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State Approaches to Medicaid Disease Management Ben Wheatley Senior Manager, AcademyHealth

State Approaches to Medicaid Disease Management Ben Wheatley Senior Manager, AcademyHealth National Disease Management Summit Baltimore, Maryland (May 12, 2003). States Seeking Solutions for Medicaid. States facing significant budget shortfalls

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State Approaches to Medicaid Disease Management Ben Wheatley Senior Manager, AcademyHealth

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  1. State Approaches to Medicaid Disease Management Ben Wheatley Senior Manager, AcademyHealth National Disease Management Summit Baltimore, Maryland (May 12, 2003)

  2. States Seeking Solutions for Medicaid • States facing significant budget shortfalls • DM one of the few policy options that potentially will improve quality while also containing costs • Other options include: cutting provider payments, covered services, and program eligibility • DM targets high-cost, chronically ill enrollees that are driving spending increases

  3. Increasing Medicaid Expenditures… Declining Tax Revenues 10% 11.7% 7% 3.7% 0 1998 1999 2000 2001 2002* -10% Source: Kaiser Commission Survey of Medicaid Officials (2002); and National Association of State Budget Officers (March 2002).

  4. Medicaid Disease Management: EARLY ADOPTERS

  5. Medicaid Disease Management Programs: 2003 Source: Centers for Medicare and Medicaid Services, Division of Benefits, Coverage, and Payment (May 2003) Title here

  6. Medicaid Disease Management Programs: FLORIDA • Medicaid PCCM (MediPass) • 9 diseases selected • Risk-based contracts with DM vendors • Projected savings: $113 million (1998-2001) • May 2001: Audit critical of “sluggish” program • June 2001: Pfizer agreement

  7. Florida’s Evaluation Findings (June 2001) NS=Not statistically significant *** P < (.0001) ** P < (.001) * P < (.05)

  8. Alternative Approaches: In-House Models North Carolina: Access II & III West Virginia: Seeking federal waiver to pay Certified Diabetes Educators (CDEs) directly for patient education services Mississippi: Medicaid payments to pharmacists for patient education and care coordination (state also moving to comprehensive, vendor-based DM model)

  9. Outsourced Models Washington: Population-based program with savings guarantees Colorado: Targeted program with no savings guarantees

  10. Key Challenges Identified • Working with state data systems • Estimating accurate spending baselines • Measuring program effects given rapidly changing Medicaid environment • Ensuring adequate savings for states • Building physician support and participation • Managing multiple comorbidities • Adapting DM programs to Medicaid population

  11. Initial Findings on Disease Management • States officials believe DM programs improve care quality and patient satisfaction • Budgeting for immediate savings can be hazardous • Making savings determinations can consume significant state resources and involves many uncertainties • Some states seeking third way in make vs. buy decision • Programs should work to alleviate, not contribute to, an already complex and fragmented care system

  12. Contact Information Ben Wheatley Senior Manager AcademyHealth (202) 292-6735 benjamin.wheatley@academyhealth.org Website: statecoverage.net

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