1 / 7

Introduction to Beacon Health Strategies

Introduction to Beacon Health Strategies. Western Region RBHO County Director’s Meeting. November 21, 2011. Beacon serves 6 million lives in 13 states on behalf of over 50 health pans and State Partners. Medicaid. medicare. Multi-sector. Beacon is NY’s largest public population MBHO .

kalei
Download Presentation

Introduction to Beacon Health Strategies

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Introduction to Beacon Health Strategies Western Region RBHO County Director’s Meeting November 21, 2011

  2. Beacon serves 6 million lives in 13 states on behalf of over 50 health pans and State Partners Medicaid medicare Multi-sector

  3. Beacon is NY’s largest public population MBHO Beacon’s New York Footprint Key New York Business Highlights Working in the Hudson Valley since 1997 7 Health Plan Partners 7,000 Contracted Providers in New York State 2009 Case Management and Quality Improvement partnership with NYCCP/ CCSI and 7 County systems: • Chautauqua, Erie, Genesee, Monroe, Onondaga, Westchester, and Wyoming >30 New York Clinicians Based Locally in NY: • UR, CM and Physician Advisors 642K Medicare SNP SMI/Duals Medicaid

  4. Quality MattersBeacon Consistently Outperforms the State HEDIS/QARR Scores 30 DAY FOLLOW-UP RATE AFTER IP ADMISSION 7 DAY FOLLOW-UP RATE AFTER IP ADMISSION Source: nydoh Source: NY DOH

  5. Engaging community service providers improves care and social well-being % of highest cost spmi members receiving county services Spmi care management program Enrollees 654 704

  6. Beacon engages high risk members using a team-based approach OVERVIEW OF THE WESTCHESTER CARES ACTION PROJECT (CIDP) MEMBER: High risk, multiple chronic diseases, 39% homeless, FFS COMMUNITY-BASED ORGANIZATIONS NETWORK: >29 organizations signed confidentiality agreements and provide referrals OUTREACH PERSONNEL: outreach to club houses, shelters, churches, libraries, parks, etc. CLINICIAN: actively engage clients with initial intake, weekly telephonic coaching, quarterly face to face appointments, re-assessment every 6 months. PEER NAVIGATOR: makes connection to social and medical services, adds credibility, serves as a role model of recovery SOCIAL SUPPORTS MEDICAL APPOINTMENTS HOUSING

  7. RBHO Partnership with CCSI and County Systems will inform Participation in Phase II of the NY’s Medicaid Redesign • Beacon brings managed care preparedness, IT infrastructure and clinical and analytic leadership to its RBHO work • Health Home review and consideration underway • Expanding staff in the Western Region to support provider, County, peer and health plan engagement • Fully operational Jan 1, 2012 • Contact Information: • Jim Spink, Chief Client Officer, BHS jim.spink@beaconhs.com • Mark Deasy, Dir. Account Ops. BHS mark.deasy@beaconhs.com • Chris Mangione, Clinical Mgr, BHS christine.mangione@beaconhs.com • Adele Gorges, Ex Director, NYCCP agorges@ccsi.org

More Related