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CHCS: Engaging Providers in Building Managed Care Delivery Systems

April 17, 2014 by Chris Liu-Beers

NYAPRS Note: Below, an introduction and link to another excellent brief from CHCS. The topic here is one we should be increasingly aware of in NY: how can providers learn to communicate experiences with managed care companies back to policy makers, and how can policy makers facilitate that communication? Collaboration is key in an integrated delivery system, and NY is speeding toward such a system at a rate that can be difficult for busy providers to manage. But learning to navigate the business of care and contracting while using your voice to represent consumers and your practice is invaluable to the feedback inherent to an integrated system. Providers, policy makers, and advocates are equally responsible in setting the stage for those relationships.

 

Learn more about strategies for intervention in managed care policy, and meet the players directly at the NYAPRS Executive Seminar�only a week away! You’ll hear presentations from state policy leads like Medicaid Director Jason Helgerson and Director of Health Insurance Programs for DOH Greg Allen, as well as get to meet-and-greet managed care plans from your area at an evening reception. You can use this seminar to ask questions, build relationships, and begin to use your voice to affect the meaningful policy issues that will form the delivery system of tomorrow. Don’t wait, register now!

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Engaging Providers in Building Managed Care Delivery Systems: Tips for States

 

As states develop managed care programs for individuals who are dually eligible for Medicare and Medicaid or who use long-term services and supports, it is important for states to engage medical, behavioral health, and home- and community-based service providers, as well as hospitals and nursing facilities. Providers can serve as an important channel for communication with state policymakers and administrators about how the managed care program is faring. Providers can help highlight best practices and identify and address issues before problems occur. For programs with voluntary enrollment, providers can serve as champions as well as important sources of information for individuals deciding whether to participate. 

 

This new CHCS brief, developed through support from The Commonwealth Fund and The SCAN Foundation, provides tips to help states engage providers in designing, implementing, and overseeing a managed care delivery system for individuals with complex care needs. 

 

Read the brief >>

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The Center for Health Care Strategies (CHCS) is a nonprofit health policy resource center dedicated to improving health care access and quality. We work with state and federal agencies, health plans, providers, and consumer groups to develop innovative programs that better serve low-income Americans, especially those with complex and high-cost health care needs. 

 

 

Filed Under: eNews Bulletin Updates

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