CEO Report to the Board
1. Budget and Dashboard
2. Administrative Issues- Building Updates, IT, Website
3. Staffing- Introduce New Staff, Staff Changes
4. Legislature, CCIIO, CMS
5. External Outreach
6. Policy Issues
7. Key Implementation Milestones
8. Preview Agenda
9. Questions
LEVEL I – ESTABLISHMENT GRANT
1
Note: Effective November 1, 2012 CCIIO has authorized the transfer of
remaining balance of the grant from HCA. All vendor contracts have been
formally assigned to HBE at this time. HBE is obtaining formal approval to
spend down the remaining Level I grant award.
EXPENDITURES FROM INCEPTION THROUGH MARCH 2013
CATEGORY LEVEL I
GRANT BUDGET TOTAL
EXPENDITURES BALANCE
REMAINING % OF
TOTAL
SALARIES AND BENEFITS $ 2,703,000 $ 473,000 $ 2,230,000 83%
TRAVEL 57,000 25,000 32,000 56%
EQUIPMENT 1,413,000 418,000 995,000 70%
SUPPLIES 298,000 96,000 202,000 68%
CONTRACTUAL (IT) 15,031,000 12,102,000 2,929,000 19%
CONTRACTUAL (Non-IT) 2,330,000 1,967,000 363,000 16%
OTHER 1,112,000 94,000 1,018,000 92%
Total $ 22,944,000 $ 15,175,000 $ 7,769,000 34%
100% 66% 34%
LEVEL II – ESTABLISHMENT GRANT
2
EXPENDITURES FROM INCEPTION THROUGH MARCH 2013
CATEGORY LEVEL II
GRANT BUDGET TOTAL
EXPENDITURES BALANCE
REMAINING % OF
TOTAL
SALARIES AND BENEFITS $ 27,232,000 $ 3,229,000 $ 24,003,000 88%
TRAVEL 152,000 37,000 115,000 76%
EQUIPMENT 1,543,000 576,000 967,000 63%
SUPPLIES 59,000 18,000 41,000 69%
CONTRACTUAL (IT) 83,702,000 25,325,000 58,377,000 70%
CONTRACTUAL (Non-IT) 32,788,000 3,091,000 29,697,000 91%
OTHER 4,346,000 497,000 3,849,000 89%
MEDICAID ALLOCATION (21,931,000) - (21,931,000) 100%
Total $ 127,891,000 $ 32,773,000 $ 95,118,000 74% 100% 26% 74%
Washington Health Benefit Exchange
March 2013 Actual vs. Budget Operational Analysis
Washington Health Benefit Exchange Modified Cash-Basis Statement by Category
From 1/1/2013 Through 3/31/2013
March
Actual
March
Budget
Variance
Favorable/
(Unfavorable)
Variance
% YTD Actual YTD Budget
YTD Variance
Favorable/
(Unfavorable)
YTD
Variance
%
Expense
Salaries 443,000$ 789,000$ 346,000$ (a) 44% 1,227,000$ 2,368,000$ 1,141,000$ (a) 48%
Benefits 117,000 229,000 112,000 (a) 49% 322,000 687,000 365,000 (a) 53%
Consulting 594,000 882,000 288,000 (b) 33% 1,856,000 2,646,000 790,000 (b) 30%
IT Infrastructure 9,000 42,000 33,000 (c) 79% 236,000 126,000 (110,000) (c) -87%
General & Admin 48,000 117,000 69,000 59% 293,000 350,000 57,000 16%
Facility & Related 166,000 1,355,000 1,189,000 (d) 88% 271,000 1,665,000 1,394,000 (d) 84%
Contractual 8,696,000 2,788,000 (5,908,000) (e) -212% 14,716,000 15,610,000 894,000 (e) 6%
Total Expense 10,073,000$ 6,202,000$ (3,871,000)$ -62% 18,921,000$ 23,452,000$ 4,531,000$ 19%
Explanations
(a) - Due to delays in hiring compared to budget - See next page for FTEs hired by department.
(b) - Actual consulting expenditures are lower than budget primarily due to delayed timing of consulting activities in the Policy and Legal departments.
YTD is lower than budget primarily due to Call Center budget timing difference. Call Center deployment is on schedule.
(c) - IT Infrastructure costs are higher than budget primarily due to timing difference. Purchases are within budgeted yearly amount.
(d) - Budget now includes furniture, fixtures and equipment of $1.1M for the new office building - timing difference.
(e) - March contractual expenditures are higher than budget primarily due to completion of delayed Deloitte February delieverables.
Washington Health Benefit Exchange Modified Cash-Basis Statement by Department
From 1/1/2013 Through 3/31/2013
3
March
Actual
March
Budget
Variance
Favorable/
(Unfavorable)
Variance
% YTD Actual YTD Budget
YTD Variance
Favorable/
(Unfavorable)
YTD
Variance %
Expense
Executive Office 55,000$ 81,000$ 26,000$ 32% 137,000$ 242,000$ 105,000$ 43%
IT 9,338,000 3,318,000 (6,020,000) (a) -181% 16,899,000 17,199,000 300,000 2%
Operations (NG) 139,000 602,000 463,000 (b) 77% 328,000 1,806,000 1,478,000 (b) 82%
Communications 89,000 219,000 130,000 (c) 59% 307,000 656,000 349,000 (c) 53%
Policy 104,000 342,000 238,000 (d) 70% 454,000 1,026,000 572,000 (d) 56%
Finance & Admin 259,000 1,432,000 1,173,000 (e) 82% 607,000 1,897,000 1,290,000 (e) 68%
Operations (SHOP) 56,000 90,000 34,000 38% 107,000 271,000 164,000 61%
Legal 33,000 118,000 85,000 (f) 72% 82,000 355,000 273,000 (f) 77%
Total Expense 10,073,000$ 6,202,000$ (3,871,000)$ -62% 18,921,000$ 23,452,000$ 4,531,000$ 19%
2013 FTEs by Department
March
Actual FTEs
March
Budgeted
FTEs Variance
Variance
%
Executive Office 3 4 (1) -25% (a) - Primarily due to completion of February deliverables.
IT 21 21 0 0% (b) - Primarily due to budget timing. Call Center is on schedule.
Operations (NG) 8 17 (9) -53% (c) - Primarily due to delays in hiring.
Communications 9 11 (2) -18% (d) - Primarily due to lower than expected consulting costs.
Policy 7 8 (1) -13% (e) - Primarily due to addition of $1.1M FF&E budget for new facility.
Admin & Finance 13 15 (2) -13% (f) - Due to delay in hiring and lower than expected consulting costs.
Operations (SHOP) 7 8 (1) -13%
Legal 2 3 (1) -33%
Total FTEs at month end 70 87 (17) -20%
Support Initial Exchange Recruitment
Internal Operations
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
2013 2012
Revenue Source/Sustainability
Health Benefits Exchange 2012 -2014 Executive Dashboard
Financial Operations and Administration
Rpt to Legis
Establish Internal Operations
Board Decision
Model Options Rec Revenue Mech/s
Hire Controller
Hire HR Manager
Impl. Accting System
Oct Nov Dec Jan
2014
Financial Management Finalize Fed. Compliance Manual
Finalize External Audit for Level 1, 2, 2014
forward
Draft – HBE Internal As of March
Perf. Based Review/ New employee onboarding
New Office Building
Finalize Architectural/Space Planning Office Prep and Move
Marketing, Outreach, PR Communications
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
2013 2012
Branding
Health Benefits Exchange 2012 -2014 Executive Dashboard Communications
Design for online presence
Present Marketing/ Outreach Plan to Board
Board Approval - Name
Paid Media
Oct Nov Dec Jan
2014
Identify HBE Name
Develop Plan/Campaign
Secure Sponsorships and Partnerships
Run Paid Media
Navigators
Board Presentation
TAC/AC Refine Recs
Board Decision
Open for Applicants
Select Navigators
Share selections, Outreach plan and Welcome Packet with Board
Train Outreach Network
Continuing Education Process
Draft – HBE Internal As of March
Present Advertising Plan to Board
Req. for In-Person assistants
Release RFP
Coordinated Elig. Determination process
Rating Factor Recs Info Display Plan
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
2013 2012
Consumer Rating System
Health Benefits Exchange 2012 -2014 Executive Dashboard Policy
Dental Plans Certification
Qualified Health Plans Certification
Board Approves Criteria
Evaluate Sources/ Services Phase 1
Board Decision Rating Factors
Release Application to carriers
Oct Nov Dec Jan
2014
Content decision for Phase 1
2015 Phase 2 Consumer Rating Solution Available
Board Decision Dental Plans
Dental Plan Issues/Recs Determine Cert. Process
Develop Application
Develop single application process
Process to verify citizenship & income with Fed. hub Develop/Define Eligibility
& Enrollment Processes
Draft – HBE Internal As of March
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
2013 2012
Health Benefits Exchange 2012 -2014 Executive Dashboard External Operations
Oct Nov Dec Jan
2014
QA Process Development
Release Joint RFI
Plan Manager Certification
Plans submit information OIC/Exchange
Call Ctr. Agreement Medicaid
Select Vendor Vendor Contracted
Call Center Implemented
Call Center
Plan Operations
Cust. Service Protocols/ Scripts
Train Call Center staff
External Operations
Release RFP
Draft – HBE Internal As of March
Board approves QHPs
Notify Selected QHPs
Open Enrollment Begins
Certify Dental Plans
Accept Dental Apps
Implement Individual Resp.
Deter./Cert. of Exemption &
Medicaid Eligibility
processes
Develop Plan and Migrate Services as needed
Establish Information & Technology Infrastructure
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
2013 2012
Health Benefits Exchange 2012 -2014 Executive Dashboard Information and
Technology
Vision for IT Infrastructure & Services
Impl. Initial Capabilities & System Mgmt. Processes
Oct Nov Dec Jan
2014
Go Live 8/5/13
Exchange Business Applications
Testing Complete 6/9/13
Design Complete 11/13/12
Plan Management
Open Enrollment Design Complete
3/13/13
Testing Complete 8/30/13
Go Live 10/1/13
SHOP Design Complete
12/10/12 Testing Complete
6/26/13 Go Live 10/1/13
Administration Design Complete
3/8/13 Testing Complete
8/30/13 Go Live 12/31/13
CCIIO Reviews
ID services to be migrated from
HCA/Others
Draft – HBE Internal As of March
Version 2.0 Estimated Completion
8/2014
Train Agents/Brokers
Collaborate with Carrier- to ID Risk Rating
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
2013 2012
Agent and Brokers Roles
Health Benefits Exchange 2012 -2014 Executive Dashboard SHOP
Establish SHOP
Board Action on Commissions
Agent/Broker issues/Rec
Develop Training
Oct Nov Dec Jan
2014
Develop Employee, Employer, Broker SHOP Experience
Gain answers from CMS/OIC
Board Introduction to SHOP Experience
Broker SHOP Experience
Draft – HBE Internal As of March
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
2013 2012
Health Benefits Exchange 2012 -2014 Executive Dashboard Legal Services
Oct Nov Dec Jan
2014
Receive Federal Rules/Guidance (Est.) Note: Proposed rules rcvd. in late Jan)
Consult with other agencies
Transition Public Record work from HCA to HBE
Establish Legal Policies
Appeals Process
Establish Process and Records Retention Schedule
Draft – HBE Internal As of March
Transition Legal Work from AGO
Conflict of Interest & Ethics Policies- Board Review
Develop Appeals process and hire staff
Appeals Process
Washington Health Benefit Exchange Speaking Engagement Calendar
Speaker April 2013 May 2013 June 2013 July 2013 August 2013 September 2013 October 2013 November 20134/8-10: World Health Care
Congress (Washington DC)
5/8-10: AF4Q (Chicago) 6/19: Board (Seattle) 7/24: Board (Seattle) 8/21: Board (Seattle) 9/25: Board (Seattle) 10/23: Board
(Seattle)
11/20: Board
(Seattle)
4/10: PLUS Panel (Chicago) 5/15: Board (Seattle)
4/17: Board (Seattle)
4/9: LWV (Bremerton) 5/7: Community-Minded
(Spokane)
6/19: Board (Seattle) 7/24: Board (Seattle) 8/21: Board (Seattle) 9/25: Board (Seattle) 10/23: Board
(Seattle)
11/20: Board
(Seattle)
4/16: WSMGMA Payer
Forum (Tacoma)
5/8: OIC (Lacey)
4/17: Board (Seattle) 5/15: Board (Seattle)
5/29-30: HEA (Scottsdale,
AZ)
4/9: WA Connection
(Webinar/Olympia)
5/15: Board (Seattle) 6/19: Board (Seattle) 7/24: Board (Seattle) 8/21: Board (Seattle) 9/25: Board (Seattle) 10/23: Board
(Seattle)
11/20: Board
(Seattle)4/17: Board (Seattle)
Pam Cowley 4/9: WA Connection
(Webinar/Olympia)
5/8: Gov Council (Seattle)
4/9: WA Connection
(Webinar/Olympia)
5/4: UW Health Policy
Class (Bellevue)
6/11: St. Peters (Lacey)
5/7: Cap Med Center
(Tumwater)
4/17: Board (Seattle) 5/15: Board (Seattle) 6/19: Board (Seattle) 7/24: Board (Seattle) 8/21: Board (Seattle) 9/25: Board (Seattle) 10/23: Board
(Seattle)
5/21: IPMA Forum (Lacey)
4/17: Board (Seattle) 5/15: Board (Seattle) 6/19: Board (Seattle) 7/24: Board (Seattle) 8/21: Board (Seattle) 9/25: Board (Seattle) 10/23: Board
(Seattle)
11/20: Board
(Seattle)
4/19: WSMOS (Seattle)
4/23–24: RHC Spring Conf.
(Chelan)
4/17: Board (Seattle) 5/15: Board (Seattle) 6/6: TCAHU (Speaker from
SHOP) (Vancouver, WA)
7/9: Sequim Chamber
Luncheon (Sequim)
8/21: Board (Seattle) 9/25: Board (Seattle) 11/20: Board
(Seattle)
Richard
Onizuka
Kelly Boston
Michael
Marchand
Pam
MacEwan
Curt Kwak
Nelly Kinsella
Keith Bell
Updated by Tracie Cleavelin 4/18/2013 1
Washington Health Benefit Exchange Speaking Engagement Calendar
Speaker April 2013 May 2013 June 2013 July 2013 August 2013 September 2013 October 2013 November 20134/19: NAIFA Seminar
(Leavenworth)
5/29: Unity Group
(Bellingham)
6/19: Board (Seattle) 7/24: Board (Seattle) 10/23: Board
(Seattle)
Brandon
Larson
5/21: Spokane Rotary
(Spokane)
Mike Jackling 4/30: Franchise (Olympia)
Scott Hacker 4/30: Franchise (Olympia) Mid-June: 501 Commons
(Seattle)
4/3: Chamber Luncheon
(Kent)
5/3: WASCLA Summit
(Wanatchee)
6/19: Board (Seattle) 7/24: Board (Seattle) 8/21: Board (Seattle) 9/25: Board (Seattle) 10/23: Board
(Seattle)
11/20: Board
(Seattle) 4/17: Board (Seattle) 5/15: Board (Seattle)
5/18-21: Primary Care
Conf (Alaska)
4/17: Acumentra Health
(Olympia)
5/14: AICP (Seattle) 6/19: Board (Seattle) 7/24: Board (Seattle) 8/21: Board (Seattle) 9/25: Board (Seattle) 10/23: Board
(Seattle)
11/20: Board
(Seattle)5/15: Board (Seattle)
Christine
Gibert
5/2: ISCEBS (WAC,
Seattle)
4/17: Board (Seattle) 5/9: Seminar SIG (Seattle)
5/15: Board (Seattle)
4/3: ASRP (Renton)
(Declined - referred to
SHIBA)
6/22: Urology Conference
(Leavenworth) (Declined)
7/24: Desert Insurance
(Moses Lake) (Declined)
9/4: ASD Conference
(Chelan) (Declined)
10/22:
IIABW/PIA
(Seattle)
11/1: ARNP (Need
Speaker Name in
April) (Seattle)
4/11: PhD Operating Board
(Seattle) (Declined)
4/12: WSOA (Yakima)
(Declined)
9/18: WFOA (Tulalip)
(Declined)4/23: NAIFA (Bellingham)
(Declined)
No Speaking
Engagements
Teresa
Mosqueda
Speaker
Needed
Keith Bell
Joan Altman
Brad
Finnegan
Updated by Tracie Cleavelin 4/18/2013 2
Top Related