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

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 financial resources 2

Objectives • 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

Behavioral Health Integration What have been the successes and challenges of behavioral health integration under ACC Phase II? 4

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 5

Behavioral Health Integration 6

Behavioral Health Integration 7

Care Coordination What have been the successes and challenges of care coordination under ACC Phase II? 8

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 9

Attribution and PMPM Payments How are the new attribution and PMPM Payment policies working? 10

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 11

Data and Analytics How are RAEs and the Department using new data sources and analytics to assess their populations and to develop new interventions? 12

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 • 13

Low and High Value What programmatic changes have brought the lowest and highest value to ACC Phase II? 14

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 15

Program Evolution What are the biggest changes coming in the second year of ACC Phase II? 16

Program Evolution • Care coordination will be more targeted for certain members • Deliverables will be streamlined • Public transparency will increase 17

Thank You! 18