Medicaid Managed Care 2012 Fiscal Analysts Seminar August 30, 2012

Size: px
Start display at page:

Download "Medicaid Managed Care 2012 Fiscal Analysts Seminar August 30, 2012"

Transcription

1 Medicaid Managed Care 2012 Fiscal Analysts Seminar August 30, 2012 National Conference of State Legislatures Neva Kaye Managing Director for Health System Performance National Academy for State Health Policy

2 2 Primary Sources of Data Original i research and literature t review ( Day long meeting on state strategies to promote integrated delivery systems Seven point-in-time surveys of state Medicaid managed care policies NASHP: 1990, 1994, 1996, 1998, 2000, 2002 CMS: 2010 data

3 3 Payment Reform Image credit: A. Shih, K. Davis, S. Schoenbaum, A. Gauthier, R. Nuzum, and D. McCarthy, Organizing the U.S. Health Care Delivery System for High Performance, The Commonwealth Fund, August 2008.

4 4 State Medicaid Seeks Greater Integration of Delivery Systems Fee-for-Service Managed Care Primary Care Case Management (PCCM) Comprehensive Managed Care Organizations (MCOs) Specialty plans, such as Behavioral Health Organizations (BHOs) Emerging Models Medical home and Health home Payment for episodes of care Accountable Care Organization (ACO) & ACO-like

5 5 Key Trends: Managed care is the dominant delivery system in Medicaid States enroll people with complex needs into managed care States have saved money and there are indications of improved quality

6 6 As early as 1990 more than half of all agencies reported using managed care 50 # Stat tes (50+D DC) Risk PCCM Either

7 7 47 States t and DC Used Managed Care in 2010 WA MT ND ME CA OR NV ID UT WY CO SD NE KS MN IA MO WI IL IN MI KY OH WV NY PA VA VT NH CT NJ DE MD DC MA RI NC AZ NM OK AR TN SC MS AL GA TX LA AK FL HI Uses Managed Care

8 8 Medicaid s Use of Comprehensive MCOs in 2010 WA MT ND ME CA OR NV ID UT WY CO SD NE KS MN IA MO WI IL IN MI KY OH WV PA VA NY VT NH CT NJ DE MD DC MA RI NC AZ NM OK AR TN SC MS AL GA TX LA AK FL HI Use comprehensive MCOs Mental health and/or substance abuse services included in Comprehensive MCO benefits package

9 9 Medicaid s Use of Specialty Plans in 2010 WA MT ND ME CA OR NV ID UT WY CO SD NE KS MN IA MO WI IL IN MI KY OH WV PA VA NY VT NH CT NJ DE MD DC MA RI NC AZ NM OK AR TN SC MS AL GA TX LA AK FL HI Medicaid Specialty Plans Specialized contracts that include mental health and/or substance abuse services

10 10 Distribution of Medicaid Managed Care Enrollment: 2010

11 11 # State es (50+D DC) Since 1994 over half of all states have enrolled some people with complex needs into managed care Family coverage Aged SSI children SSI adult

12 12 The Lewin Group Analyzed 24 Studies Savings from 0.5%-20% over fee-for-servicef Indications of potential significant savings through enrolling SSI populationsp Indications savings comes from inpatient hospital Evidence of increased access Study produced in 2004, updated in 2009 Study conducted for America s Health Insurance Plans (AHIP)

13 13 Savings Reported by Selected States 10.7% in Wisconsin in 2002; also reports MCOs outperform fee-for-service on quality measures 7% in Arizona from % in Ohio in 2006

14 Questions? 14

15 15 On the Horizon

16 16 Continued Drive Toward Greater Integration Di Drivers Unsustainable cost growth in Medicaid Relentless pressure on state budgets Many more Medicaid beneficiaries in 2014 Medicaid managed care to expand: Moving from voluntary to mandatory enrollment More comprehensive set of services New areas of the state New populations Emerging new models

17 17 Tweaking Standard Managed Care New Mexico: single BHO for all state agencies: Medicaid, Child Welfare, Juvenile Justice.. Wisconsin: Specialized MCO for children with extensive mental health needs at risk of incarceration

18 Patient Centered Medical Homes Key model features: Multi-stakeholder partnerships Qualification standards aligned with new payments Data & feedback Health Information Technology Practice Education Graphic Source: Ed Wagner. Presentation entitled The Patient-centered Medical Home: Care Coordination. Available at: 18

19 19 Support For Medical and Health Homes Payment, usually per member per month Support for changing how practice delivers care Training, learning collaboratives for practices or practice-based care coordinators Providing resources that support improved g pp p coordination with specialty and community services: Networks, community health teams.

20 20

21 Section 2703 Health Home Activity WA CA OR NV ID UT MT WY CO ND SD NE KS MN IA MO WI IL IN MI KY OH WV PA VA VT NY NJ DE MD DC ME CT RI NH MA AZ NM OK AR MS TN AL GA SC NC TX LA FL HI Approved = 6 States (8 SPAs) Submitted = 3 States Planning Grant = 14 States and Washington, D.C. As of June 12, 2012

22 Bridging gto Accountable Care Models Key model features: Central hub linked to community networks High-performing providers Contractual agreements between providers Shared goals & risk Population health management tools Health information technology & exchange Engaged patients 22

23 Examples of 2 Medicaid d ACOs Colorado Accountable Care Collaborative (ACC) Seven regional care collaborative organizations (RCCOs) charged with achieving cost/quality outcomes Support primary care providers (PCPs) through medical management, care coordination, and more Statewide data and analytics contractor supports RCCOs through high-risk patient identification and more Per member per month (PMPM) payments to PCPs and RCCOs, with possibility for incentive payments ACC as platform for future payment reform efforts For more information: _slides.pdf 23

24 Examples of 2 Medicaid ACOs Oregon Coordinated Care Organizations (CCOs) Each CCO will receive a fixed global budget for physical/mental/dental care for each Medicaid enrollee CCOs must have the capacity to assume risk CCOs to coordinate care and engage g enrollees/providers in health promotion 11 provisionally certified CCOs approved so far; launch expected by August 2012 Projecting savings of $3.1 billion over five years For more information: clears-first-coordinated-care-organizations/

25 25 Integrating Care for People Eligible for Medicare and Medicaid (Dual Eligibles) 26 states submitted proposals CMS reviewing proposals; start dates in 2013, 2014 Two models Managed Fee-for-Service: State and CMS form agreement under which state can share in savings Capitated: three way contract between CMS, State, and plan Some states choose multiple models Medicaid-Coordination-Office/FinancialModelstoSupportStatesEffortsinCareCoordination.html

26 Questions? 26

27 27 Securing the Value

28 28 Considerations in Selecting Program Structure What are you willing to invest? How much risk are you willing to take? Where are you (and beneficiaries) getting g least value? More comprehensiveness (services or covered lives) Increases potential for coordination and cost savings Doesn t ensure either! What types of MCOs are ready to go? Waiver or State Plan Amendment (SPA)? What infrastructure do you have in place? What can you modify or repurpose? What do you need to build, borrow, or buy?

29 29 Ensure sufficient resources to build and oversee a strong program MCO Selection Select MCOs that will deliver value and understand the population Enrollment Offer beneficiaries choice Enroll into the MCO that meets their needs Ensure they understand how to access services Payment Payment amounts high enough to pay for needed care-and low enough to produce savings Use payment to incent change: shared risk/savings, quality incentives MCO oversight Measure and report performance Structure for improving performance at agency and plan levels

30 30 When Planning for Medicaid Managed Care Clarify goals Cost containment Improved access to high performing medical homes Efficient use of resources, coordinated and integrated care Consider the target population Rural/underserved areas People with disabilities Consider needed d linkages To other systems (long term care, Exchanges) Among different types of MCOs (physical and mental health)

31 Questions? 31

Developmental screening, referral and linkage to services: Lessons from ABCD

Developmental screening, referral and linkage to services: Lessons from ABCD Developmental screening, referral and linkage to services: Lessons from ABCD J I L L R O S E N T H A L S E N I O R P R O G R A M D I R E C T O R N A T I O N A L A C A D E M Y F O R S T A T E H E A L T

More information

National Committee for Quality Assurance

National Committee for Quality Assurance National Committee for Quality Assurance (NCQA) Private, independent non-profit health care quality oversight organization founded in 1990 MISSION To improve the quality of health care. VISION To transform

More information

Upgrading Voter Registration in Florida

Upgrading Voter Registration in Florida Upgrading Voter Registration in Florida David Becker Director, Election Initiatives 1 2012: Florida Snapshot Below National Average of 71.2% 2 Change in Voting Age Population (VAP), 2008-2012 U.S. Census

More information

Building Blocks to Health Workforce Planning: Data Collection and Analysis

Building Blocks to Health Workforce Planning: Data Collection and Analysis Building Blocks to Health Workforce Planning: Data Collection and Analysis Presented by: Jean Moore, DRPH Director October 22, 2015 Center for Health Workforce Studies School of Public Health University

More information

Report to Congressional Defense Committees

Report to Congressional Defense Committees Report to Congressional Defense Committees The Department of Defense Comprehensive Autism Care Demonstration December 2016 Quarterly Report to Congress In Response to: Senate Report 114-255, page 205,

More information

Advanced Nurse Practitioner Supervision Policy

Advanced Nurse Practitioner Supervision Policy Advanced Nurse Practitioner Supervision Policy Supervision requirements for nurse practitioners (NP) fall into two basic categories: Full practice and collaborative practice, which requires a Collaborative

More information

Assuring Better Child Health and Development Initiative (ABCD)

Assuring Better Child Health and Development Initiative (ABCD) Assuring Better Child Health and Development Initiative (ABCD) Presented by Jennifer May National Academy for State Health Policy Act Early Region X Summit Feb 4-5, 2010 Seattle, Washingon Supported by

More information

Patient-Centered Specialty Practice Readiness Assessment

Patient-Centered Specialty Practice Readiness Assessment Patient-Centered Specialty Practice Readiness Assessment Daryn Eikner Vice President, Health Care Delivery National Family Planning & Reproductive Health Association Melissa Kleder Manager, Health Care

More information

Policies for TANF Families Served Under the CCDF Child Care Subsidy Program

Policies for TANF Families Served Under the CCDF Child Care Subsidy Program Policies for TANF Families Served Under the CCDF Child Care Subsidy Program Sarah Minton, Christin Durham, Erika Huber, Linda Giannarelli Presentation for NAWRS/NASTA 2012 Context Many TANF families receive

More information

State Innovations in Value-Based Care: ACOs and Beyond

State Innovations in Value-Based Care: ACOs and Beyond Advancing innovations in health care delivery for low-income Americans State Innovations in Value-Based Care: ACOs and Beyond Rachael Matulis, Senior Program Officer National Academy of Medicine Value

More information

Value based care: A system overhaul

Value based care: A system overhaul Value based care: A system overhaul Lee A. Fleisher, M.D. Robert D. Dripps Professor and Chair of Anesthesiology Perelman School of Medicine at the University of Pennsylvania Email: lee.fleisher@uphs.upenn.edu

More information

Role of State Legislators

Role of State Legislators Title text here NCSL Fall Forum Preconference Session: Quality & Consumer Issues in Medicaid Managed LTSS December 3, 2013 Wendy Fox-Grage Senior Strategic Policy Advisor AARP Public Policy Institute Role

More information

Medicaid Experts 11/10/2015. Alphabet Soup. Medicaid: Overview and Innovations PPO HMO CMS CDC ACO ICF/MR MR/DD JCAHO LTC PPACA HRSA MRSA FQHC AMA AHA

Medicaid Experts 11/10/2015. Alphabet Soup. Medicaid: Overview and Innovations PPO HMO CMS CDC ACO ICF/MR MR/DD JCAHO LTC PPACA HRSA MRSA FQHC AMA AHA Medicaid Experts DEVELOPING NEW STATE LEGISLATIVE HEALTH LEADERS Medicaid: Overview and Innovations While I can explain the meaning of life, I don t dare try to explain how the Medicaid system works. CMS

More information

Poverty and Health. Frank Belmonte, D.O., MPH Vice President Pediatric Population Health and Care Modeling

Poverty and Health. Frank Belmonte, D.O., MPH Vice President Pediatric Population Health and Care Modeling Poverty and Health Frank Belmonte, D.O., MPH Vice President Pediatric Population Health and Care Modeling An iconic image of child poverty Children Living in Poverty 4 Healthcare Services Account for $19.2

More information

Medicaid Innovation Accelerator Program (IAP)

Medicaid Innovation Accelerator Program (IAP) Medicaid Innovation Accelerator Program (IAP) HCBS Conference IAP Session: Where We ve Been and Where We re Going September 2, 2015 Karen LLanos, David Shillcutt, & Michael Smith Center for Medicaid and

More information

National Perspective No Wrong Door System. Administration for Community Living Center for Medicare and Medicaid Veterans Health Administration

National Perspective No Wrong Door System. Administration for Community Living Center for Medicare and Medicaid Veterans Health Administration National Perspective No Wrong Door System Administration for Community Living Center for Medicare and Medicaid Veterans Health Administration Agenda National Perspective No Wrong Door System What is a

More information

Medicaid Reform: The Opportunities for Home and Community Based Providers. All Rights Reserved

Medicaid Reform: The Opportunities for Home and Community Based Providers.     All Rights Reserved Medicaid Reform: The Opportunities for Home and Community Based Providers ILS Background & Experience Care Management Company founded in 2001 Focuses on Duals, Medicaid ABD and Managing Medicaid Long term

More information

SEASON FINAL REGISTRATION REPORTS

SEASON FINAL REGISTRATION REPORTS Materials Included: 2012-2013 SEASON FINAL REGISTRATION REPORTS 2011-12 & 2012-13 Comparison by Group 2 2012-13 USA Hockey Member Counts 3 2012-13 Non-Participant Membership Information 4 2012-13 8 and

More information

Driving Change with the Health Care Spending Benchmark

Driving Change with the Health Care Spending Benchmark Driving Change with the Health Care Spending Benchmark Delaware s Road to Value Kara Odom Walker, MD, MPH, MSHS Cabinet Secretary LIFE Conference, January 24, 2018 1 Join us on Twitter: @Delaware_DHSS

More information

Medicare & Medicaid EHR Incentive Programs Robert Tagalicod, Robert Anthony, and Jessica Kahn HIT Policy Committee January 10, 2012

Medicare & Medicaid EHR Incentive Programs Robert Tagalicod, Robert Anthony, and Jessica Kahn HIT Policy Committee January 10, 2012 Medicare & Medicaid EHR Incentive Programs Robert Tagalicod, Robert Anthony, and Jessica Kahn HIT Policy Committee January 10, 2012 Medica re Active Registrations December 2011 December-11 YTD Eligible

More information

CONNECTICUT: ECONOMIC FUTURE WITH EDUCATIONAL REFORM

CONNECTICUT: ECONOMIC FUTURE WITH EDUCATIONAL REFORM CONNECTICUT: ECONOMIC FUTURE WITH EDUCATIONAL REFORM This file contains detailed projections and information from the article: Eric A. Hanushek, Jens Ruhose, and Ludger Woessmann, It pays to improve school

More information

The Next Wave in Balancing Long- Term Care Services and Supports:

The Next Wave in Balancing Long- Term Care Services and Supports: The Next Wave in Balancing Long- Term Care Services and Supports: Top Trends Agency restructuring is common States use of variety of resources to fund the programs Loss of historical knowledge is nationwide

More information

BUFFALO S SHIPPING POST Serving Napa Valley Since 1992

BUFFALO S SHIPPING POST Serving Napa Valley Since 1992 BUFFALO S SHIPPING POST Serving Napa Valley Since 1992 2471 Solano Ave Napa, CA 94558 707-226-7942 FAX: 707-226-1510 buffship.com October 21, 2017 RE: New Pricing Hi Everyone, Because of continual fuel

More information

Practice Advancement Initiative (PAI) Using the ASHP PAI Ambulatory Care Self-Assessment Survey

Practice Advancement Initiative (PAI) Using the ASHP PAI Ambulatory Care Self-Assessment Survey Practice Advancement Initiative (PAI) Using the ASHP PAI Ambulatory Care Self-Assessment Survey Jodie Elder, PharmD, BCPS September 14, 2017 Objectives List the key components of the Practice Advancement

More information

Governor s Office of Electronic Health Information (GOEHI) The National Council for Community Behavioral Healthcare

Governor s Office of Electronic Health Information (GOEHI) The National Council for Community Behavioral Healthcare Governor s Office of Electronic Health Information (GOEHI) The National Council for Community Behavioral Healthcare PBHCI Grantees by HHS Regions AK (2) OR WA (3) Region 10 6 Grantees ID MT Region 8 2

More information

National Association For Regulatory Administration

National Association For Regulatory Administration National Association For Regulatory Administration Annual NARA Licensing Seminar Presenters: Alfred C. Johnson Patricia Adams Agenda Introductions Incident Reports -- Assisted Living Alfred Johnson, Director,

More information

A Snapshot of Uniform Assessment Practices in Managed Long Term Services and Supports

A Snapshot of Uniform Assessment Practices in Managed Long Term Services and Supports A Snapshot of Uniform Assessment Practices in Managed Long Term Services and Supports California Department of Health Care Services, Home and Community Based Services Universal Assessment Workgroup February

More information

NCQA s Patient-Centered Medical Home Recognition and Beyond. Tricia Marine Barrett, VP Product Development

NCQA s Patient-Centered Medical Home Recognition and Beyond. Tricia Marine Barrett, VP Product Development NCQA s Patient-Centered Medical Home Recognition and Beyond Tricia Marine Barrett, VP Product Development National Committee for Quality Assurance (NCQA) Private, independent non-profit health care quality

More information

United States Property & Fiscal Officer (USPFO)

United States Property & Fiscal Officer (USPFO) United States Property & Fiscal Officer (USPFO) NGAUS 2017 Industry Partner Workshop 7 September 2017 This briefing is UNCLASSIFIED Doing business with The 54 What is a United States Property and Fiscal

More information

Prescription Monitoring Program:

Prescription Monitoring Program: Massachusetts Department of Public Health Prescription Monitoring Program: The Massachusetts Prescription Monitoring Tool (MassPAT) November 1, 2016 Goals of the Session Understand the mission and responsibilities

More information

Counterdrug(CD) Information Brief LTC TACKETT

Counterdrug(CD) Information Brief LTC TACKETT The Oklahoma Team Army National Guard Air National Guard Counterdrug JTF DRUGS Counterdrug(CD) Information Brief LTC TACKETT OUTLINE National Program Strategic Goals Oklahoma s Program Oklahoma Initiatives

More information

Health Reform and The Patient-Centered Medical Home

Health Reform and The Patient-Centered Medical Home THE COMMONWEALTH FUND Health Reform and The Patient-Centered Medical Home Melinda Abrams The Commonwealth Fund November 3, 2011 Grantmakers in Health Fall Forum Primary Care Foundation At Risk: Patient

More information

NC TIDE SPRING CONFERENCE April 26, NC Department of Health and Human Services Medicaid Transformation and the 1115 Waiver

NC TIDE SPRING CONFERENCE April 26, NC Department of Health and Human Services Medicaid Transformation and the 1115 Waiver NC TIDE SPRING CONFERENCE April 26, 2017 NC Department of Health and Human Services Medicaid Transformation and the 1115 Waiver Agenda Medicaid Landscape NC Medicaid Transformation Supporting Legislation

More information

NCHIP and NICS Act Grants Overview and Current Status

NCHIP and NICS Act Grants Overview and Current Status BUREAU OF JUSTICE STATISTICS NCHIP and NICS Act Grants Overview and Current Status Devon B. Adams Criminal Justice Data Improvement Program SEARCH Membership Group Meeting Nashville, TN - February, 2010

More information

Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO)

Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO) Beth Radtke 49 Included in the report: 7/22/2015 11:17:54 AM Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO) Connecticut (CT) Delaware (DE) District Columbia (DC) Florida (FL)

More information

College Profiles - Navy/Marine ROTC

College Profiles - Navy/Marine ROTC Page 1 of 6 The U.S. Navy and Marine Corps are a team that provides for our national defense. The men and women who serve are called on to provide support at sea, in the air and on land. The Navy-Marine

More information

Dashboard. Campaign for Action. Welcome to the Future of Nursing:

Dashboard. Campaign for Action. Welcome to the Future of Nursing: Welcome to the Future of Nursing: Campaign for Action Dashboard About This Dashboard: These graphs and charts show goals by which the Campaign evaluates its efforts to implement recommendations in the

More information

Cesarean Delivery Model Meeting the challenge to reduce rates of Cesarean delivery

Cesarean Delivery Model Meeting the challenge to reduce rates of Cesarean delivery Cesarean Delivery Model Meeting the challenge to reduce rates of Cesarean delivery Alan Mills FSA MAAA ND November 13, 2014 Agenda 1. Background 2. The U.S. Cesarean delivery challenge 3. Cesarean Delivery

More information

The Use of NHSN in HAI Surveillance and Prevention

The Use of NHSN in HAI Surveillance and Prevention The Use of NHSN in HAI Surveillance and Prevention Catherine A. Rebmann Division of Healthcare Quality Promotion (DHQP) Centers for Disease Control and Prevention (CDC) January 12, 2010 Objectives What

More information

Putting Patients and Families at the Center of Care: Innovative State Strategies for Medical Homes and Health Homes

Putting Patients and Families at the Center of Care: Innovative State Strategies for Medical Homes and Health Homes Putting Patients and Families at the Center of Care: Innovative State Strategies for Medical Homes and Health Homes Mary Takach National Academy for State Health Policy National Medical Home Summit March

More information

National Provider Identifier (NPI)

National Provider Identifier (NPI) National Provider Identifier (NPI) Importance to the Athletic Training Profession? By Clark E. Simpson, MBA, MED, LAT, ATC National Manager, Strategic Business Development National Athletic Trainers Association

More information

Award Cash Management $ervice (ACM$) National Science Foundation Regional Grants Conference. June 23 24, 2014

Award Cash Management $ervice (ACM$) National Science Foundation Regional Grants Conference. June 23 24, 2014 Award Cash Management $ervice (ACM$) National Science Foundation Regional Grants Conference June 23 24, 2014 1 Agenda Introduction of ACM$ itrak Conversion Processes Canceling Funds SAM Registration Program

More information

Its Effect on Public Entities. Disaster Aid Resources for Public Entities

Its Effect on Public Entities. Disaster Aid Resources for Public Entities State-by-state listing of Disaster Aid Resources for Public Entities AL Alabama Agency http://ema.alabama.gov/ Alabama Portal http://www.alabamapa.org/ AK AZ AR CA CO CT DE DC FL Alaska Division of Homeland

More information

The Value and Use of CME in Medical Licensure

The Value and Use of CME in Medical Licensure 2011 Federation of State Medical 2011 Boards Federation of State Medical Boards The Value and Use of CME in Medical Licensure ACCME Newcomers Workshop July 31, 2013 2011 Federation of State Medical Boards

More information

Framework for Post-Acute Care: Current and Future Issues for Providers

Framework for Post-Acute Care: Current and Future Issues for Providers Framework for Post-Acute Care: Current and Future Issues for Providers Alan G. Rosenbloom Alliance for Quality Nursing Home Care March 2012 Overview of Presentation Post-Acute Care: Background and Trends

More information

2012 Federation of State Medical Boards

2012 Federation of State Medical Boards Maintenance of Licensure: An Overview and Update Humayun Chaudhry, DO, MS, MACP, FACOI President and CEO, Federation of State Medical Boards Osteopathic International Alliance Annual Meeting Austin, Texas

More information

RECOUNT RULES & VOTING SYSTEMS

RECOUNT RULES & VOTING SYSTEMS state s be ed nces is permitted Voter ID Required Voting Systems Manufacturer AL Not more than 1/2 of 1% No provisions for. Non-photo ID AK Tie Vote Losing cand. or 10 voters may. Non-photo ID DRE with

More information

NCQA PCMH Recognition: 2017 Standards Preview. Tricia Barrett Vice President, Product Design and Support January 25, 2017

NCQA PCMH Recognition: 2017 Standards Preview. Tricia Barrett Vice President, Product Design and Support January 25, 2017 NCQA PCMH Recognition: 2017 Standards Preview Tricia Barrett Vice President, Product Design and Support January 25, 2017 CURRENT LANDSCAPE NCQA OVERVIEW RECOGNITION REDESIGN 2017 CONCEPTS Agenda PANEL

More information

CONTINUING MEDICAL EDUCATION OVERVIEW BY STATE

CONTINUING MEDICAL EDUCATION OVERVIEW BY STATE CONTINUING MEDICAL EDUCATION OVERVIEW BY STATE STATE AL YES M.D./D.O./P.A. 12 hours every year; all must be AMA Category 1 AK YES M.D./D.O. 50 hours every 2 years; all must be AMA Category 1 or AOA Category

More information

Care Provider Demographic Information Update

Care Provider Demographic Information Update Care Provider Demographic Information Update Please use this form for a single care provider practitioner update. Incomplete forms will not be processed. Fields with an asterisk (*) are required for practitioners

More information

National School Safety Conference Reno, Nevada / June 24 29, 2018

National School Safety Conference Reno, Nevada / June 24 29, 2018 National School Safety Conference Reno, Nevada / June 24 29, 2018 Saturday, June 23 rd 8:00 am 5:00 pm NASRO Basic Course Capri 1 Sunday, June 24 th 8:00 am 5:00 pm NASRO Basic Course Capri 1 8:00 am 5:00

More information

Moving To Value-Based Payment: What Are The New Models In Medicaid & Medicare?

Moving To Value-Based Payment: What Are The New Models In Medicaid & Medicare? Moving To Value-Based Payment: What Are The New Models In Medicaid & Medicare? #OMPerformance The 2017 OPEN MINDS Performance Management Institute Thursday, February 16, 2017 11:30am 12:45am Athena Mandros,

More information

Connecting Value-Based Services to Whole Person Care

Connecting Value-Based Services to Whole Person Care Advancing innovations in health care delivery for low-income Americans Connecting Value-Based Services to Whole Person Care Caitlin Thomas-Henkel, Senior Program Officer The National Council December 6,

More information

ASA Survey Results for Commercial Fees Paid for Anesthesia Services practice management

ASA Survey Results for Commercial Fees Paid for Anesthesia Services practice management practice management ASA Survey Results for Commercial Fees Paid for Anesthesia Services 2013 Stanley W. Stead, M.D., M.B.A Sharon K. Merrick, M.S., CCS-P Thomas R. Miller, Ph.D., M.B.A. ASA is pleased

More information

Medicaid: Current Challenges and Future Prospects

Medicaid: Current Challenges and Future Prospects Medicaid: Current Challenges and Future Prospects Diane Rowland, Sc.D. Executive Vice President, Henry J. Kaiser Family Foundation Executive Director, Kaiser Commission on Medicaid and the Uninsured The

More information

IMPROVING THE QUALITY OF CARE IN SOUTH CAROLINA S MEDICAID PROGRAM

IMPROVING THE QUALITY OF CARE IN SOUTH CAROLINA S MEDICAID PROGRAM IMPROVING THE QUALITY OF CARE IN SOUTH CAROLINA S MEDICAID PROGRAM VICE PRESIDENT, PUBLIC POLICY & EXTERNAL RELATIONS October 16, 2008 Who is NCQA? TODAY Why measure quality? What is the state of health

More information

BEST PRACTICES IN LIFESPAN RESPITE SYSTEMS: LESSONS LEARNED & FUTURE DIRECTIONS

BEST PRACTICES IN LIFESPAN RESPITE SYSTEMS: LESSONS LEARNED & FUTURE DIRECTIONS BEST PRACTICES IN LIFESPAN RESPITE SYSTEMS: LESSONS LEARNED & FUTURE DIRECTIONS September 12, 2012 PRESENTERS: Greg Link, MA Program Officer Administration for Community Living U.S. Administration on Aging

More information

Center for Clinical Standards and Quality /Survey & Certification

Center for Clinical Standards and Quality /Survey & Certification TO DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop C2-21-16 Baltimore, Maryland 21244-1850 Center for Clinical Standards and Quality /Survey

More information

Options Counseling in and NWD/ADRC System National, State & Local Perspectives

Options Counseling in and NWD/ADRC System National, State & Local Perspectives Options Counseling in and NWD/ADRC System National, State & Local Perspectives Introductions Joseph Lugo, Administration on Community Living Sara Tribe, NASUAD Maurine Strickland, Wisconsin Barbara Diehl,

More information

States Roles in Rebalancing Long-Term Care: Findings from the Aging Strategic Alignment Project

States Roles in Rebalancing Long-Term Care: Findings from the Aging Strategic Alignment Project States Roles in Rebalancing Long-Term Care: Findings from the Aging Strategic Alignment Project Linda S. Noelker, PhD Katz Policy Institute Benjamin Rose Institute on Aging 11900 Fairhill Road, Suite 300

More information

Comprehensive Care for Joint Replacement (CJR) Readiness Kit

Comprehensive Care for Joint Replacement (CJR) Readiness Kit Comprehensive Care for Joint Replacement (CJR) Readiness Kit Contents CMS Announces Shift From Volume To Value...2 Top Things To Know About CJR Final Rule...3 Proposed Timeline For CJR...4 Who Is Impacted?...5

More information

ASA Survey Results for Commercial Fees Paid for Anesthesia Services payment and practice manaement

ASA Survey Results for Commercial Fees Paid for Anesthesia Services payment and practice manaement payment and practice manaement ASA Survey Results for Commercial Fees Paid for Anesthesia Services 2015 Stanley W. Stead, M.D., M.B.A. Sharon K. Merrick, M.S., CCS-P ASA is pleased to present the annual

More information

NEWS RELEASE. Air Force JROTC Distinguished Unit Award. MAXWELL AIR FORCE BASE, Ala. Unit OK at Union High School, Tulsa OK, has been

NEWS RELEASE. Air Force JROTC Distinguished Unit Award. MAXWELL AIR FORCE BASE, Ala. Unit OK at Union High School, Tulsa OK, has been Union High School 6616 S. Mingo Rd Tulsa OK 74133 NEWS RELEASE Air Force JROTC 2010-2011 Distinguished Unit Award MAXWELL AIR FORCE BASE, Ala. Unit OK-20012 at Union High School, Tulsa OK, has been selected

More information

Prescription Monitoring Programs - Legislative Trends and Model Law Revision

Prescription Monitoring Programs - Legislative Trends and Model Law Revision Prescription Drug Monitoring Programs Training and Technical Assistance Center Webinar Series National Alliance for Model State Drug Laws: Legislative Round-Up July 22, 2015 Prescription Monitoring Programs

More information

NATIONAL GUARD BUREAU OFFICE OF SMALL BUSINESS PROGRAMS. Panelist: Dr. Donna Peebles Associate Director

NATIONAL GUARD BUREAU OFFICE OF SMALL BUSINESS PROGRAMS. Panelist: Dr. Donna Peebles Associate Director The National Guard Association of the United States 18 th Annual Industry Day NATIONAL GUARD BUREAU OFFICE OF SMALL BUSINESS PROGRAMS http://www.nationalguard.mil http://www.sellingtoarmy.info Panelist:

More information

Diversifying AAA/ADRCs Funding Streams: How states and their local partners can draw down federal Medicaid Administrative Match for ADRC/NWD Systems

Diversifying AAA/ADRCs Funding Streams: How states and their local partners can draw down federal Medicaid Administrative Match for ADRC/NWD Systems Diversifying AAA/ADRCs Funding Streams: How states and their local partners can draw down federal Medicaid Administrative Match for ADRC/NWD Systems July 30, 2017 n4a Conference Agenda What is the value

More information

Patient-Centered Primary Care

Patient-Centered Primary Care Patient-Centered Primary Care Greg Moody, Director Office of Health Transformation July 30, 2014 www.healthtransformation.ohio.gov Agenda 1. Health System Challenges 2. Health System Trends in Primary

More information

Understanding Medicaid: A Primer for State Legislators

Understanding Medicaid: A Primer for State Legislators Understanding Medicaid: A Primer for State Legislators Introduction This booklet summarizes key elements of the Medicaid program, including basic answers to questions about the design and cost of the

More information

Figure 10: Total State Spending Growth, ,

Figure 10: Total State Spending Growth, , 26 Reason Foundation Part 3 Spending As with state revenue, there are various ways to look at state spending. Total state expenditures, obviously, encompass every dollar spent by state government, irrespective

More information

Medicaid Innovation Accelerator Project

Medicaid Innovation Accelerator Project Medicaid Innovation Accelerator Project 2016-2017 Technical Expert Panel In-Person Meeting Community Integration Community-Based Long-Term Services and Supports Breakout Session April 18-19, 2017 Community

More information

NCCP. National Continued Competency Program Overview

NCCP. National Continued Competency Program Overview NCCP National Continued Competency Program Overview State Recertification Model Use CA OR WA NV ID UT MT WY CO ND SD NE KS MN IA MO WI IL MI OH IN KY WV PA VA NY NH VT NJ DE MD ME RI CT MA AZ NM OK AR

More information

Advancing Self-Direction for People with Head Injuries

Advancing Self-Direction for People with Head Injuries Vermont Department of Disabilities, Aging and Independent Living Advancing Self-Direction for People with Head Injuries NASHIA SOS Conference Des Moines, IA September 27, 2018 Sara Lane Vermont Department

More information

DoD-State Liaison Update NCSL August 2015

DoD-State Liaison Update NCSL August 2015 UNITED STATES DEPARTMENT OF DEFENSE DoD-State Liaison Update NCSL August 2015 Mr. Thomas Hinton On Behalf of Dr. Tom Langdon Director, State Liaison and Educational Opportunity Office of the Deputy Assistant

More information

2017 STSW Survey. Survey invitations were sent to 401 STSW members and conference registrants. 181 social workers responded.

2017 STSW Survey. Survey invitations were sent to 401 STSW members and conference registrants. 181 social workers responded. 2017 STSW Survey Survey invitations were sent to 401 STSW members and conference registrants. 181 social workers responded. Years Employed 30% As a social worker As a transplant social worker 20% 10% 0-2

More information

Patient Centered Medical Home Foundation for Accountable Care

Patient Centered Medical Home Foundation for Accountable Care Patient Centered Medical Home Foundation for Accountable Care Outline of Presentation History and tenants of the patient-centered care and PCMH model Defining, measuring, recognizing, and evaluating the

More information

The Legacy of Sidney Katz: Setting the Stage for Systematic Research in Long Term Care. Vincent Mor, Ph.D. Brown University

The Legacy of Sidney Katz: Setting the Stage for Systematic Research in Long Term Care. Vincent Mor, Ph.D. Brown University The Legacy of Sidney Katz: Setting the Stage for Systematic Research in Long Term Care Vincent Mor, Ph.D. Brown University A Half Century of Ideas Most Scientists don t have a single field changing idea

More information

NC TIDE 2016 Fall Conference November 14, Department of Health and Human Services NC Medicaid Reform Update

NC TIDE 2016 Fall Conference November 14, Department of Health and Human Services NC Medicaid Reform Update NC TIDE 2016 Fall Conference November 14, 2016 Department of Health and Human Services NC Medicaid Reform Update Agenda National Medicaid Landscape Medicaid Transformation in NC 1115 Waiver Process NC

More information

The Journey to Meaningful Use: Where we were, where we are, and where we may be going

The Journey to Meaningful Use: Where we were, where we are, and where we may be going The Journey to Meaningful Use: Where we were, where we are, and where we may be going June 27, 2013 Matthew Stanford, WHA Louis Wenzlow, RWHC 1 Where have we been? When HIT Adop on Meaningful Use Adoption

More information

Home Health Agency (HHA) Medicare Margins: 2007 to 2011 Issue Brief July 7, 2009

Home Health Agency (HHA) Medicare Margins: 2007 to 2011 Issue Brief July 7, 2009 Home Health Agency (HHA) Medicare Margins: 2007 to 2011 Issue Brief July 7, 2009 Dobson DaVanzo & Associates, LLC (www.dobsondavanzo.com) was commissioned by the LHC Group to conduct a margin study for

More information

FHWA Office of Innovative Program Delivery Mission

FHWA Office of Innovative Program Delivery Mission Idaho Asphalt Conference Moscow, Idaho October 26, 2017 Center for Accelerating Innovation FHWA Office of Innovative Program Delivery Mission Improve transportation performance by driving innovation into

More information

2016 Edition. Upper Payment Limits and Medicaid Capitation Rates for Programs of All-Inclusive Care for the Elderly (PACE )

2016 Edition. Upper Payment Limits and Medicaid Capitation Rates for Programs of All-Inclusive Care for the Elderly (PACE ) 2016 Edition Upper Payment Limits and Medicaid Capitation Rates for Programs of All-Inclusive Care for the Elderly (PACE ) R ABSTRACT The Program of All-Inclusive Care for the Elderly (PACE ) is a federal

More information

Transforming Payment for a Healthier Ohio

Transforming Payment for a Healthier Ohio Transforming Payment for a Healthier Ohio Greg Moody, Director Governor s Office of Health Transformation Legislative Joint Medicaid Oversight Committee August 20, 2014 www.healthtransformation.ohio.gov

More information

Rebates & Incentives - WTF. Lee Guthman February 28, 2012

Rebates & Incentives - WTF. Lee Guthman February 28, 2012 Rebates & Incentives - WTF Lee Guthman February 28, 2012 1 The dilemma we face 2 Who is GreenOhm? Mainstream benefits of energy efficient products and services Drive purchasing behavior for energy efficient

More information

The 2015 National Workforce Survey Maryland LPN Data June 17, 2016

The 2015 National Workforce Survey Maryland LPN Data June 17, 2016 1. What is your gender? n=644.9 Male 10.1% Female 89.9% The 2015 National Workforce Survey Maryland LPN Data June 17, 2016 2. What is your race/ethnicity? (Mark all that apply) n=682.4 American Indian

More information

Episode Payment Models:

Episode Payment Models: Episode Payment Models: Cardiac Bundle Initiative HFMA Florida Chapter (North Florida) October 25, 2016 Robert Howey MBA, MHA, CPA Revenue Cycle Manager 2016 MFMER slide-1 Objective After the session,

More information

Current and Emerging Rural Issues in Medicare

Current and Emerging Rural Issues in Medicare Current and Emerging Rural Issues in Medicare Captain Corinne Axelrod, MPH, L.Ac., Dipl.Ac. Senior Health Insurance Specialist Centers for Medicare and Medicaid Services Center for Medicare, Hospital and

More information

State roles & responsibilities in Medicaid managed long-term care

State roles & responsibilities in Medicaid managed long-term care State roles & responsibilities in Medicaid managed long-term care Andrea Maresca Director of Federal Policy and Strategy April 24, 2012 Agenda Core State Managed Care Design Considerations Plan Payment

More information

ASA Survey Results for Commercial Fees Paid for Anesthesia Services payment and practice management

ASA Survey Results for Commercial Fees Paid for Anesthesia Services payment and practice management payment and practice management ASA Survey Results for Commercial Fees Paid for Anesthesia Services 2016 Stanley W. Stead, M.D., M.B.A Sharon K. Merrick, M.S., CCS-P ASA is pleased to present the annual

More information

SPACE AND NAVAL WARFARE SYSTEMS COMMAND

SPACE AND NAVAL WARFARE SYSTEMS COMMAND SPACE AND NAVAL WARFARE SYSTEMS COMMAND Feb 06, 2018 WEST 2018 Rear Admiral C. D. Becker Commander, Space and Naval Warfare Systems Command DISTRIBUTION STATEMENT A: Approved for public release, distribution

More information

MEMORANDUM Texas Department of Human Services * Long Term Care/Policy

MEMORANDUM Texas Department of Human Services * Long Term Care/Policy MEMORANDUM Texas Department of Human Services * Long Term Care/Policy TO: FROM: LTC-R Regional Directors Section/Unit Managers Marc Gold Section Manager Long Term Care Policy State Office MC: W-519 SUBJECT:

More information

MapInfo Routing J Server. United States Data Information

MapInfo Routing J Server. United States Data Information MapInfo Routing J Server United States Data Information Information in this document is subject to change without notice and does not represent a commitment on the part of MapInfo or its representatives.

More information

Pain Advocacy: A Social Work Perspective THANK YOU! First Things First. Incidence of Pain

Pain Advocacy: A Social Work Perspective THANK YOU! First Things First. Incidence of Pain Pain Advocacy: A Social Work Perspective Yvette Colón, PhD, ACSW, LMSW 2015 Conference on Pain October 20, 2015 First Things First THANK YOU! Incidence of Pain >100 million people with chronic pain >25

More information

February 26, Dear State Health Official:

February 26, Dear State Health Official: DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, MD 21244-1850 SHO #16-002 February 26, 2016 Re: Federal Funding for

More information

2016 STSW Survey. Survey invitations were sent to all STSW members and 2016 conference registrants. 158 social workers responded.

2016 STSW Survey. Survey invitations were sent to all STSW members and 2016 conference registrants. 158 social workers responded. 2016 STSW Survey Survey invitations were sent to all STSW members and 2016 conference registrants. 158 social workers responded. Years Employed 30% As a social worker As a transplant social worker 20%

More information

Director, Army JROTC Program Overview

Director, Army JROTC Program Overview U.S. Army Cadet Command Director, Army JROTC Program Overview Motivating young people to be better citizens 1 U.S. Army Cadet Command Motivating Young People to be Better Citizens Acronyms AI Army Instructor

More information

Army Aviation and Missile Command (AMCOM) Corrosion Program Update. Steven F. Carr Corrosion Program Manager

Army Aviation and Missile Command (AMCOM) Corrosion Program Update. Steven F. Carr Corrosion Program Manager Army Aviation and Missile Command (AMCOM) Corrosion Program Update Steven F. Carr Corrosion Program Manager Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the collection

More information

Mr. Bradley D. Taylor, Assistant Director SECNAV http://smallbusiness.navy.mil Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the collection of information is estimated

More information

The Current State of CMS Payfor-Performance. HFMA FL Annual Spring Conference May 22, 2017

The Current State of CMS Payfor-Performance. HFMA FL Annual Spring Conference May 22, 2017 The Current State of CMS Payfor-Performance Programs HFMA FL Annual Spring Conference May 22, 2017 1 AGENDA CMS Hospital P4P Programs Hospital Acquired Conditions (HAC) Hospital Readmissions Reduction

More information

ACRP AMBASSADOR PROGRAM GUIDELINES

ACRP AMBASSADOR PROGRAM GUIDELINES ACRP AMBASSADOR PROGRAM GUIDELINES The Airport Cooperative Research Program (ACRP) is an industry-driven, applied research program that develops near-term, practical solutions to problems faced by airport

More information

The Affordable Care Act and Its Potential to Reduce Health Disparities Cara V. James, Ph.D.

The Affordable Care Act and Its Potential to Reduce Health Disparities Cara V. James, Ph.D. The Affordable Care Act and Its Potential to Reduce Health Disparities Cara V. James, Ph.D. Director, Office of Minority Health Centers for Medicare & Medicaid Services April 22, 2013 The Affordable Care

More information