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San Diego Long Term Care Integration Project

San Diego Long Term Care Integration Project. Planning Committee Meeting June 9, 2004. Today’s Discussion. Draft AAP Stakeholder feedback (almost 100) Revised Draft AAP. Today’s Goal. Consensus development To continue development of all 3 options

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San Diego Long Term Care Integration Project

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  1. San Diego Long Term Care Integration Project Planning Committee Meeting June 9, 2004

  2. Today’s Discussion • Draft AAP • Stakeholder feedback (almost 100) • Revised Draft AAP

  3. Today’s Goal • Consensus development • To continue development of all 3 options • To accept Draft AAP as working blueprint to continue planning for HSD+

  4. The “Big Picture” • Network of Care • Physician Strategy • Healthy San Diego Plus

  5. Highlights of Feedback • Physician response to “more managed care” • Care manager “sub-contracting” • Enough $$ in system? (like MassSCO) • Detail, detail, detail (all categories) needed, including TA for potential contractors (State resources?) • CBOs: will $$ go for HCBC? How much? • Mental Health, other specialty svcs included?

  6. Highlights of Revisions • Eliminated “300/mo.” and included elderly disabled • Eliminated planning or recommending “mandatory” • Care management sub-contract: joint development of standards • Clarified need for “systematic” chronic care management

  7. “Challenges” added to AAP • Lack of interest/participation by contractors • Lack of member choice of enrollment into HSD+ • Inability to negotiate w/CMS & DHS in timely manner

  8. “Challenges” (continued) • Actual or perceived insufficient funding • Insufficient provider support across the continuum • Insufficient admin funding $$ for pre-implementation activities

  9. “Challenges” (continued) • Diversion of attention to other opportunities that may present

  10. Consensus Discussion/Development • To continue development of all 3 options • To accept Draft AAP as working blueprint to continue planning for HSD+

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