Robert Moon, MD, Medical Director and Deputy Commissioner Health Systems, Alabama Medicaid Agency presents Patient Care Networks of Alabama at the New Tactics for Building Medical Homes in State Medicaid and CHIP Programs webinar.
2. Overview
Goal: Enhancing quality and efficiency of medical
homes through the use of :
• Coordinated care management networks
• Regional support for medical home maturation
• Regional medical and pharmacy directors
• Regional medical management meetings
• Non punitive provider comparisons
• Provider / medical director engagement in
Agency policy development
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3. Approach
• Lessons learned from North Carolina via Alabama visit
from expert, extensive reading, and site visit to North
Carolina
• Broad based work group to develop our plan
• Road shows and webinars to inform / stimulate
discussion
• Identification of local champions
• Funding based on budgeted shared savings from
existing medical homes
• 3 initial pilots with 3 other areas already requesting
networks
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4. Lessons Learned / Challenges
• Dollars although modest are not insignificant:
Allow room in your budget for the unexpected
• Outreach phase needs to be provided generous
time: It takes time just to have providers begin
to understand what you are trying to do
• Request for proposals (RFP) development is a
team project: This is a wide reaching
development and a lot of perspectives are
required
• North Carolina and NASHP have been very open
with their time to help us
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