Common use of Key Findings of Background Research Clause in Contracts

Key Findings of Background Research. Over the last two-and-half years, AID has overseen research covering a broad range of topics and conducted by several different groups and individuals. In 2011, AID selected First Data Government Solutions, LP (First Data) and the University of Arkansas for Medical Sciences (UAMS) as primary contractors for Arkansas’s Marketplace planning activities. First Data had three subcontractors, SCIO Inspire (formerly Solutia), Xxxxxx and Associates, and Arkansas Foundation for Medical Care (AFMC). The latter two are Arkansas-based companies. The UAMS work was performed by Partners for Inclusive Communities, the College of Public Health, and Arkansas Center for Health Improvement (ACHI), home to Arkansas’s Surgeon General. In 2012, AID contracted with the University of Central Arkansas (UCA) to conduct a survey and gather additional information about the Arkansas insurance marketplace and likely promoters or barriers to issuer participation in the federal Health Insurance Marketplace in Arkansas. We also consulted with actuaries to assess the financial implications of state insurance mandates on eligible Essential Health Benefit (EHB) benchmark plans. Following our initial planning review and discussions of potential strategies to mitigate the impact of expected consumer “churning” among Insurance Affordability Programs in Arkansas, and at CCIIO’s recommendation, AID entered into a professional services contract with Manatt Health Solutions to identify continuity of care/coverage issues and assist in outlining potential strategies to minimize the impact of churning. XXXX also analyzed the churning issue. In late 2012 through our policy consultation contract with ACHI, AHCD joined with Arkansas Medicaid to fund a study by RAND Health to estimate the economic impact of Marketplace establishment and Medicaid expansion in Arkansas as allowed under ACA. This study also provided updated estimates of the numbers expected to enroll in the new Marketplace. xxxx://xxx.xxxx.xxx/MiscDocs/130103RAND%20Final.pdf (Appendix A) Also by late 2012, Manatt had provided AHCD with three potential continuity of coverage options to discuss with the Insurance Commissioner, Medicaid Director, Surgeon General and diverse state stakeholder groups that led to a more expansive contract with Manatt and its subcontractor, Optumas, to do more in-depth research in an expedited manner with a goal of selecting a viable option and implementing it in advance of FFE Open Enrollment. Manatt and Optumas consultants were in Little Rock for an initial site visit February 6-8, 2013. They met with Medicaid and AID staff on multiple occasions to gather information about the alignment of Medicaid benefits and the Arkansas EHB. They also met with key stakeholders individually and in two group settings as well as with the Governor and his key staff. Subsequent meetings occurred with Arkansas’s legislative leaders and on April 23, 2013, the Arkansas Health Care Independence Act was signed into law. Key findings to date follow.

Key Findings of Background Research. Over the last two-and-half yearseighteen months, AID has overseen research covering a broad range of topics and conducted by several different groups and individuals. In 2011, AID selected contracted with First Data Government Solutions, LP (First Data) and the University of Arkansas for Medical Sciences (UAMS) as primary contractors for Arkansas’s Marketplace exchange planning activities. First Data had three subcontractors, SCIO Inspire SCIOInspire (formerly Solutia), Xxxxxx and Associates, and Arkansas Foundation for Medical Care (AFMC). The latter two are Arkansas-based companies. The UAMS work was performed by Partners for Inclusive Communities, the College of Public Health, and Arkansas Center for Health Improvement (ACHI), home to Arkansas’s Surgeon General. In 2012, AID XXX contracted with the University of Central Arkansas (UCA) to conduct a survey and gather additional information about the Arkansas insurance marketplace and likely promoters or barriers to issuer participation in the federal Health Insurance Marketplace in Arkansascoverage needs. We also consulted with actuaries to assess the financial implications of state insurance mandates on eligible Essential Health Benefit alternative essential health benefit (EHB) benchmark plans. Following our initial planning review and discussions of potential strategies to mitigate the impact of expected consumer “churning” among Insurance Affordability Programs in Arkansas, and at CCIIO’s recommendation, AID entered into a small professional services contract with Manatt Health Solutions to identify look at continuity of care/coverage issues and assist in outlining identifying potential strategies to minimize the impact of churning. XXXX also analyzed the churning issue. In late 2012 through our policy consultation contract with ACHI, AHCD joined with Arkansas Medicaid to fund a study by RAND Health to estimate the economic impact of Marketplace establishment and Medicaid expansion in Arkansas as allowed under ACA. This study also Manatt provided updated estimates of the numbers expected to enroll in the new Marketplace. xxxx://xxx.xxxx.xxx/MiscDocs/130103RAND%20Final.pdf (Appendix A) Also by late 2012, Manatt had provided AHCD HBEPD with three potential continuity of coverage options to discuss with the Insurance Commissioner, Medicaid Director, Director and Surgeon General and diverse state stakeholder groups that led to a more expansive contract with consensus decision to request funds through this Level One Grant application for Manatt and its their subcontractor, Optumas, to do more in-depth research in an expedited manner with a goal of selecting a viable solution option and implementing it in advance of FFE Open Enrollment. Manatt and Optumas consultants were in Little Rock for an initial site visit February 6-8, 2013. They met with Medicaid and AID staff on multiple occasions to gather information about the alignment of Medicaid benefits and the Arkansas EHB. They also met with key stakeholders individually and in two group settings as well as with the Governor and his key staff. Subsequent meetings occurred with Arkansas’s legislative leaders and on April 23, 2013, the Arkansas Health Care Independence Act was signed into law. Key findings to date follow.

Key Findings of Background Research. Over the last two-and-half two years, AID has overseen research covering a broad range of topics and conducted by several different groups and individuals. In 2011, AID selected First Data Government Solutions, LP (First Data) and the University of Arkansas for Medical Sciences (UAMS) as primary contractors for Arkansas’s Marketplace exchange planning activities. First Data had three subcontractors, SCIO Inspire SCIOInspire (formerly Solutia), Xxxxxx and Associates, and Arkansas Foundation for Medical Care (AFMC). The latter two are Arkansas-based companies. The UAMS work was performed by Partners for Inclusive Communities, the College of Public Health, and Arkansas Center for Health Improvement (ACHI), home to Arkansas’s Surgeon General. In 2012, AID contracted with the University of Central Arkansas (UCA) to conduct a survey and gather additional information about the Arkansas insurance marketplace and likely promoters or barriers to issuer participation in the federal Health Insurance Marketplace in Arkansas. We also consulted with actuaries to assess the financial implications of state insurance mandates on eligible Essential Health Benefit essential health benefit (EHB) benchmark plans. Following our initial planning review and discussions of potential strategies to mitigate the impact of expected consumer “churning” among Insurance Affordability Programs in Arkansas, and at CCIIO’s recommendation, AID entered into a small professional services contract with Manatt Health Solutions to identify look at continuity of care/coverage issues and assist in outlining identifying potential strategies to minimize the impact of churning. XXXX also analyzed the churning issue. In late 2012 through our policy consultation contract with ACHI, AHCD joined with Arkansas Medicaid to fund a study by RAND Health to estimate the economic impact of Marketplace establishment and Medicaid expansion in Arkansas as allowed under ACA. This study also Manatt provided updated estimates of the numbers expected to enroll in the new Marketplace. xxxx://xxx.xxxx.xxx/MiscDocs/130103RAND%20Final.pdf (Appendix A) Also by late 2012, Manatt had provided AHCD HBEPD with three potential continuity of coverage options to discuss with the Insurance Commissioner, Medicaid Director, Director and Surgeon General and diverse state stakeholder groups that led to a more expansive contract with Manatt and its their subcontractor, Optumas, to do more in-depth research in an expedited manner with a goal of selecting a viable solution option and implementing it in advance of FFE Open Enrollment. Manatt and Optumas consultants subject matter experts were in Little Rock for an initial site visit February 6-8, 2013. They met with Medicaid and AID HBEPD staff on multiple occasions to gather information about the alignment of Medicaid standard benefits and the Arkansas EHB. They also met with key stakeholders individually and in two group settings as well as with the Governor and his key staff. Subsequent meetings occurred In late 2012 through our policy consultation contract with Arkansas’s legislative leaders ACHI, HBEPD joined with Arkansas Medicaid to fund a study by RAND Health to estimate the economic impact of exchange establishment and on April 23, 2013, Medicaid expansion in Arkansas as allowed under ACA. This study also provided updated estimates of the Arkansas Health Care Independence Act was signed into lawnumbers expected to enroll in the Exchange. Key findings to date follow.