PPT-Medicaid Payment and Delivery Reform: Lessons from Managed Care Initiatives in 10 Medicaid

Sara Rosenbaum JD March 8 2017 Background With total Medicaid enrollment approaching 75 million high interest in delivery and payment reform Managed care serves as the principal means for health care organization delivery and payment within the Medicaid program increasingly across all beneficiary populations. Lessons, advice, and warnings from California. Vanessa Cajina, Legislative Advocate. Families USA, January 23, 2014. WESTERN CENTER . ON LAW & POVERTY. We made it! Happy January 2014!. First things first:. The Kansas Experience, . From providers, customers and advocates. Audrey Schremmer, Executive Director. Three Rivers Inc., Center for Independent Living . Intro to Centers for Independent Living . CILs’ mission, values, and services promote community living for people with . PRESENTATION BY PAUL SAUCIER. at the NATIONAL ACADEMY FOR STATE HEALTH POLICY 24. TH. ANNUAL CONFERENCE, KANSAS CITY, MISSOURI. OCTOBER 4, 2011. 2. NATIONAL MEDICAID . MANAGED CARE ENROLLMENT, 2009. 2015. Tricia McGinnis and Rob Houston. Center for Health Care Strategies. Value-Based Purchasing Efforts in Medicaid: A National Perspective. Value-Based Purchasing: What Is It?. Value-Based Purchasing . Care. NYS Care Management Coalition. 2015 Annual Training Conference. Andrew. Cleek, . PsyD. Dan Ferris, MPA. Learning Objectives. To Understand. :. The basic principles of Managed Care as a payment vehicle for health care services. Senior Consultant. Medicaid Managed Care. Trends and Opportunities. About Sellers Dorsey. Sellers Dorsey is a national healthcare consulting firm that navigates the ever-changing landscape within the public and private sector. Together with its clients, Sellers Dorsey realizes opportunities that enhance the bottom-line and ultimately improve the lives of people.. Produced by the Medicaid Data Analytics – Business Intelligence Unit. Presented by Rachel La Croix, Medicaid Quality Bureau. Florida Medicaid – Snapshot. Florida Medicaid currently serves 3,916,609 enrollees.. Payments for Services Provided in Managed . Care. 1. 2. INTRODUCTION TO Medicaid managed care – THE 3 players . FOR SUPPLEMENTAL PAYMENT PURPOSES. The State - enters into a contract with the managed care entity to arrange for the delivery of Medicaid managed care services. June . 10 - 11. , 2013. California ICD-10 . Site Visit . Training segments to assist the . State of California with . ICD-10 Implementation. Background. Cost Containment. Managed Care as a Policy Instrument. Rev 9/15Health and Recovery Plans HARPsA new kind of Medicaid Managed Care plan called a Health and Recovery Plan HARPwill provide more services for people with serious mental health and substance use A Framework for Cost-Conscious, Quality Care. Joan . Alker. . Tricia Brooks. Sarah Somers. Kelly Whitener. Ruth Kennedy. CCF Annual Conference 2015. Today. What we’ll talk about….. Consumer Information. 1 Continuity of Coverage as States Resume Normal Eligibility and Enrollment Operations ARCHPDATE This communication was printed, published, or produced and disseminated at U.S. taxpayer expense. The i Medicaid cases. Share. of Medicaid Population Covered Under Managed Care in 2020. State. Rank. Managed. Care (%). Pennsylvania. 9. 95.2%. Kentucky. 12. 94.3%. Michigan. 13. 93.8%. OHIO. 26. 86.6%. National. Primary Care Development Corporation. Leadership Advisory Council. June 30, 2015. Jason A. Helgerson. New York State Medicaid Director. Overview. Background and . B. rief . H. istory. Delivery System Reform and Payment Reform: two sides of the same coin.