Takach- New Tactics for Building Medical Homes
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Takach- New Tactics for Building Medical Homes

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Mary Takach, MPH, RN, Program Manager, NASHP moderates and discusses Medical Home Project at webinar New Tactics for Building Medical Homes in State Medicaid and CHIP Programs on December 16, 2010

Mary Takach, MPH, RN, Program Manager, NASHP moderates and discusses Medical Home Project at webinar New Tactics for Building Medical Homes in State Medicaid and CHIP Programs on December 16, 2010

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Takach- New Tactics for Building Medical Homes Takach- New Tactics for Building Medical Homes Presentation Transcript

  • New Tactics for Building Medical Homes in StateMedicaid and CHIP ProgramsFor audio, please turn on your computer speakers. You may also call (800) 952-1438. (No access code is necessary.) Please hold until the webcast begins. December 16, 2010, 2:30 PM Eastern Supported by The Commonwealth Fund 1
  • Webcast Goals To learn about new state medical home initiatives To explore the strategies that are being used to advance these initiatives: Forming Partnerships Defining and Recognizing Medical Homes Aligning Payment and Purchasing Supporting Practices Measuring Progress 2
  • Medical Homes Consortium II Launched in May 2009 Supported by The Commonwealth Fund Individual technical assistance and group learning collaborative WA ME MT ND OR VT ID MN NH MA WI SD MI NY WY RI PA CT IA NV NE NJ UT IN OH IL DE CA CO WV MD VA DC KS MO KY NC TN AZ OK AR SC NM AL GA MS TX LA Medical Homes II AK FL Consortium State HI 3 View slide
  • Medical Homes Consortia I and II Supported by The Commonwealth Fund WA ME MT ND OR VT ID MN NH MA WI SD MI NY WY RI PA CT IA NV NE NJ UT IN OH IL DE CA CO WV MD VA DC KS MO KY NC TN AZ NM OK AR SC Medical Homes MS AL GA Consortium I State TX LA Medical Homes AK FL Consortium II State HI 4 View slide
  • Melinda K. Abrams, MSVice President, Patient-Centered Coordinated Care, The Commonwealth Fund 5
  • Strategies and Tactics 6
  • Forming Partnerships Why? Introduce the new program to stakeholders Identify considerations for program design Build public support for the program Who? How? 7
  • Forming Partnerships Montana Nancy Wikle, Care Management Section Supervisor, Medicaid and Health Services Branch, Montana Department of Public Health & Human Services Virginia Bryan Tomlinson, MPH, Director, Division of Health Care Services, Virginia Department of Medical Assistance Services 8
  • Defining and Recognizing Medical Homes Why? Establish concrete expectations for practices Reassure payers that extra payment translates to extra services Reassure providers that improved care translates to improved payment Motivate practices to change How? National approaches State-developed approaches 9
  • Defining and Recognizing Medical Homes Iowa Bery Engebretsen, MD, Medical Director, Primary Health Care, Inc. Kansas Barbara (Barb) Langner, PhD, Medicaid Director, Kansas Health Policy Authority 10
  • Aligning Payment and Purchasing Why? Support costs of practice change & ongoing costs of serving as a medical home Encourage the provision of key services Reward and encourage excellent performance How? Per member per month (PMPM) payments (Alabama, Iowa, Maryland, Nebraska) Lump sum or cost-based payments (Texas) Pay-for-Performance (Alabama, Iowa, Maryland, Nebraska) 11
  • Aligning Payment and Purchasing Nebraska Patricia (Pat) Taft, Program Specialist, Division of Medicaid and Long-Term Care, Nebraska Department of Health and Human Services Maryland Ben Steffen, MA, Center Director, Maryland Health Care Commission 12
  • Supporting Practice Transformation Why? How? Learning collaboratives (Iowa, Nebraska, Texas) Practice coaching (Maryland, Nebraska, Texas) Provide ongoing feedback to practices (Nebraska) Directly support the hiring of support staff within a practice (Nebraska, Texas (possibly) ) Offer external support services through a network approach (Alabama) Encourage the inclusion of consumers in practice transformation (Nebraska, Texas) 13
  • Supporting Practice Transformation Alabama Robert Moon, MD, Medical Director and Deputy Commissioner Health Systems, Alabama Medicaid Agency 14
  • Measuring Progress Why? What is being measured? Savings Patient and provider experience Clinical outcomes Who is conducting evaluation? External evaluator (Maryland, Texas) State-own evaluation 15
  • Measuring Progress Texas Leslie A. Weems, LMSW, Senior Policy Analyst and Project Manager, Medicaid/CHIP Division, Texas Health and Human Services Commission 16
  • New NASHP Medical Homes Project 3rd State Consortium to Advance Medical Homes in Medicaid and CHIP: Using Learning Communities to Strengthen, Expand, and Sustain Leading Programs (2011-2012) Supported by The Commonwealth Fund Help leading and emerging states bring medical homes to more Medicaid and CHIP members, sustain progress, and improve programs Focus on leveraging Affordable Care Act (ACA) opportunities Disseminate lessons through reports and public webcasts Request for Applications to be released soon 17
  • More Information on Medical Homes NASHP Website: www.nashp.org NASHP Medical Home Map: http://www.nashp.org/med-home-map PCPCC Website: www.pcpcc.net E-mail: mtakach@nashp.org 18
  • You will be automatically directed to a short evaluation of this webcast.Your feedback is greatly appreciated.Supported by The Commonwealth Fund. 19