Michigan’s Voices for Better Health Project

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2015-09-18 43K 43 0 0

Michigan’s Voices for Better Health Project - Description

▪ . RoAnne. Chaney, Michigan Disability Rights Coalition. ▪ . Ayesha Ghazi, Michigan Consumers for Healthcare. ▪ . Alison Hirschel, Michigan Poverty Law Program. Capitated Model. Four Demonstration Regions in the state affecting 104,000 dually eligible individuals. ID: 132896 Download Presentation

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Michigan’s Voices for Better Health Project




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Presentations text content in Michigan’s Voices for Better Health Project

Slide1

Michigan’s Voices for Better Health Project

RoAnne

Chaney, Michigan Disability Rights Coalition

Ayesha Ghazi, Michigan Consumers for Healthcare

Alison Hirschel, Michigan Poverty Law Program

Slide2

Capitated ModelFour Demonstration Regions in the state affecting 104,000 dually eligible individualsUtilizes a “Care Bridge” to coordinate services between the ICOs (responsible for primary and acute care and long term supports and services) and the PIHPs (responsible for behavioral health care, supports and services).

Michigan’s Integrated Care Proposal

Slide3

RFP issued in July, 2013Proposals received in September, 2013Successful bidders to be announced in next month; readiness review process to start thereafterRFP submitted to CMS this month

Timeline for Michigan’s Demonstration Project

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July 1, 2014—Opt-in begins in Upper Peninsula and Southwest Michigan.Sept. 1, 2014—Passive enrollment begins in Upper Peninsula and Southwest MichiganOct. 1, 2014—Opt-in begins in Wayne and Macomb CountiesJan. 1, 2015—Passive enrollment begins in Wayne and Macomb Counties.

Timeline for Implementation of Michigan’s Demonstration Project

Slide5

Three lead organizations: ♣Michigan Consumers for Healthcare—responsible for project management, communications, and assistance with coalition building.♣Michigan Disability Rights—responsible for consumer engagement and policy advocacy; lead contact with the disability community.♣Michigan Poverty Law Program—responsible for consumer engagement and policy advocacy; lead contact with the aging network.

Michigan Voices for Better Health Coalition

Slide6

Lead organizations are collaborating with two existing coalitions --Michigan Olmstead Coalition and Advocates Concerned about Dual Integration -- as well as the Center for Civil JusticeSeeking to build Advisory Councils in each of the demonstration regions and to collaborate with other advocates, providers, and plans

Michigan Voices for Better Health Coalition

Slide7

On-going, meaningful consumer engagement & involvement throughout planning & implementationSimplified & integrated system of care that is easy to access, culturally competent, and provides continuityContinuous, genuine quality improvement informed by consumer experience and concernsPerson-centered planning and self-determination

MVBH Policy Priorities

Slide8

Promotion of home and community based supports and services Eligibility, enrollment, beneficiary rights, and appeals processes that are easier to use and produce faster, more equitable results than current systems.Establishment of effective ombudsman program to address both individual concerns and systemic issues

MVBH Priorities

Slide9

On-going, intensive policy advocacy with state (and, when appropriate and possible, CMS);Building on existing ICDE advocacy efforts;Grassroots outreach including creating Advisory Councils in each region & developing broader advocacy coalitions; Engaging with health plans and provider networks;Communications & social media

MVBH Strategies

Slide10

Ayesha Ghazi, ayesha@consumersforhealthcare.orgRoAnne Chaney, roanne@mymdrc.orgAlison Hirschel, hirschel@lsscm.org

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