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Committee Detail

Hide Section - GENERAL INFORMATION

GENERAL INFORMATION

Committee NameConsumer Operated and Oriented Plan CO-OP Advisory BoardAgency NameDepartment of Health and Human Services
Fiscal Year2012Committee Number73637
Original Establishment Date Committee StatusTerminated
Actual Termination Date1/31/2012Committee URLhttp://www.gao.gov/press/co_op2010jun23.html
New Committee This FYNoPresidential Appointments*No
Terminated This FYYesMax Number of Members*Unlimited
Current Charter Date6/18/2010Designated Fed Officer Position Title*DFO
Date Of Renewal Charter6/18/2012Designated Federal Officer Prefix
Projected Termination Date Designated Federal Officer First Name*Anne
Exempt From Renewal*NoDesignated Federal Officer Middle Name
Specific Termination AuthorityPL 111-148, Section 1322, Paragraph 3, FDesignated Federal Officer Last Name*Bollinger
Establishment Authority*Statutory (Congress Created)Designated Federal Officer Suffix
Specific Establishment Authority*PL 111-148, Section 1322Designated Federal Officer Phone*(301) 492-4395
Effective Date Of Authority*6/23/2010Designated Federal Officer Fax*202-260-6108
Committee Type*ContinuingDesignated Federal Officer Email*anne.bollinger@cms.hhs.gov
Presidential*No
Committee Function*Non Scientific Program Advisory Board
Hide Section - RECOMMENDATION/JUSTIFICATIONS

RECOMMENDATION/JUSTIFICATIONS

Agency Recommendation*Terminate
Legislation to Terminate RequiredNo
Legislation Status 
How does cmte accomplish its purpose?*On June 23, 2010, the Comptroller General announced the appointment of a 15 member CO-OP Program Advisory Board to make recommendations to the Department of Health and Human Services (“the Department” or “the Secretary”) on awarding loans and grants. The Board as a whole convened three times in 2011 (January 13, February 7, and March 14) to listen to expert panels and members of the public on how best to assure that sustainable CO-OPs are established. The Chair divided the Board into four workgroups to address specific issues in greater detail and formulate proposed recommendations on the following topics: governance, finance, infrastructure, and process, criteria and compliance. The workgroups presented preliminary recommendations for discussion at the February 7 meeting, and the Board incorporated these recommendations in its proposed draft report presented at the March 14 meeting. At the March 14 meeting, the Board also received comments from the public on its draft report and adopted in substance final recommendations. The Board also considered public comments submitted in response to the CO-OP Request for Comment that was issued in the Federal Register on February 2, 2011. It convened for the last time on April 15 to vote on the final report reflecting the substantive recommendations adopted on March 14. What emerged from these discussions is the conviction that fostering the creation of CO-OPs should provide the operational framework for the program. This means that the Department should develop flexible criteria that recognize the diversity of market conditions around the country and enable various models of CO-OPs created and supported by different types of 5 sponsors to develop. It also means that the availability of technical assistance at all stages of the process from loan application to licensure to operation, will be important to the viability of individual CO-OPs and the success of the program.
How is membership balanced?*The Comptroller General (GAO)selected the members. The selection was based on the statute, which requires them to appoint 15 members from among individuals with qualifications described in section 1805(c)(2) of the Social Security Act--that is, the qualifications for MedPAC. In addition, the statute requires that appointees shall meet ethics and conflict of interest standards protecting against insurance industry involvement and interference. They were selected from [among] outstanding authorities in the fields of health finance and economics; actuarial science; health facility management and reimbursement; and integrated delivery systems. In addition, they were selected from physicians and other health professionals; employers; researchers in health insurance, health services and economics, and outcomes and effectiveness; experts in the area of pharmacoeconomics or prescription drug benefit programs; and representatives of consumers and the elderly.
How frequent & relevant are cmte mtgs?*Board did not operate in 2012.
Why advice can't be obtained elsewhere?*This committee is necessary by statute.
Why close or partially close meetings?All four meetings were open to the public.
Recommendation RemarksThe Board was terminated on January 31, 2012 and did not operate at all in 2012.

The FACA operated with unusual speed and intensity and provided recommendations within 4 months of first convening.
Hide Section - PERFORMANCE MEASURES

PERFORMANCE MEASURES

Outcome Improvement To Health Or Safety*NoAction Reorganize Priorities*Yes
Outcome Trust In GovernmentNoAction Reallocate ResourcesNo
Outcome Major Policy ChangesYesAction Issued New RegulationsYes
Outcome Advance In Scientific ResearchNoAction Proposed LegislationNo
Outcome Effective Grant MakingNoAction Approved Grants Or Other PaymentsYes
Outcome Improved Service DeliveryNoAction OtherNo
Outcome Increased Customer SatisfactionYesAction Comment
Outcome Implement Laws/Reg RequirementsYesGrants Review*No
Outcome OtherNoNumber Of Grants Reviewed 
Outcome CommentThe Advisory Board endorsed four major principles for awarding loans and grants that inform all of the recommendations: (1) consumer operation, control, and focus must be the salient feature of the CO-OP and must be sustained over time; (2) solvency and the financial stability of coverage need to be maintained and promoted; (3) CO-OPs should encourage greater care coordination, quality and efficiency to the extent feasible in local provider and plan markets; and (4) first loans should be rolled out as expeditiously as possible (by the end of 2011) if the CO-OPs are to compete in the Health Benefit Exchanges in the critical first open enrollment period (2014).Number Of Grants Recommended 
Cost Savings*NoneDollar Value Of Grants Recommended 
Cost Savings CommentGrants Review CommentNot applicable.
Number Of Recommendations*42Access Contact Designated Fed. Officer*Yes
Number Of Recommendations CommentThe Advisory Board submitted 42 recommendations endorsing the four major priciples above.Access Agency WebsiteYes
% of Recs Fully Implemented*0.00%Access Committee WebsiteYes
% of Recs Fully Implemented CommentAccess GSA FACA WebsiteYes
% of Recs Partially Implemented*0.00%Access PublicationsYes
% of Recs Partially Implemented CommentAccess OtherNo
Agency Feedback*Not ApplicableAccess Commenthttp://cciio.cms.gov/resources/co_op/index.html#coopp
Agency Feedback CommentNarrative Description*The committee will foster the creationof qualified nonprofit health insuranceissuers to offer qualified health plans inthe individual and small group markets.
Hide Section - COSTS

COSTS

Payments to Non-Federal Members*$0.00Est Payments to Non-Fed Members Next FY*$0.00
Payments to Federal Members*$0.00Est. Payments to Fed Members Next FY*$0.00
Payments to Federal Staff*$0.00Estimated Payments to Federal Staff*$0.00
Payments to Consultants*$0.00Est. Payments to Consultants Next FY*$0.00
Travel Reimb. For Non-Federal Members*$0.00Est Travel Reimb Non-Fed Members nextFY*$0.00
Travel Reimb. For Federal Members*$0.00Est Travel Reimb For Fed Members*$0.00
Travel Reimb. For Federal Staff*$0.00Est. Travel Reimb to Fed Staff Next FY*$0.00
Travel Reimb. For Consultants*$0.00Est Travel Reimb to Consultants Next FY*$0.00
Other Costs$0.00Est. Other Costs Next FY*$0.00
Total Costs$0.00Est. Total Next FY*$0.00
Federal Staff Support (FTE)*0.00Est. Fed Staff Support Next FY*0.00
Hide Section - Custom Links

Custom Links

     Committee Level Reports               
Hide Section - MEMBERS,MEETINGS AND ADVISORY REPORTS

MEMBERS,MEETINGS AND ADVISORY REPORTS

To View all the members, meetings and advisory reports for this committee please click here
Hide Section - CHARTERS AND RELATED DOCS

CHARTERS AND RELATED DOCS

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Hide Section - DATA FROM PREVIOUS YEARS

DATA FROM PREVIOUS YEARS

Committee

Data from Previous Years

 
ActionCommittee System IDCommittee NameFiscal Year
 COM-008202Consumer Operated and Oriented Plan CO-OP Advisory Board2011
 COM-008840Consumer Operated and Oriented Plan CO-OP Advisory Board2010