medical Faculty Associates • Kaitlyn Rush, GW Hospital • Claudia Schlosberg, DC Department of Health Care

Finance • Rachel Serio, American Cancer Society • Eduardo Sotomayor, GW Cancer Center • Jennifer Stewart, DC Department of Health • Eric Vicks, DC Primary Care Association • Aubrey Villalobos, GW Cancer Center • Rosa Villoch-Santiago, American Cancer Society • Constance Yancy, DC Department of Health Care

Finance • Yuqing Zhang, GW Cancer Center