Agenda Personnel Update Deb Fournier Enrollment Data Deb Fournier - - PDF document

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MCM Commission

August 11, 2016 ATECH Services 57 Regional Drive Concord, NH NH Department of Health and Human Services

Agenda

• Personnel Update – Deb Fournier
• Enrollment Data – Deb Fournier
• Initiatives – Deb Fournier
• Financial Framework for Managed Care

Programs – John Meerschaert, Milliman

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Source: NH MMIS as of 8/2/16 for most current period; Data subject to revision.

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NH Medicaid Enrollment by Program, 8/1/16

Notes: Members are open for services as of the point in time as of the source date. Data excludes members without full Medicaid benefits (Family Planning Only & Medicare Savings Plans). Non-MCM/PAP includes members transitioning into MCM or PAP, members exempt from both programs, including members with employer-based insurance purchased by Medicaid through the Health Insurance Premium Program.

NH Healthy Families, 62,067 Well Sense, 73,674 PAP, 40,392 Non-MCM/PAP, 8,147 MCM, 135,741

Initiatives

• DSRIP
• SB 553 Step 2 Managed Care Implementation

Planning

• Budget Development

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Questions?

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