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NYCCP Specialty Care Management Improves Outcomes and Costs

NYCCP Specialty Care Management Improves Outcomes and Costs. * 2009 Periodic Reporting Form Analysis. ACT ICM SCM. NYCCP has identified unmanaged populations as a driver of continuing high costs and refocused, community based, specialty care coordination as a component of the solution.

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NYCCP Specialty Care Management Improves Outcomes and Costs

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  1. NYCCP Specialty Care Management ImprovesOutcomes and Costs * 2009 Periodic Reporting Form Analysis

  2. ACT • ICM • SCM NYCCP has identified unmanaged populations as a driver of continuing high costs and refocused, community based, specialty care coordination as a component of the solution. Of Erie and Monroe mental health users, the “top 10% in total cost” represent 63% of Medicaid hospital and residential spending… …yet only a quarter of the “top 10%” were enrolled in available Care Coordination programs Note: Analysis of all 2007 claims for Medicaid recipients 18 or over, with any mental health claim, excluding individuals with any OMRDD or nursing home claim. 3

  3. NYCCP Keys to Success

  4. Recommendations: Specialty Health Homes

  5. Recommended Requirements for Managed Care Organizations (Detailed proposal will be submitted)

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