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

1. New Tactics for Building
Medical Homes in State
Medicaid and CHIP Programs
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Please hold until the webcast begins.
December 16, 2010, 2:30 PM Eastern
Supported by The Commonwealth Fund
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2. 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
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3. 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
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4. 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
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5. Melinda K. Abrams, MS
Vice President, Patient-Centered Coordinated Care,
The Commonwealth Fund
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6. Strategies and Tactics
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7. Forming Partnerships
Why?
Introduce the new program to stakeholders
Identify considerations for program design
Build public support for the program
Who?
How?
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8. 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
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9. 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
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10. 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
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11. 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)
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12. 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
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13. 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)
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14. Supporting Practice Transformation
Alabama
Robert Moon, MD, Medical Director and Deputy
Commissioner Health Systems, Alabama
Medicaid Agency
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15. 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
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16. Measuring Progress
Texas
Leslie A. Weems, LMSW, Senior Policy Analyst
and Project Manager, Medicaid/CHIP Division,
Texas Health and Human Services Commission
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17. 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
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18. 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
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19. You will be automatically directed to a
short evaluation of this webcast.
Your feedback is greatly appreciated.
Supported by The Commonwealth Fund.
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