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Super Utilizer Health Plan/RBHA Collaboration Update

Super Utilizer Health Plan/RBHA Collaboration Update . Reaching across Arizona to provide comprehensive, quality health care for those in need. Common Goals. Short Term Goals Reduction of ED visits by 10% Development of a care management protocol Long Term Goals

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Super Utilizer Health Plan/RBHA Collaboration Update

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  1. Super Utilizer Health Plan/RBHA CollaborationUpdate Reaching across Arizona to provide comprehensive, quality health care for those in need

  2. Common Goals • Short Term Goals • Reduction of ED visits by 10% • Development of a care management protocol • Long Term Goals • Improve provider and member engagement • Development of preventive model

  3. Best Practices • Weekly RBHA/Contractor interdisciplinary meetings • Monthly doctor to doctor intervention with team meetings • Share of real time data • Mutual Care Plan • Providing support services such as vocational rehabilitation, housing specialists, and peer supports • Pediatric Check-Up protocol to coordinate care

  4. Identified Potential Barriers • Awaiting data feed from AHCCCS • Contractors have varying analytical capabilities • Related projects requiring data exchanges • Blind Spot Data provided by AHCCCS • Super Utilizer Data Exchange/Care Coordination between Contractors and RBHAs • Psychotropic Oversight and Monitoring • Lack of a single, standardized process and joint goals for the RBHAs and health plans

  5. American Indian Health Plan(AIHP) • Director Betlach requests that AIHP become an active participant in the Health Plan/RBHA collaborations • Elizabeth Carpiois the new AIHP Care Coordination Leader ( Elizabeth.Carpio@azahcccs.gov ) • All the RBHAs were advised to provide Ms. Carpio with a RBHA contact person by March14th

  6. Next Steps • Ongoing meetings between the RBHAs and health plans are scheduled • Meeting summaries will be presented to AHCCCS and DBHS Executive Management in July, 2014 • It is the expectation that these summaries will include AIHP in the collaborations

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