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Emerging Therapies Workgroup

Background

The Health Care Authority (HCA) has created the Emerging Therapies Workgroup in response to interest in new treatment methods from the medical community and patients alike. The workgroup’s primary function is to look at prospective and emerging therapies – specifically their impacts on patients in Washington State.

This is an exciting opportunity to take a look at new approaches to continuing health issues, and improving patient health through more effective means while keeping overall cost down.

Workgroup charter

The initial workgroup charter highlights an ambitious timeline to kickoff this conversation between medical professionals, managed care organizations, and patients and patient advocacy organizations. Two of the four meetings scheduled through early 2020 are dedicated to patient experience, and quality oversight and improvements.

Meeting schedule

The workgroup will hold four meetings over 12 months between June 1, 2019, and June 30, 2020. These are not open public meetings, but we will post the meeting materials here.

Date

Topic

Meeting materials

June 18, 2019

First meeting: level setting

  • Overview of new therapies coming to market
  • Private sector perspective on managing emerging therapies
  • HCA/Medicaid perspective on managing emerging therapies
  • Current financing

Agenda (06/18/2019)

Presentation (06/18/2019)

October 18, 2019

Second meeting: case examples

  • Patient decision aids
  • Patient experience
  • Patient advocates present

 

February 19, 2020

Third meeting: funding options

  • Long-term funding for emerging therapies
  • Potential funding options between manufacturers and the state
  • Different payment options between the state and managed care organizations
 

April 15, 2020

Fourth meeting: quality oversight

  • Potential improvements and harms to health outcomes and quality of life for patients
  • Quality oversight and outcome tracking of providers and facilities administering emerging therapies
  • Metrics that could be used to measure the fiscal and health impacts of emerging therapies
  • Potential long-term savings and expenditures to the state
 

Contact