NEBRASKA LEGISLATURE
The official site of the Nebraska Unicameral Legislature

Sen. Mike Gloor

Sen. Mike Gloor

District 35

Welcome

January 6th, 2016

Welcome to my web page with the Nebraska Legislature. I’m so glad you stopped by. This website has a wealth of information on the people and the processes of the Legislature as well as information on the specific legislative bills introduced and passed. In addition, you’ll find links to Nebraska statutes, the Nebraska Constitution and many related documents and institutions. Of course if you can’t find what you need please contact me or my staff and we’ll be happy to assist you.

It is my honor to represent the people of District 35. I look forward to hearing from you.

Mike Gloor

Multi-payer patient-centered medical home stakeholder group

Senator Mike Gloor

Meeting date: Monday, January 25, 2016, 2:00 to 4:00 p.m.

Meeting place: Nebraska Association of County Officials, 1335 H St. Lincoln, Nebraska

NACO phone number: 402-434-5660; Senator Gloor’s office: 402-471-2617

Conference Call Number: (888) 820-1398;  Attendee Code: 1971560#

Agenda

  1. Welcome & introductions
  2. Anti-trust statement
  3. Annual Reporting from participants
  4. Signing of 2016 PCMH Participation Agreement
  5. Legislative Update – LB 333
  6. Information Sharing
  7. Next meeting?

LR 22 report

If you have problems viewing the document please call Margaret, 402-471-2617.

Explanation of how the list of potential PCMH clinics was constructed

  1. Each insurance company participating in the PCMH Agreement submitted a list of clinics in their program that they consider in compliance with the agreement.
  2. Each ACO represented in the Agreement (SERPA and Uninet) gave me reports that included a list of clinics.
  3. MIPPA clinics listed on their website as a member of their ACO, that I could find a Nebraska address for, is included.
  4. Six additional clinics found on the NCQA website PCMH recognition list that were not already on the list is included.

180 clinics.

The map with the bluish background by county represents population numbers. The darker the county the more the population. Overlaid with the potential PCMH clinics the numbers tell us that:

  •  83.41 % of the population of the state live in a county with at least one PCMH clinic from this list
  • 36 counties out of 93 have at least one PCMH clinic from this list.

One correction on the maps – Hastings is listed as having 4 Mary Lanning clinics when it should be just two. One of the clinics is actually in Webster County and one is in Clay County.

09302015_potential_pcmhpop

09302015_potential_pcmh

For anyone who tried to call in on the conference line and couldn’t get through, I apologize. Evidently the University and I had a miscommunication about the use of the conference line. I will be posting more information next week on Senator Gloor’s webpage related to today’s meeting.

In a nutshell – Pat Lopez gave an update on efforts to create a uniform certification for community health workers in Nebraska and had a short discussion with some of the medical providers about how public health and PCMH clinics interact and could improve/increase that interaction in the future.

We discussed some changes to the health outcomes recommended by the subcommittee and the participation agreement itself. I will be drafting changes and sending that out. I presented a map of PCMH clinics in Nebraska to show the number of clinics and their distribution across the state. The big numbers: 180 clinics and 83% of Nebraskans live in a county that has at least one PCMH clinic in it.
SERPA ACO shared some information about their quality measures and we congratulated them on ranking #7 in the nation in the Medicare Shared Saving ACO program.
Heather Leschinsky gave a report on the upcoming RFP for the Medicaid Managed Care contracts and how it will integrate physical health, behavioral health and pharmacy.
Dr. Michael Hein talked about their practice transformation grant that was awarded recently. Dr. Hein represents the Regional Provider Network and Nebraska Health Network who partnered with the Iowa Health Care Collaborative for this grant. It’s a 4 year grant to assist physicians to prepare for the world of value based medicine.
I will be sending out some prospective dates for the next meeting, hopefully in November.
I hope that helps. Again, I apologize about the conference line.
Margaret

Multi-payer patient-centered medical home stakeholder group
Senator Mike Gloor
Meeting date: Friday, October 2, 2015, 1:30 to 3:30 p.m.
Meeting place: Room 1524, State Capitol Building, Lincoln, Nebraska
Conference Access Number: (888) 820-1398; Attendee Code: 7443929#

Agenda
A. Welcome & introductions
B. Anti-trust statement
C. Presentation on Community Health Workers by Pat Lopez, Public Health Districts
D. Health outcome measures/Medicaid standards sub-committee progress report
E. Presentation and discussion of ideas for changes in Participation Agreement
F. Information sharing
a. Map of clinics
b. SERPA recognition by Medicare Shared Savings
c. Medicaid Managed Care RFP
d. Other items of interest – US HHS grant announcement for PTN/SAN, Iowa Health Care Collaborative includes Nebraska
G. Set next meeting date and time

The next meeting of the PCMH Stakeholder meeting will be October 2, 2015 at 1:30 in Room 1524 of the State Capitol.  This meeting is open to the public. Agenda for the meeting will be posted and emailed out to the members of the Stakeholder coalition by September 24th. To be added to the email list or for more information please contact Senator Gloor’s office at 402-471-2617 or email Margaret at mbuck@leg.ne.gov.

minutes 6-4-2015 with summary goals

Using data to build common ground June 2015

 

Forbes article June 2015

 

Are we there yet Data compatability June 2015

 

http://www.nrhi.org/publications/moving-quality-value-measuring-controlling-cost-health-care/

 

Reports from the December 2014 meeting are contained in an earlier posting of that meetings handouts.

Senator Mike Gloor, Capitol Comments, April 8, 2015
My last column was on the topic of taxes and, at the end, I stated I would do a follow-up on the subject. However, two new issues seem to be constituent ‘favorites’ so this column will address those topics. Besides, there may be more to report on taxes with the next two weeks.
The first topic that has caught people’s attention is the proposed gas tax increase of 6 cents per gallon over four years. This bill advanced out of my Revenue Committee after a hearing inundated by testimony in favor of the increase. The broad base of support included trucking, shipping and agricultural interests. In summary, the support came from the very users of our roads who would be impacted by the increase. There were few opponents testifying against the bill.
The same has been true when it comes to feedback from my district. Why? I believe there is a widespread understanding that we have an infrastructure challenge in this country with deteriorating roads and bridges that need repair and replacing. The Omaha World Herald reported recently on an unfortunate consequence of an unsafe bridge the school bus stops at on one side of the bridge, the parents stop on the other side, and the students walk across. Vehicles are banned due to the bridges’ unsafe condition.
The state of our roads and bridges is disconcerting considering that our state and country, in the aftermath of World War II, prided itself on the economic growth that came from linking communities together with roads, State Highways and Interstates.
Many surrounding States (the Legislature loves comparisons) have increased their fuel taxes. Although no Senator enjoys hiking taxes, this increase is a user fee. The more you drive the more you pay and that includes the tens of thousands of visitors who travel across the state each year. I’ve also found it telling that some of the strongest support for the increase has come from the rural Senators who are usually more conservative than their Omaha and Lincoln peers. They see the need in their smaller communities and especially their counties for roads funding.
At the invitation of engineers with the District office of the State Department of Roads, I pulled on work boots several years ago for a full day tour to see the problems for myself. The tour included viewing highway surfaces on hands and knees and climbing under bridges, large and small. My observations verified that we have a challenge. The challenge comes with a big price tag. It is also increasingly clear that our Federal Government cannot be counted on to help with the level of funding necessary to address the problem.
The second round of debate on LB 610 will likely be within the next week. The bill has a long way to go but, as is often the case with important issues before us, the more significant the issue the more lively the debate. That is a good thing.
The other topic that has garnered local, state and national interest, is the latest rant from Senator Chambers. I doubt I need to repeat the details. Webster’s dictionary defines rant as: to talk loudly and in a way that is unreasonable. You may have noticed, he does that a lot. After all, this is a man who sued God several years ago. Really?!
There is not a Senator in the Legislature who supports his comments but we grow somewhat immune to his outrageousness. To be sure, he is an incredibly intelligent individual and his ability to talk on literally any subject knows no bounds. It’s what makes him so effective in debate. However and inevitably, the sheer volume of his comments occasionally produce controversial sound bites.
What to do? We could continue to call him to task every day during debate. He loves the attention. We could seek legislative action, such as censure. He loves the attention and would use the rules to draw out the required procedural discussion for days, eating up precious time that could be used taking action on other bills that could benefit Nebraska and Nebraskans. We could encourage his constituents to not reelect him next year. However, term limits were passed, in large part, in hopes Senator Chambers would disappear. After a 4 year hiatus his constituents brought him back.
There has been significant public chastisement. That’s appropriate and necessary. Whether Senator Chambers will use caution when he comments on law enforcement in the future remains to be seen. Right now, any added focus on his comments draws attention to him and, as I have emphasized, he thrives on attention.
I’ve begun sharing a quote from George Bernard Shaw, and Irish dramatist and wit, with constituents. It seems to help them cope with their frustration. Shaw’s metaphor, wryly delivered in his lectures as he discussed politics was; “I learned long ago, never to wrestle with a hog. You both get dirty, and besides, the hog likes it.”
The time has come to ignore him until, of course, it happens again.

Sen. Mike Gloor

District 35
Room #1116
P.O. Box 94604
Lincoln, NE 68509
Phone: (402) 471-2617
Email: mgloor@leg.ne.gov
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