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Accountable Care Collaborative Phase II

Accountable Care Collaborative Phase II. Presented by: Emily Berry, MPH. HCPF Mission. Long-Term Vision. Moving toward more coordinated and integrated care that increasingly rewards improved health. Accountable Care Collaborative. Improve Health and Reduce Costs.

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Accountable Care Collaborative Phase II

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  1. Accountable Care Collaborative Phase II • Presented by: Emily Berry, MPH

  2. HCPF Mission

  3. Long-Term Vision Moving toward more coordinated and integrated care that increasingly rewards improved health

  4. Accountable Care Collaborative Improve Health and Reduce Costs Ensure Members have a focal point of care. In the ACC, this is referred to as a Primary Care Medical Provider (PCMP). Medical Home Health First Colorado Members have complex needs and are served by multiple systems. Regional umbrella organizations help to coordinate across systems. Regional Coordination Members, providers and the system receive the data needed to make real-time decisions that improve care, increase coordination of services and improve overall efficiencies. Data

  5. Regional Accountable Entity Per Member/ Per Month Behavioral Health Capitation

  6. Regions

  7. Total Medicaid Caseload January 2019 Data pulled February 2019

  8. ACC Enrollment by RAE Data pulled February 2019

  9. PCMPs by Type Data pulled February 2019

  10. Strengthen Coordination of Services • Population Health Management • Health Neighborhood and Community • Increase PCMP standards • Enhance RAE Authority to support activities

  11. Promote Member Choice and Engagement • Immediate Enrollment • Choice of PCMP • PCMP Selection Drives RAE Assignment • Health Needs Survey • Behavioral Health Services in Primary Care

  12. Pay for Increased Value • Pay for Performance • Key Performance Indicators • Behavioral Health Incentives • Flexible Funding Pool • Increased RAE Flexibility • Alignment with Alternative Payment Model

  13. Greater Accountability and Transparency • Increase Financial Transparency and Reporting • Utilization Management • Provider Network Decisions • Conflict of Interest in Governance • Financial Reporting • Increase Funding Tied to Value • Matrix Team Management

  14. RAE Contacts

  15. Questions? For more information go to: CO.gov/HCPF/ACCPhase2

  16. Contact Information • Emily Berry, MPH • ACC Program Specialist • Emily.Berry@state.co.us

  17. Thank You!

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