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The 6|18 Initiative Case Study: Capitalizing on Partners' Unique Skills and Strengths
1. Advancing innovations in health care delivery for low-income Americans
www.chcs.org | @CHCShealth
The 6|18 Initiative Case Study:
Capitalizing on Partners’ Unique
Skills and Strengths
2017 Practical Playbook National Meeting
June 2, 2017
Maia Crawford, CHCS
Made possible by the Robert Wood Johnson Foundation
2. The 6|18 Initiative
» Background, objectives and accomplishments
» The Medicaid-Public Health partnership
Group Discussion
Sample Scenario
2
Agenda
3. 3
About the Center for Health Care
Strategies
A non-profit
policy center
dedicated to
improving
the health of
low-income
Americans
4. 4
Select CHCS Initiatives
Affinity Group for
U.S. Charity Care
Programs
Ensuring Health
Coverage and Access
for Justice-Involved
Individuals
Advancing the CDC’s
6|18 Initiative: State
Medicaid & Public
Health Collaboration
Medicaid
Accountable Care
Organization Learning
Collaborative
State Innovation
Model Technical
Assistance
Advancing Trauma-
Informed Care
Complex Care
Innovation Lab
Promoting Youth
Substance Use
Disorder Prevention
Strategies in
Medicaid
Transforming
Complex Care
Medicaid Leadership
Institute
Medicaid Academies
State Oral Health
Leadership Institute
Accessto
Coverage
andServices
DeliverySystem
andPayment
Reform
Servicesfor
Peoplewith
ComplexNeeds
Leadership
andCapacity
6. Improve health and
control health care costs
using specific evidence-
based interventions
Establish sustainable
partnerships between
public health and health
care purchasers, health
plans, and providers
6
6|18 Initiative Goals
7. High-burden
Costly
Preventable
Scalable
Purchasers and payers
7
Six High-Burden Health Conditions
High-
burden
Costly
Preventable
Scalable
Purchasers
and payers
10. Baseline coverage and utilization
assessment
State Plan Amendments to enhance Medicaid
benefits
Changes in billing
Managed care organization contractual negotiations
Payment pilots
New scope of practice legislative authority
Provider and member education and outreach
10
Examples of
6|18 Accomplishments
11. The Medicaid-Public Health Partnership:
Complementary Skills
Medicaid
Authority over benefits and
coverage
Expertise in health care
payment and delivery
Establish health quality goals
Collaborate with federal/state
policymakers, and health plans
Access to and analysis of
state/federal data
Public Health
Disease-specific expertise
On-the-ground knowledge of
access and utilization barriers
Population health focus
Expertise in intervention
design and implementation
Experience with knowledge
dissemination and provider
training
11
12. The Medicaid-Public Health Partnership:
Complementary Activities
Medicaid
Utilized available policy levers
to improve coverage and
promote increased uptake of
services
Engaged with Medicaid
managed care plans to
enhance benefits
Developed a business case for
chosen interventions
Public Health
Contributed condition-
specific subject expertise
Translated epidemiologic
evidence into data
Developed awareness
campaigns targeting providers
and patients
Promoted linkages with
community services
12
13. Early leadership buy-in from both agencies
In-person kick-off convening
Concrete and well-defined interventions
Creation of a joint work plan with collaboratively
developed goals and activities
Monthly calls
Access to a common set of subject matter experts
and technical assistance opportunities
13
Project Components that
Facilitated Collaboration
14. Can you share an example of a project in
which different partners contributed unique
skills or expertise that led to a positive end result?
What strategies have you found effective at bringing together
diverse partners and harnessing their respective abilities or
knowledge?
What challenges have you encountered in working with partners
from different sectors or backgrounds?
How did you overcome “cultural” or language differences across
diverse partners?
What lessons or takeaways from the 6|18 Initiative might translate
to efforts to enhance public health-primary care collaboration?
14
Group Discussion
15. Primary care providers from a children’s hospital and a
local public health department seek to collaboratively
develop a pediatric asthma home visiting and trigger
remediation program.
»What skills, resources and expertise would primary care
bring to the partnership? What about public health?
»What recommendations would you make to ensure that
both partners were able to define distinct yet
complementary roles for themselves?
15
Sample Scenario
16. 16
For more information, contact:
Maia Crawford
Senior Program Officer
Center for Health Care Strategies
mcrawford@chcs.org
(609) 528-8400
17. Visit CHCS.org to…
Download practical resources
to improve the quality and cost-
effectiveness of Medicaid services
Learn about cutting-edge effortsto
improve care for Medicaid’s highest-
need, highest-cost beneficiaries
Subscribe toCHCS e-mail, blog
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Followuson Twitter @CHCShealth
17
Editor's Notes
CDC has developed the 6|18 Initiative to promote adoption by health care purchasers, payers, and providers of evidence-based interventions to improve health and control costs in the short term – in less than 5 years.
The name “6|18” comes from the initial focus on 6 high-burden high-cost health conditions and 18 evidence-based interventions that can improve health and control costs.
The initiative goals are as follows:
To improve health and control health care costs using specific evidence-based interventions and
To establish sustainable links between public health and health care purchasers, payers, and providers as partners in population health improvement
The 6 in 6|18 represents the 6 initial health conditions, including: Tobacco Use, High Blood Pressure, Health Care-Associated Infections, Asthma, Unintended Pregnancies, and Diabetes.
These conditions were selected because they meet the following criteria:
They affect large numbers of people
They are associated with high health care costs
Evidence-based interventions are available to prevent or control these conditions in a short time horizon (less than 5 years)
The evidence-based interventions can be implemented by the health care sector - health care purchasers, health plans, and providers.
Yellow = Phase I States: CO, GA, LA, MA, MI, MN, NY, RI, SC
Orange = Phase II States: AK, DC, MD, NC, NV, TX, UT, and LA County
Also looking to engage a large city public health department and a tribal nation.