Thursday, February 27, 2014
Help Wanted: SIM soliciting consumers, advocates and providers for next round of workgroups
SIM
is recruiting consumers, advocates and providers for workgroups to
implement the administration’s health reform plan. SIM has
been criticized for excluding critical stakeholders, especially consumers
and advocates, in developing the original reform plan that is to cover at least
80% of all state residents in five years with a controversial payment model. Advocates
are concerned that consumers will not receive independent support to ensure
their interests are protected as a minority in workgroups with sophisticated
insurance and other health care industry representatives. Advocates are also
concerned that qualifications for consumers and advocates require agreement to
support the already
finalized SIM plan that included little stakeholder input and to further
support the, as-yet-undecided recommendations of the workgroups. In a meeting
called by SIM staff, advocates recommended that consumers make up a
majority of workgroup members and that consumers choose their representatives
(rather than the administration or their appointees). Neither recommendation
was adopted or even discussed by the SIM steering committee. Despite this, it
is critical that independent consumers and advocates apply for appointment.
Independent consumer advocates are working on developing outside, independent
resources to support those members with unbiased, full information on health
policy options and effective advocacy. Applications are being accepted until
March 19th.