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Building Bridges and Advancing Partnerships with Beneficiary Communities
Carol Regan Senior Advisor, Voices for Better Health SNP Alliance Washington, DC March 30, 2015
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About Community Catalyst
Non-profit health care advocacy organization Network of advocates in 40+ states Building advocacy infrastructure Leading broad-based issue campaigns Incubated nationally-recognized delivery system © 2015
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Voices for Better Health
Advance policies that require coordinated, patient-centered care that allows Medicare- Medicaid beneficiaries to have a better quality of life Establish a strong voice for Medicare- Medicaid beneficiaries and caregivers in the health plans and provider groups that serve them © 2015
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The Opportunity Fewer hospital readmissions
Integration of long-term services and supports Better overall function Greater autonomy, dignity and independence Smart cost containment Reduce health disparities © 2015
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So Far… © 2015
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Olivia’s Story © 2013 © 2015
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Jane’s story © 2015
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Voices for Better Health Supports Change
We weigh in with policymakers We support advocates in six states We develop tools to help plans and provider groups meaningfully engage with their members We work with geriatric providers to make sure the demos include proven models of care for older adults We work with allies across the country for consumer protections and involvement © 2015
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Person-Centered Model of Care
Geriatrics-Competent Care webinars Training nurse case managers on geriatrics best practices Plans/Providers/Consumer workgroup © 2015
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Positive Signs Many positive design features
Comprehensive assessment Interdisciplinary care team Care coordination Self-determination option Continuity of care provisions Consumer advisory committees Course corrections as needed © 2015
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Challenges Enrollment Provider outreach/education Continuity of care
Ombudsman outreach State capacity Cultural competence © 2015
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Takeaways System before the demonstrations is unsustainable
Coordinated care can provide better care at lower costs over the long run; no quick fixes The demonstrations are works in progress Robust federal and state oversight is essential Ongoing consumer engagement is key Data/transparency Build on what works; change what doesn’t We want to work with you © 2015
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Voices for Better Health
Carol Regan Senior Advisor Voices for Better Health Community Catalyst © 2015
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