Dual Eligibles and State Innovations in Care Management
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1 Dual Eligibles and State Innovations in Care Management Ann Kohler, Director of Health Services National Association of State Medicaid Directors American Public Human Services Association Ext. 2299
2 Caring for Dual Eligibles - Costs 7.5 million adults are dually eligible for Medicaid and Medicare services Dual eligible population 18% of Medicaid beneficiaries, yet drives 46% of total spending Dual eligibles have lower incomes and are sicker than other Medicare beneficiaries Dual eligibles have significant medical, behavioral, long-term care, and social needs
3 Challenges in Integrating Care States need more flexibility to integrate acute and long-term care benefits for dual eligibles States need stronger fiscal incentives State need tools to enroll dual eligibles into an integrated care management plan States often don t see large portion of overall savings Senate Finance Committee s health reform policy paper includes a proposal to improve integration
4 Considerations for Integrating Care Special Needs Plans Gain sharing programs Medicaid Duals Demonstrations which would be authorized under health care reform Research & Demonstration Projects
5 Strategies for Reducing Cost of Care Disease management programs Chronic care management Care coordination Managed care programs Medical home model Integrated health care delivery systems
6 States Laboratories for Innovation Over half of the Nation s States have implemented Medicaid care management programs Washington and Tennessee are among the states that have innovative approaches with care management
7 Washington - Chronic Care Management Disease Management program pilot in 2002 Launched Washington Medicaid Integration Partnership in 2005 Introduced Medicare-Medicaid Integration Project in 2005 Medicaid Disease Management pilot ended in 2006 and Washington began developing the Chronic Care Management Program The Chronic Care Management Program was launched in Jan 2007
8 Washington- Chronic Care Management Pairs techniques refined from Disease Management program with a predictive modeling tool that identifies high risk beneficiaries Provides case management, education and support, and assistance accessing health resources Contract with two vendors: A local care management program that provides medical home and care management services in a limited area and a statewide vendor responsible for the modeling tool who also provides telephonic disease management and care management services
9 Care Management Activities Screening/Assessment of risk factors including health status, compliance with treatment plan and medications, and individual needs Development of personalized care plans that include a focus on self-management skills Linkage to a medical home Referrals to medical, mental health and substance use service providers as needed Referrals to other social services as needed
10 Washington- Successful Approach Washington has experienced early success with program implementation Washington s efforts continue to evolve State remains flexible and is open to exploring additional program options Interested in expanding the local care management model to other areas
11 Tennessee TennCare Managed Care All Full Benefit Dual Eligibles (FBDEs) are enrolled in a TennCare managed care plan that offers primary care, acute care, and behavioral health care There are two fully capitated, at risk plans that serve each of the three grand divisions of the state Medicare benefits are provided by Medicare TennCare benefits that are not covered by Medicare (e.g., hospital days in excess of the Medicare limit) are provided by a TennCare managed care contractor (MCC) Medicare crossover payments are handled by the state
12 Tennessee Disease/Care Management All MCOs are required to offer 9 separate Disease Management programs (diabetes, congestive heart failure, major depression, coronary artery disease, etc.) Programs must use evidence-based clinical practice guidelines Enrollees are identified for Disease Management according to diagnoses, then risk-stratified to determine intensity of interventions
13 Tennessee New CHOICES Program Tennessee has requested permission to integrate long-term care for elderly and disabled individuals into its Section 1115 managed care program which will be called CHOICES TennCare enrollees who qualify for long-term care, including dual eligibles, will have access to more community-based options under the CHOICES program The state has been in discussions with CMS about this program since July 2008 Implementation is scheduled to begin in one region of the state within 6 months after CMS approval
14 Tennessee Looking Ahead When CHOICES is implemented, Tennessee will be the only state in the country to have its physical health care, mental health care, and long-term care (for elderly and disabled persons) integrated into one program Enrollees will be served by a single MCO for all services except pharmacy Tennessee has just been approved to receive duals Part A and Part B claims data for quality improvement activities data will be delivered as part of a new COBA agreement with CMS
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