2020-11-13T12:38:48-08:00 2019-12-31 203992688 Bay Business Group 105 E Annandale Road Suite 215 Falls Church VA 22046 990 2019-01-01 200682634 AMERICAS AGENDA HEALTH CARE FOR ALL AMER 2022231585 1025 Connecticut Avenue NW Washington DC 20036 Mark Blum Executive Direc 2020-11-13 true David Bradsher P00290229 7035330888 2019 2022-01-07 14:23:13Z Mark Blum 1025 Connecticut Avenue NW 907 Washington DC 20036 2485510 false X www.americasagenda.org X 2004 DE To organize, educate, and build consensus among a wide range of labor, business, health care, citizen groups, and other diverse interests in support of adoption of health care policies that will assure affordable access to high quality health care for all Americans. 23 22 3 22 0 660000 2175000 307134 310111 129 399 0 967263 2485510 425000 0 594580 609121 0 76732 242793 351252 837373 1385373 129890 1100137 1121390 2197659 44229 20361 1077161 2177298 To organize, educate, and build consensus among a wide range of labor, business, health care, citizen groups, and other diverse interests in support of adoption of health care policies that will assure affordable access to high quality health care for all Americans. false false 1186020 425000 Over the course of 2019, America's Agenda: Health Care for All (AAHCA) program services continued to promote and expand delivery of higher quality patient care, while achieving more affordable overall health costs and a substantially improved patient experience. Throughout 2019, AHCA programs continued to focus on two core areas of high value care delivery transformation: 1) delivery of high-value, broad scope primary care, and 2) improved affordability of prescription medications. During the course of 2019, AAHCA was able to apply its work in these two areas with particular focus on the State of New Jersey as a first adopter by virtue of Governor Murphys appointment of AAHCA Executive Director Mark Blum to serve as a member of the Governors Taskforce on Health Benefits Quality and Value and Americas Agendas engagement as a health policy advisor to the New Jersey legislature.AAHCAs continued its emphasis on transformation to advanced, high-value primary care design for two principal reasons: a) because robust provision of well-designed, broad scope primary care is the most cost effective means of preventing and cost-effectively managing chronic disease which accounts for 84% of overall health care spending in the US and b) scaling of well-designed, broad scope primary care offers significant leverage toward high-value transformation of secondary and tertiary health care delivery where, in the US today, most health care dollars are spent. AAHCAs added focus on affordability of prescription medicines over the last several years arises from the emergence of prescription medications as the most rapidly growing component of overall health costs. Attainment of the AAHCA mission of securing affordable health care for every American requires a solution to growth in cost of pharmaceutical medicines that currently outpaces significantly, not only US wages and GDP, but also the rate of growth in overall health costs.Below are key AAHCA initiatives and accomplishments in these areas over the course of 2019:Detailed Program Activities:1.Stregnthening high-value delivery care both through primary care transformation and improved health plan administration -- in the State of New Jersey Principally through its work in support of the New Jersey Governors Taskforce on Health Benefits Quality and Value, AAHCA and several public sector unions represented on the Taskforce succeeded in winning Taskforce support for a) extending the duration for several more years of the Direct Primary Care Pilot Program that AAHCA had designed and guided through adoption in 2015-16 with a greater emphasis placed on a) expansion of enrolled lives through coordinated education about the offering to New Jersey public employees and b) more robust measurement and analysis of outcomes.Concurrently, Americas Agenda was able to win Taskforce support for innovative bifurcation of third party administrator or TPA bill-paying functions from health care provider network management functions that have traditionally been unified in the hands of the commercial insurance carrier that administers the State of New Jersey public employee health plans. The separation of bill-paying from network management responsibilities would. eliminate costly (to the State) insurance carrier conflicts of interest that undermine third-party the administrators fulfilment of responsibilities as a fiduciary to the State.Independent of the Task Forces deliberations on this issue, AAHCA served as advisor to State legislative leadership on addressing the matter in statute. S-3042), that was enacted and signed into law by Governor Murphy in July 2019.2.Expanded savings for the State of New Jersey to cumulative of $2.5 billion in projected prescription drug savings over 5 years through conduct of an expedited, AAHCA-proposed second reverse auction - In 2017, the State of New Jersey implemented the Americas Agenda-designed strategy to reduce prescription drug costs through creation of a dynamically competitive marketplace for selection of a pharmacy benefits manager, contracting of pharmacy services, and pricing of the prescription medicines. The result was 25% savings on prescription drug spending after the first year following implementation of the Americas Agenda-proposed strategy. The magnitude of New Jersey public workers prescription drug savings was so great that, according to a 2019 report by Governor Murphy, overall health care premiums in the States self funded health plans fell by as much as 14% in the case of the New Jersey public school employees plan.As the performance of the new prescription drug plan progressed, it became evident to AAHCA that expedited conduct of a second PBM reverse auction after only 2 years of a 3-year duration contract with the incumbent PBM could enable the State of New Jersey to further deepen its prescription drug plan saving by substantial amounts. Through educating New Jersey policy makers about the improved savings opportunity, AAHCA helped unify State leadership in a coordinated strategy for conducting a second PBM reverse auction in 2019. The initiative was very successful, and a recent projection has extended expected savings to the state to a total of $2.5 billion in savings over a cumulative 5-year contract period -- that is, by a sustained average of $500 million in prescription drug savings per year. 3. Export of the successful AAHCA strategy for prescription drug cost reduction to other States Buoyed by the magnitude of the State savings achieved in New Jersey, AAHCA recruited several allied organizations to support efforts in other states to apply the AAHCA approach and aligned policies to significantly reduce prescription drug spending without relying on cost-shifting or cutting public employees benefits. As a result of this initiative, AAHCA and several peer organizations launched the PBM Accountability Project with the goal of serving as a resource clearing house to support state initiatives to effectively lower costs of prescription medicines. The first state project to be launched was the PBM Accountability Project of New Hampshire, a statewide education and advocacy initiative led by a broad range of in-state organizations committed to a shared goal of lowering New Hampshire prescription drug spending without shifting the cost burden health plan beneficiaries. In launching their NH initiative, a bi-partisan group of Granite State business and union leaders, municipal mayors, and patient advocates expressed their shared objective of enacting legislation in the 2019-20 session that would benefit all of New Hampshire health plan purchasers of prescription drugs, both public and private sector, with the ultimate goal of providing security about the affordability of prescription medicines to patients, taxpayers, and employers by adopting and broadening access to the kind of PBM reverse auction strategy that has been so successful in New Jersey. The emphasis of the New Hampshire initiative on a bi-partisan free market solution to reducing prescription drug costs, amplified with AAHCA health policy and communications support, has earned an unusually broad spectrum of interest from New Hampshire leaders and organizations that are not frequently allied in matters of public health policy.In the State of Maryland, AAHCA has also worked during 2019 to educate State legislators, public employee representatives, and members Marylands new State Prescription Drug Affordability Board of the about the potential of the AAHCA-designed state strategy to address long-standing State concerns about the rising cost of prescription medicines. 1186020 false true false false false false false false false true false false false true false false false false false false false false false false false false true false true false false false false false false false false false false false false false true false false true 4 0 true 3 true false false false false true false false false false X 23 22 false false false false false false false true true false false true true true true false false true true false X Mark Blum 2022231585 1025 Connecticut Avenue NW 907 Washington DC 20036 Mark Blum Executive Direc 30.00 0.00 X 249840 0 70032 Douglas Dority President/Chair 20.00 0.00 X X 162225 0 24334 Terrence O'Sullivan Director 0.02 0.00 X 0 0 0 Christopher Blass Director 0.02 0.00 X 0 0 0 Clayola Brown Director 0.02 0.00 X 0 0 0 Eric Dean Secretary/Treas 0.02 0.00 X X 0 0 0 Joseph Hunt Director 0.02 0.00 X 0 0 0 Morton Bahr Director 0.02 0.00 X 0 0 0 Joseph R Bock Director 0.02 0.00 X 0 0 0 Marc Perrone Director 0.02 0.00 X 0 0 0 Bernard Tyson Director 1.90 0.00 X 0 0 0 Clark Marcus Director 0.19 0.00 X 0 0 0 Scott A LaGanga Director 0.19 0.00 X 0 0 0 Edward M Smith Director 0.02 0.00 X 0 0 0 Janis Di Monaco Director 0.77 0.00 X 0 0 0 James P Hoffa Director 0.02 0.00 X 0 0 0 James Boland Director 0.06 0.00 X 0 0 0 Cecil E Roberts Director 0.02 0.00 X 0 0 0 Jacques Loveall Director 0.19 0.00 X 0 0 0 Sean M Spiller Director 0.02 0.00 X 0 0 0 Julie L Goon Director 0.02 0.00 X 0 0 0 Honorable Richard Gephardt Director 0.08 0.00 X 0 0 0 Brian Kelley Director 0.02 0.00 X 0 0 0 Cliff A Robertson Director 0.38 0.00 X 0 0 0 412065 94366 2 false true false Michael J Kapsa 2501 Porter St NW 916 WAshington DC 20008 Program Consulting 155862 CAL Capitol Group PO Box 876 Marshall CA 94940 Program Consulting 120000 Context Strategies LLC 909 E Street 2nd Floor Washington DC 20004 Public Communications 110000 3 1325000 850000 2175000 Education Fund Reimburse 541610 310111 310111 310111 399 399 0 0 0 0 0 0 0 0 2485510 310111 399 X 425000 425000 0 0 0 506431 389488 61302 55641 0 57733 40413 11547 5773 3459 2421 692 346 12044 8431 2409 1204 29454 20618 5891 2945 0 549 549 13894 13894 0 0 0 289489 264310 19329 5850 0 4408 3280 659 469 67 50 10 7 0 28876 21481 4326 3069 5761 4422 783 556 0 0 0 0 0 4105 3054 615 436 Dues and Subscriptions 1646 1224 247 175 Bank Service Charges 1608 1196 241 171 Printing and Publications 782 582 117 83 Licenses and Permits 67 50 10 7 0 1385373 1186020 122621 76732 6381 61886 63078 349203 0 1032001 1778628 0 0 0 0 15284 3296 8097 8097 0 0 0 0 0 4646 4646 1121390 2197659 27313 8583 16916 11778 44229 20361 X 1077161 2177298 1077161 2177298 1121390 2197659 1100137 X false false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1348 1348 4249 4249 2500 2500 Deferred Rent 11778 11778 true PBM Accountability Project 1025 Connecticut Ave 907 Washington DC 20036 842122458 501(c)(4) 425000 0 Cash granted Program support 0 1 false false false false false false false false false Douglas Dority President/Chair 162225 24334 186559 Mark Blum Executive Direc 249840 37476 32556 319872 Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is available to the officers and board members prior to filing. They are able to review the form. The Treasurer, President and Executive Director of the organization perform a detailed review prior to filing. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts No conflicts of interest have arisen. However, in the case of potential conflicts of interest, it has been agreed under America's Agenda policy that interested parties will disclose the existence of the potential conflicts and recuse themselves from participation in the decision-making process, as outlined in the organization's conflict of interest policy. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Board appointed Compensation and Finance Committee consists of Secretary-Treasurer and two board members. This committee approved compensation packages to the Organization's employees.The Organization pays the employees. America's Agenda Healthcare Education Fund, 501(c)(3) organization, reimburses the Organization for 50% of the payroll costs for services provided to the Education Fund by the employees. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The Organization will make appropriate governing documents, policies, and financial statements available upon request. Form 990 Part VII Schedule B Contractors The organization is reimbursed for time spent by the contractor on program consulting for it's related organization: America's Agenda Healthcare Education Fund. See Schedule R. Americas Agenda Healthcare Educ Fund 1025 Connecticut Avenue NW 907 Washington DC 20036 200685396 Public Ed-cost saving health policies DC 501(c)(3) 7 NA false false false false true false false false false false false false false false true true false true false false Americas Agenda Healthcare Educ Fund d 1278628 amount loaned Americas Agenda Healthcare Educ Fund n 28946 rent billed Americas Agenda Healthcare Educ Fund o 310111 amount billed Americas Agenda Healthcare Educ Fund q 138872 amount billed Additional Information Regarding Shared Costs America's Agenda Healthcare for All is reimbursed for 50% of rent and personnel costs by America's Agenda Healthcare Education Fund. America's Agenda Healthcare for All was reimbursed for 100% of a direct program expenditures paid on behalf of the Education Fund.