Phase II Year 1 Discussion Program Improvement Advisory Committee - - PowerPoint PPT Presentation

▶
phase ii
SMART_READER_LITE
LIVE PREVIEW

Phase II Year 1 Discussion Program Improvement Advisory Committee - - PowerPoint PPT Presentation

Nov 18, 2022 178 likes •376 views

Accountable Care Collaborative Phase II Year 1 Discussion Program Improvement Advisory Committee September 18, 2019 1 Our Mission Improving health care access and outcomes for the people we serve while demonstrating sound stewardship of

slide-1
SLIDE 1

Accountable Care Collaborative Phase II

Year 1 Discussion

Program Improvement Advisory Committee

1

September 18, 2019

slide-2
SLIDE 2

Our Mission

Improving health care access and

  • utcomes for the people we serve

while demonstrating sound stewardship of financial

resources

2

slide-3
SLIDE 3
  • Discuss implementation of ACC Phase II for following

topics:

  • Behavioral Health Integration
  • Care Coordination
  • Attribution and Per-Member-Per-Month (PMPM) payments
  • Data and Analytics
  • Low and High Value Programmatic Changes
  • Program Evolution

3

Objectives

slide-4
SLIDE 4

4

Behavioral Health Integration

What have been the successes and challenges of behavioral health integration under ACC Phase II?

slide-5
SLIDE 5

5

Behavioral Health Integration

  • Seen evolution in integration
  • Incentive program and APM requirements
  • Focused elements on SUD integration
  • Certain regions opened independent networks
  • Six short term behavior health visits offered low acuity

access

slide-6
SLIDE 6

6

Behavioral Health Integration

slide-7
SLIDE 7

7

Behavioral Health Integration

slide-8
SLIDE 8

8

Care Coordination

What have been the successes and challenges of care coordination under ACC Phase II?

slide-9
SLIDE 9

9

Care Coordination

  • Remains largely primary care based
  • One community mental health center
  • Nine community-based organizations
  • Built into administrative payment and network strategies
  • Increased performance for providers
  • Transparency and tracking has increased
  • Documentation a challenge and burden
  • Facilitated initial conversations about care coordination

best practices

slide-10
SLIDE 10

10

Attribution and PMPM Payments

How are the new attribution and PMPM Payment policies working?

slide-11
SLIDE 11

11

Attribution and PMPM Payments

  • Policy shifted to automatic and site-based enrollment
  • Support practice-based improvement efforts
  • Challenges occurred in the first two quarters
  • Geo-attribution
  • Members on different panels
  • Payments tailored to practices’ needs
  • Incentive money tied more to systems improvements
slide-12
SLIDE 12

12

Data and Analytics

How are RAEs and the Department using new data sources and analytics to assess their populations and to develop new interventions?

slide-13
SLIDE 13

13

Data and Analytics

  • New data and analytics portal (DAP) went live in Fall

2018

  • New enhancements and layouts
  • Trainings increased to support providers and users
  • Issues occurred with provisioning
  • Increased technical support
slide-14
SLIDE 14

14

Low and High Value

What programmatic changes have brought the lowest and highest value to ACC Phase II?

slide-15
SLIDE 15

15

Low and High Value

  • Program transparency has increased
  • Deliverables, including financials
  • Documentation a challenge and burden
  • Waiver afforded immediate access to services
  • Emphasis on population health has increased
  • RAEs and Department have shared learning spaces
  • Providers and community-based organizations have

greater involvement in governance

  • Program is evolving and iterative
slide-16
SLIDE 16

16

Program Evolution

What are the biggest changes coming in the second year of ACC Phase II?

slide-17
SLIDE 17

17

Program Evolution

  • Care coordination will be more targeted for certain

members

  • Deliverables will be streamlined
  • Public transparency will increase
slide-18
SLIDE 18

Thank You!

18