Chair: Bonnie Phipps, CPA, FHFMA, Senior Consultant, Yaffe & Company
Staff: Brian Levine, 410-727-2820
Description: The Health Care Committee’s focus is to foster health-conscious workplaces within the Greater Baltimore region by educating members on emerging health concerns. In addition, the committee monitors federal and state health care policy, and its impact on the cost of doing business and business operations.
Membership: Membership in the Health Care Committee is open to all GBC members.
2018 Health Care Committee news:
The Greater Baltimore Committee’s Health Care Committee met with Brett McCone, Vice President for Rate Setting at the Maryland Hospital Association, at its December 6, 2018 meeting.
McCone provided a briefing on the State’s Total Cost of Care model, which is a system unique to Maryland that sets a per capita limit on Medicare costs. The purpose of Maryland’s waiver is healthier people and an economically sustainable system that helps control the costs of health care. For Maryland, this means the State provides very little in direct state subsidies for hospitals.
A new system, beginning in January 2019, will test whether the hospital-based All-Payer Model (all payers, including private, commercial, Medicare, Medicaid and self-pay are charged the same rate for the same service at hospitals) can be expanded to all health care providers.
McCone said that there are six keys to unlock the value of Maryland’s health care system: global hospital budgets; all-payer hospital rates; total care cost accountability; shared provider incentives; population health goals; and quality of care incentives.
The committee also discussed health care legislation that may be debated during the 2019 legislative session of the Maryland General Assembly, including an individual mandate and prescription drug cost controls.
The Greater Baltimore Committee issued a set of guidelines on October 2, 2018 to help employers manage opioid use and abuse in the workplace as part of a new initiative it has launched to help remedy this important workplace and public health issue.
The guidelines, which were developed by the GBC’s Health Care Committee, were made public at the GBC’s Best Practices for Employers Managing Opioid Abuse Forum on October 2, 2018 held at the University of Maryland BioPark.
At the forum five health care and human resources professionals engaged in a conversation about what employers can do to help manage employee opioid addiction, including alternative methods to treat pain and suggestions for how to avoid addiction. Clay B. Stamp, Executive Director of the Maryland Opioid Operational Command Center and Senior Emergency Management Advisor to the Governor, moderated a panel discussion with Dr. George Apostolides, Chief of Colorectal Surgery, Greater Baltimore Medical Center; Dr. Stephen Fisher, Medical Advisor to the CEO, Chesapeake Employers’ Insurance Company; Gaye Fortner, Chief Executive Officer, HealthCare 21 Employer Coalition; and Denise Galambos, Vice President of Human Resources, BGE.
The panel discussed the burden of opioid abuse on employers, best practices for employers in managing opioid abuse, the effectiveness of multi-modal pain management and opioid alternatives for post-surgical pain for reducing opioid abuse and the role of human resources departments and health insurance/workers compensation policies play in managing the abuse.
Jeff Beeson, Deputy Director of Management Coordination for the Washington/Baltimore High Intensity Drug Trafficking Areas (HIDTA), discussed the role of his organization at the GBC Health Care Committee’s September 18, 2018 meeting.
HIDTA works to disrupt the market for illegal drugs in the United States by assisting federal, state and local entities participating to dismantle and disrupt drug trafficking organizations, with particular emphasis on drug trafficking regions that have harmful effects on other parts of the United States. There are currently 28 HIDTAs, including the Baltimore/Washington region. Beeson said that the Washington/Baltimore HIDTA is unique because Baltimore City originally was deemed a drug use area, not just a drug trafficking area. Today, there is an increase in lethal drugs on the streets, most notably fentanyl, an opioid often made illegally and mixed with heroin.
In Maryland, fentanyl overdose deaths surpassed heroin overdoses in 2016 for the first time. Beeson said that in order to combat this epidemic, which should be treated as a health crises, leaders must address increased use fentanyl, lack of real time data, insufficient information sharing and little to no consensus on what constitutes a spike in the abuse of drugs.
HIDTA has developed a case management system that can be used to share information with other states and jurisdictions to help fight addiction and stop trafficking. It is important to tackle the issue of opioid abuse as a health crises as well as a business issue.
The GBC Health Care Committee continued discussions at its July 10, 2018 meeting about a guide for employers which is meant to help businesses address opioid-related issues in the workplace and help to prevent addiction before it happens.
The Greater Baltimore Committee’s Health Care Committee’s May 15, 2018 meeting featured three presenters discussing a variety of health care issues that can affect the workplace.
Mark O’Brien, Vice President of State and Local Affairs for the Addiction Policy Forum, discussed his organization’s efforts to combat drug and alcohol dependency. The organization’s priorities to fight addiction include helping families in crises, expanding treatment, driving discovery, expanding recovery support, preventing addiction, protecting impacted children, reframing criminal justice and providing advocacy and education. More than 21 million Americans are suffering from substance use disorders.
Bonnie Phipps, Chair of the GBC Health Care Committee, provided an update on efforts to combat opioid abuse. First, Phipps updated the Health Care Committee on recommendations developed and presented to the Baltimore City Health Department’s Fentanyl Task Force’s regarding opioid-related insurance policies, which included best practices for prevention and treatment. She also discussed various strategies employers can use to address opioid-related issues in the workplace.
The next presentation was about the work of the Alzheimer’s Association and the impact of the disease. The discussion was led by the Alzheimer’s Association’s Greater Maryland Chapter Executive Director Cass Naugle and Development Director Ellen Torres. In 2017, more than 5.5 million Americans had Alzheimer’s dementia, making the disease a national health crises. Public policy goals in Maryland include supporting prevention and early identification, enhancing the quality of care, enhancing public awareness and improving data capacity to track progress.
The GBC Health Care Committee learned at its March 19, 2018 meeting about how federal tax law changes affect nonprofit organizations.
The presentation was delivered by KPMG’s Nancy Murphy, Principal, Exempt Organizations, and Preston Quesenberry, Managing Director, Exempt Organizations. Murphy began with an explanation about how the U.S. Congress debated and passed the Tax Cuts and Jobs Act and then discussed how the tax package impacts a wide range of activities, including the corporate tax rate, the Alternative Minimum Tax, net operating losses, lobbying expenses, charitable donations and tuition-paying students.
With regards to nonprofits, Murphy and Quesenberry focused their presentation on the law’s effect on unrelated business taxable income provisions, colleges and universities and excise taxes on excess compensation.