Insure More Virginians.org

State Planning Grant Model Development Workgroup

Focus and Goals

The SPG Model Development Workgroup will develop a prototype decision framework and decision process for selecting coverage option recommendations. This decision making model can be used to test potential policy strategies for expanding health insurance coverage. The SPG Model Development Workgroup will also analyze public comments on draft proposed option(s), revise, and finalize recommendations. The primary goals of the SPG Model Development Workgroup are:

  1. Become familiar with coverage options for the employed uninsured that have been considered and/or tested by other states.

  2. Consider the identified coverage options and brainstorm potential variations of those options and/or identify creative new options that have not yet been explored by other states.

  3. List all the identified coverage options and assess the pros and cons of each one for Virginia. White papers will be developed to summarize the pros and cons identified by the SPG Model Development Workgroup and provide an overview of their anticipated economic impact. The white papers will be a living document and will be shared on the Virginia SPG website for public comment. Comment will be specifically solicited from members of the SPG Community Outreach Workgroup and the SPG Business Task Force along with their broader networks.

  4. Review public comments received and provide input on if/how the white papers should be revised to reflect the comments received.

  5. Review results from a synthetic estimate of employer-based health coverage in Virginia by business sector using the Medical Expenditure Panel Survey Insurance Component (MEPS - IC) and other existing data sources, and provide feedback on if/how the white papers should be revised to reflect these findings.

  6. Review results from the Coordinated State Coverage Survey (CSCS), a household telephone survey designed by SHADAC for estimating health insurance coverage at the state level, and provide feedback on if/how the white papers should be revised to reflect these findings. The principal purpose of this survey activity is to estimate health insurance prevalence in Virginia and to describe the characteristics of the uninsured.

  7. Provide the SPG Leadership Committee with recommendations for one or more coverage options that appear to be most feasible/have the greatest potential for success if implemented in Virginia. The option(s) recommended by the SPG Model Development Workgroup would undergo market analysis through focus groups, key informant interviews, and/or survey research to further test their viability and inform implementation plan development. One or more of the market tested options would be written into a formal business plan and submitted to the Governor's Office.

Meeting Notes and Work Products

Meeting Date Agenda Minutes Information/Background Materials
November 1, 2004 Agenda Minutes Virginia State Planning Grant Community Outreach Briefing
March 4, 2005 Agenda Minutes  
March 30, 2005 Agenda Minutes

Health Insurance Coverage in Virginia (ppt)

Health Insurance Coverage: Additional Data (doc)

Overview of State Options (ppt)

Charts: Region 1 (doc)

Charts: Region 2 (doc)

Charts: Region 3 (doc)

Charts: Region 4 (doc)

Charts: Region 5 (doc)

April 6, 2005 Agenda Minutes

Overview of State Private Insurance Options (ppt)

Report of the Special Advisory Commission on Mandated Health Insurance Benefits (pdf)

Virginia Report on Health Insurance Issues 2000 (pdf)

April 22, 2005 Agenda Minutes

U.S. Department of Labor Employee Benefits Security Administration
MEWA Enforcement
(pdf)

State Options: Expanding Private Coverage for the Working Uninsured (ppt)

Discussion Questions To Frame Selection Of Target Population For Model Coverage Expansion (doc)

Lessons Learned From Other States & Virginia: Challenges And Opportunities In Expanding Health Insurance Coverage (doc)

May 4, 2005 Agenda Minutes

Household Income and Insurance Coverage in Virginia 2004: Facts at a Glance

Framing the Target Population: Considering Regional Differences (ppt)

Region I Survey Results (pdf)

Region II Survey Results (pdf)

Region III Survey Results (pdf)

Region IV Survey Results (pdf)

Region V Survey Results (pdf)

May 18, 2005 Agenda Minutes

Approved SB 541 Consumer Choice Plans As of July 30, 2004 (doc)

Approved SB 541 HMO Consumer Choice Benefit Plans As of July 30, 2004 (doc)

Principles in Model Selection (doc)

Criteria For Determining The Structure Of Coverage Model(S) (doc)

June 1, 2005 Agenda Minutes  
June 10, 2005   Minutes Kaiser Family Foundation Report on Medicaid and the Unisured
August 24, 2005    

Meeting Summary

Final Report Report to SPG Leadership Team

Additional Documents:

New Documents:

Final Report to the Governor about the activities, accomplishments and recommendations generated by SPG I.

Document Archive:

The Costs and Consequences of Uninsurance: A Virginia State Planning Grant Technical Briefing Paper (doc)

Virginia Business Health Insurance Survey, by the Virginia Department of Business Assistance (doc)

Briefing on MDWG Recommendations - Overview (draft - doc)

Health Insurance Coverage: Estimates from the National Health Interview
Survey, January–September 2004

Health Insurance Is A Family Matter (pdf)

Increasing Health Insurance Costs and the Decline in Insurance Coverage (pdf)

Insuring America's Health: Principles And Recommendations (pdf)

Lessons Learned From Other States & Virginia: Challenges And Opportunities In Expanding Health Insurance Coverage (draft - doc)

Myths About the Uninsured (pdf)

Overview of Model Option Recommendations (ppt)

Results of Member Meeting Schedule Poll (Excel)

Schedule of Future Meetings (pdf)

SPG Model Development Workgroup Members List (Doc)

State of the States: Finding Alternate Routes (pdf)

Uninsurance Facts and Figures (pdf)

Virginia State Planning Grant Community Focus Group Questions (doc)

If you have a report, data source, or other document pertinent to uninsurance that you would like posted on this site, please use our Document Submission Form.

For questions or to get more information about the SPG Model Development Workgroup, please contact:

PJ Maddox, EdD (Health Services/Policy Researcher)
Professor
Director, Office of Research
Center for Health Policy, Research, and Ethics at George Mason University (GMU)
Phone: (703) 993-1982
e-mail: pmaddox@gmu.edu

Last Updated: October 3, 2005