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How Safety Net Plans Address Social Determinants of Health How Safety Net Plans Address Social Determinants of Health

How Safety Net Plans Address Social Determinants of Health - PowerPoint Presentation

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How Safety Net Plans Address Social Determinants of Health - PPT Presentation

Margaret A Murray Chief Executive Officer November 2017 About ACAP Mission To strengthen notforprofit Safety Net Health Plans in their work to improve the health of lowerincome and vulnerable populations ID: 658543

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Slide1

How Safety Net Plans Address Social Determinants of Health

Margaret A. Murray, Chief Executive Officer

November 2017Slide2

About ACAP

Mission:

To strengthen not-for-profit Safety Net Health Plans in their work to improve the health of lower-income and vulnerable populations.

Membership: 61 member Safety Net Health Plans cover more than 21 million people in 29 states through Medicaid, Medicare, Marketplaces and other public health coverage programs.

2Slide3

Capitated Managed Care Accounts For Almost Half of All Medicaid Spending

Capitation as a Percentage of All Medicaid Spending, 2000 – 2016

Source:

“Projected Savings of Medicaid Capitated Care: National and State-by-State.”

The Menges Group, 2017.

2016:

$266.8 B

paid via

capitation

$228.6 B

paid via fee-for-service$50.4 B paid via DSH, supplemental payments

3Slide4

Safety Net Health Plans Make Up 41% of All Medicaid Managed Care Plans, Serve 43% of Enrollees

Sources:

HMA Enrollment Data, 2017

ACAP Plan Survey results, 2017

4Slide5

A Path Toward

Alternative Payment Models

5Slide6

Health Care Payment Learning & Action Network. (2017).

Measuring Progress: Adoption of Alternative Payment Models in Commercial, Medicaid, Medicare Advantage, and Fee-for-Service Medicare Programs

[Report].

6

Value-based Payment Framework Using the Health Care Payment

Learning and Action NetworkSlide7

Participants

– 78 plans, 3 FFS states, and FFS Medicare (includes ACAP)

ACAP Plans –

14 participating plans (all lines of business)Lives covered –

245.4 million (84% of national market)

7

Almost 30% of Payments are APMs or Population Based Slide8

ACAP’s Plans are Bridging the Gap

SOCIAL DETERMINANTS

VALUE-BASED PAYMENTS

ACAP Plans

8Slide9

What determines health?

9Slide10

ACAP Plans’ Innovations

Addressing

Social Determinants of Health

10Slide11

11

Housing and

HomelessnessSlide12

Community Care Setting Pilot (CCSP)

Partnership with:

The Institute on Aging (Case Management)

Brilliant Corners (Housing services) Yields 46 percent Cost Savings

“For me, it’s amazing,

this kind of program.”

“The program gave me a place of

my own where I have many friends.”

12Slide13

Cardinal Innovations Healthcare

Transition to Community Living at Cardinal Innovations

The In-Reach Team

Transition TeamHousing and Employment Specialists TeamPost Transition Team

13Slide14

Food Security

14Slide15

Partners with GA Food for the Community-Based Transition of Care Pilot

Pilot includes home-delivered meals

“Building Bridges to Healthy Youth”

Offers nutrition and wellness educational programs targeting parent(s)/caregiver(s) of children and adolescents

15Slide16

Partner with Urban Gleaners to deliver donated food that gets distributed to housing and service buildings

Cooking Matters – Partnership with Oregon Food Bank that offers cooking classes for members

Prenatal Nutrition

Curative Nutrition Program

16Slide17

Employment and Job TrainingSlide18

Life Services –

JobConnect

18Slide19

19

Meg Murray

Chief Executive Officer

202-204-7508

mmurray@communityplans.net

@

safetynetplans

www.communityplans.net

Thank you!