Minnesota

Minnesota is currently involved in both state and federal health reform efforts, nearly all of which are built upon a strong foundation of patient-centered medical home. The development of health care homes in Minnesota is part of the ground-breaking health reform legislation passed in May 2008. The legislation includes payment to primary care providers for partnering with patients and families to provide coordination of care in certified health care homes. In addition, the 2010 Legislature mandated that the Minnesota Department of Human Services (DHS) develop and implement a demonstration testing alternative and innovative health care delivery systems, including accountable care organizations, in the state's Medicaid program. The Integrated Health Partnerships (IHP) demonstration, formerly the Health Care Delivery Systems (HCDS) demonstration, aims to deliver higher quality and lower costs through innovative approaches to care and payment. 

In 2010 Minnesota also established state certification criteria for health care homes and evaluating outcomes. The Health Care Homes program became a multi-payer program with 10 participating commercial payers in addition to Medicaid. Led by the Minnesota Department of Health, all health reform activities and programs are connected to the Health Care Homes program including their Multi-payer Advanced Primary Care Practice (MAPCP) program, the Minnesota eHealth Initiative, and their State Innovation Model grant. The state of Minnesota was also awarded a CMS planning grant for the development of a 2703 health home program. The MAPCP demonstration in Minnesota concluded in December 2014, but was extended through 2016 in six other states. 

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
Yes
2703 Health Home: 
No
CPCi: 
No
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
5,404,600
Uninsured Population:
7%
Total Medicaid Spending FY 2013: 
$8.9 Billion 
Overweight/Obese Adults:
61%
Poor Mental Health among Adults: 
30.1%
Medicaid Expansion: 
Yes 

HealthPartners

HealthPartners is a nonprofit insurer working to improve the health of their members, patients and the community by providing the best care and best experience at a more affordable cost. According to a 2009 industry report, "HealthPartners was the first organization of its type to be recognized as a medical home." Through the HealthPartners BestCare program, the insurer is:

Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans

2015-03-17 13:00 to 14:00

This free Webcast from the Agency for Healthcare Research and Quality (AHRQ) will highlight success stories from Medicaid and Children's Health Insurance Program (CHIP) plans that have scored above the 80th percentile across all core measures in the CAHPS Health Plan Survey. Two top-performing health plans will share how they have achieved high patient experience scores in the areas of access to care, communication with doctors, member information and customer service, and overall health plan ratings. 

Speakers

Register
Announcement Type: 
Webinar
Open Forum

2008 Health Care Reform

This legislation establishes standards for state certification of Health Care Homes and evaluating outcomes. It also requires that Health Care Homes receive care coordination payments from public and private health care purchasers.

Grass-roots network: Community health workers help grow stronger provider-patient ties

on Sat, 2015-02-07 00:00   lisabeth

As a child growing up in Minnesota, Foua Khang helped her immigrant parents and grandparents cope in a place where few people spoke their native Hmong language. 

Now, as a community health worker employed by St. Paul-based HealthEast Care System, she helps those in her Hmong community navigate the complex and confusing U.S. healthcare system, communicate with their providers and meet their daily needs.

Story Date: 
February 7, 2015
News Author: 
Melanie Evans
Source Link: 
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UnitedHealthcare PCMH Program

UnitedHealthcare currently operates 13 medical home programs in 10 states for the commercially insured population  These programs include more than 2,000 participating physicians and 300,000 members. 

The DIAMOND Initiative

The DIAMOND (Depression Improvement Across Minnesota, Offering a New Direction) Initiative was pioneering work to change how care for patients with depression was delivered and paid for in primary care. The DIAMOND model was based on research (more than 37 randomized control trials) and built primarily around the components of the University of Washington AIMS Center’s IMPACT (Improving Mood: Providing Access to Collaborative Treatment) care model.

Hennepin Health

The Hennepin Health care model is anchored by interdisciplinary care coordination teams that are located in primary care clinics. The teams consist of registered nurse care coordinators, clinical social workers, and community health workers. In addition to the primary care–based care coordination and preventive care offered to all patients, these patients often receive ongoing disease management and enhanced support from their care coordination team during care transitions.

Integrated Health Partnerships Initiative

In 2008 Minnesota passed health care legislation to improve affordability, expand coverage and improve the overall health of Minnesotans. In addition, the 2010 Legislature mandated that the Minnesota Department of Human Services (DHS) develop and implement a demonstration testing alternative and innovative health care delivery systems, including accountable care organizations.

Federally Qualified Health Center Urban Health Network (FUHN)

The Federally Qualified Health Center Urban Health Network (FUHN) is an organization of ten Twin Cities Federally Qualified Health Centers (FQHCs) working in partnership with Minnesota’s Department of Human Services on Medicaid health care reform efforts.  These efforts include FUHN’s participation in a Integrated Health Partnership Accountable Care Organization demonstration project with the State of Minnesota.  Through

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