Keeping Things on Track
NFP&A provides insights needed for critical decision making to this weekly leadership forum.
What is the CEOx?
NFP&A assisted leadership, care delivery operations, finance and external vendor to ensure uninterrupted member and patient care during this expected event.
What is work stoppage?
The vendor software being implemented for EPMS
What is StrataJazz?
This function consists of various areas, including but not limited to Revenue Cycle Services, Business Optimization and Redesign, and Supply Chain Services.
What is Enterprise Business Services (EBS)?
The annual process of finalizing rate actions
What is Rate Setting?
Long-Range Membership Growth, Operating and Capital, and Balance Sheet Financial Plans
What is the Economic Plan?
This monthly deliverable surfaces the need for early course correction to improve performance
What is the mid-month review?
NFP&A modeled this initiative's multi-year impact of compensation adjustment to markets and national functions
What is JFA?
The MVP Forecasting hard go-live date
What is July 2024?
The distribution of costs from the National Functions to the markets either directly or indirectly.
What is an allocation?
The 3 primary lines of business that comprise Kaiser’s membership and financial performance
What are Commercial, Medicare and Medicaid?
Three percent or more of annual Operating Revenue
What is Community Health (Benefit) Target?
This monthly deliverable identifies forward-looking risks & opportunities to achieving commitments
What is the monthly forecast?
If Kaiser enjoys dues premiums that are 10% lower than competitors.
What is a Positive Rate Position?
The Change Leader for the EPMS program
Who is Cori Karp?
One-time costs that can either be capital or operating in nature and intended to deliver new capabilities or significant enhancements for the organization to achieve its strategic goals.
What are investments?
CMS yearly announcements in early February and April to update capitation and risk adjustment methodologies for Medicare Advantage plans
What are CMS Advance and Final Notices?
The 3 primary account-based expense categories that drive 80% or more of Kaiser costs
What are Labor, Pharmacy & Outside Medical Costs?
These annual check-ins between national & markets help drive course correction to achieve current year & next year commitments
What is the Mid-Year Review?
Percent of total health care premiums spent on medical claims and efforts to improve care quality.
What is the Medical Benefit (Loss) Ratio (MBR)?
The initial forecast that is created by the StrataJazz system for FP&A users to adjust
What is the Baseline Forecast?
Functions can petition to use dollars from this pool of funds, which is reserved for one-time and strategic items. At year-end and upon approval by Greg/Kathy, the function can recharge against this pool, costs they are not able to absorb.
What is the Contingency Fund?
Rate Position, Brand Image, Service and Access Scores, Population and Economic Growth
What are Key Membership Growth Drivers?
The difference between run rate baseline expense trends (inflation) and Kaiser’s forecasted trend
What is the Basis for Calculating a Margin (or Cost Structure) Gap?
This process sets annual enterprise, market & national function operating and capital commitments
What is the budget?
A wholly-owned subsidiary of Kaiser Foundation Hospital, LLC, that manages the only community hospital within the enterprise.
What is the Maui Health Systems (MHS)?
The name of the Strata tool we are implementing for Performance Management
What is the Scorecard?
A per member factor used to allocate indirect non-usage based costs by equalizing all types of members into one standard metric.
What is Commercial Equivalent Membership (CEQM)?
Commercial Rate Increase + Investment Fund Bank Load
What is "Out-the-Door" Rate Increase?
Targeted annual rate of growth that an investment is expected to generate that exceeds the weighted cost of capital
What is the Definition of Internal Rate of Return (IRR)?