Workers’ Compensation Oversight Panel

Fee Schedule/Data Collection Subcommittees (Combined)

Meeting Minutes

December 15, 2014

Location: Department of Labor Fox Valley Annex

Called to Order: 4:05 p.m.

Members in Attendance: Barry Bakst, Doug Briggs, Glenn Brown, Ed Capodanno, Lee Dotson, Anthony Frabizzio, John McMahon, Joseph Rhoades, Bruce Rudin, Theresa Smith, Wayne Smith, Rhonda West (for Gene Reed). Administration: Stephanie Parker, Donna Forrest and Toni Muncey (DOL); Oliver Cleary (DOJ); Allan Schwartz (AIS Risk Consultants); OptumInsight (via telephone).

Record of Votes Taken:

1.  Mr. Smith made a motion to approve the 9/22/14 Fee Schedule subcommittee meeting minutes. The motion was seconded and unanimously approved (all but Bakst and Rudin, who had not yet arrived).

2.  Mr. Briggs made a motion to approve the 11/24/14 Data Collection subcommittee meeting minutes. The motion was seconded and unanimously approved (all but Bakst and Rudin, who had not yet arrived).

3.  Mr. Capodanno made a motion to recommend to Secretary McMahon to reduce current pharmacy reimbursements by 20%. The motion was seconded and unanimously approved.

Actions Agreed Upon:

1.  Secretary McMahon’s actuary, Allan Schwartz, continues his evaluation of the data to determine the effect of contract payments in determining how the Fee Schedule reductions will accomplish the statutorily mandated 20% savings. The Fee Schedule must be in place by January 31, 2015.

2.  DAG Oliver Cleary agreed to review the statutory changes regarding data collection in HB373 and advise the Panel if the use of a “standardized protocol” (such as NCCI) is still required for the data call.

3.  Carla Gee of OptumInsight agreed that every expense under Professional Services has now been captured other than pharmacy and anesthesia. Anesthesia is a category the HCAP previously agreed did not warrant further reductions, and the current regulatory language does not allow for a reduction at this time. This will be addressed in 2015, if necessary. Pharmacy reimbursements will be reduced to achieve the overall 20% savings.

Adjourned: 5:17 p.m.

Future Panel Meeting Dates:

Monday, January 26, 2015

DOL Fox Valley Annex

4:00 p.m.

Future Subcommittee Meeting Dates:

Data Collection

Monday, January 26, 2015

DOL Fox Valley Annex

4:30 p.m.

(or immediately following Panel meeting)