PPT-Measuring the value of managed care interventions

Report Back from Working Group Danie Kolver Background The Council and National Department of Health requested the office to undertake a projects to explore in depth the following issues What is the role of managed care organisations in the medical schemes industry. Medi Cal m anaged care health plans help Medi Cal beneficiaries find doctors pharmacies and health education programs Managed care health plans also offer Care Coordination Ongoing referrals to specialists 24 hour Nurse Advice t elephone services Cu California HealthCare Foundation, “MediCal Facts and Figures: A Program Transforms”, May 2013. http://www.chcf.org/publications/2013/05/medicalfactsfigures Currently, the state contracts wit Quality and Performance Incentivesrimary care providers participating in Patient 1streceive performance profiling reports, including peer comparisons, onvariety of HEDIS and other claimsbased measures 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 . Table: Managed Care Program Features, as of October 2014 Program Name Arizona Health Care Cost Containment System (AHCCCS) Arizona Long Term Care System (ALTCS)* Program TypeMCOMH/SUD PIHPMCO Program MO HealthNet Oversight Committee . May 16, 2017. DSS Communication Efforts. 2. 3. DSS Communication Efforts. Consumer Advisory Committee (CAC). 4. CAC began in 1995 at the inception of Managed . Care. 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. Manhattan DD Council . December. . 10, 2015. MANAGED CARE and NYS. State and Federal Government Policy. MRT Mandate. All Medicaid in Managed Care, Except I/DD. National Track Record for I/DD. Implications for Individuals and Families. 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. Frequently Asked Questions HCA 19-039 (11/19) What is Washington Apple Health managed care? Managed care is a term used to describe the health care organizations and plans that provide medical ser 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 PHYSICIAN SATISFACTIONEvolving Dissatisfaction Among Primary Care PhysiciansBruce E. Landon, MD, MBA; Robert Aseltine, Jr, PhD; James A. Shaul, MHA; ael Miller, MBA; Bruce A. Auerbach, MD; and Paul D 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.