MCM Commission NH Department of Health and Human Services August 11, 2016 ATECH Services 57 Regional Drive Concord, NH Agenda • Personnel Update – Deb Fournier • Enrollment Data – Deb Fournier • Initiatives – Deb Fournier • Financial Framework for Managed Care Programs – John Meerschaert, Milliman 2 1
NH Medicaid Enrollment by Program, 8/1/16 Non-MCM/PAP, 8,147 NH Healthy Families, 62,067 MCM, 135,741 Well Sense, 73,674 PAP, 40,392 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. 3 Source: NH MMIS as of 8/2/16 for most current period; Data subject to revision. Initiatives • DSRIP • SB 553 Step 2 Managed Care Implementation Planning • Budget Development 4 2
Questions? 5 3
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