▪ . 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
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Michigan’s Voices for Better Health Project
Chaney, Michigan Disability Rights Coalition
Ayesha Ghazi, Michigan Consumers for Healthcare
Alison Hirschel, Michigan Poverty Law ProgramSlide2
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 ProposalSlide3
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 ProjectSlide4
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 ProjectSlide5
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 CoalitionSlide6
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 CoalitionSlide7
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 PrioritiesSlide8
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
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
Ayesha Ghazi, firstname.lastname@example.orgRoAnne Chaney, email@example.comAlison Hirschel, firstname.lastname@example.org
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