Tag: DSRIP


Attention HWCLI Members and Partners!


Critical Follow-up to the CBO Planning Grant Application

Thanks to those of you who were able to attend this week’s CBO planning grant follow-up meeting.  For those of you who were unable to attend, I am happy to have a follow-up conversation about the next steps.

HWCLI is applying to lead our regional application for the NYS CBO Planning grant. The state will award each of 3 regional Consortia $2,500,000 for a one year planning initiative to support CBO infrastructure and capacity building in order to participate in the State’s Delivery System Reform Incentive Plan (DSRIP).

Our region includes the Island and  7 counties in Hudson area.

CBO participation in DSRIP, and in the ultimately transformed healthcare delivery system, is critical to ensure input from various communities, to implement  strategies to improve population and community health, and to address the determinants that influence health.

The purpose of the CBO planning grant is the development of financially sustainable infrastructure within community based organizations for value based contracting with performing provider systems.

The grant may only target CBOs that:

  • Have an annual budget of less than $5 million
  • Are not billing Medicaid or planning to bill Medicaid,
  • Are not directly providing health care services, and
  • focus on services to address the social determinants of health for the Medicaid and Medicaid eligible populations

We need your help!!

We are seeking:  Consortium Members.

If you are interested in being part of the regional consortium, please sign the attached MOU agreement and complete the following survey:

https://www.surveymonkey.com/r/HudsonLongIslandCBO

THIS SURVEY IS CRITICAL. IT WILL HELP TO ESTABLISH THE GOALS AND OBJECTIVES for our region, based on the information that you share. 

Please note we anticipate this survey to take 20-30 minutes.

I apologize in advance for the short notice, but we really need the surveys back by Tuesday, July 26th.  THANK YOU FOR YOUR WILLINGNESS TO PARTICIPATE and for your quick response.

Finally: Please plan to join our orientation webinar on Tuesday, July 26 at 10:30 a.m.

No registration is necessary and we’ll follow this message with an Outlook invitation.

Join WebEx meeting

Meeting number: 735 402 299

Join by phone
1-877-668-4493 Call-in toll-free number (US/Canada)
1-650-479-3208 Call-in toll number (US/Canada)
Access code: 735 402 299
Toll-free calling restrictions

The webinar will be a fast paced and highly informative overview— easily understood, interesting, and accessible whether you are well versed in the state’s reform efforts or totally new to the dialogue. It will contextualize the CBO Planning Grant within the context of the State’s goals for achieving and sustaining a system of health care financed by value based payment.

Our speaker, Josh Rubin from Health Management Associates, will:

  • address the national trend toward healthcare financing based on value and quality instead of volume (i.e. value based payment) and provide an overview of the goals for reform, nationally and within NYS
  • address the main elements of “accountable care” delivery and funding that underlie many NYS state initiatives, including the Delivery System Reform Incentive Plan (DSRIP) and explain what is behind changes to Medicaid funding
  • discuss how the resulting flexibility in addressing people’s needs can include flexibility to pay for CBO interventions and programs
  • describe the progression of options for healthcare financing that incentivize systems, like our Performing Provider Systems, to “do better more rapidly, in less traditional ways” and the potential for CBOs to contract directly with managed care providers as well as PPSs and others to do the kinds of things that are currently either under-resourced, lacking in the system, or available only where grants or contracts permit.
  • outline the core challenges faced by human service providers/CBOs in a value based payment system (i.e. the importance of knowing who is being served by the organization, being able to demonstrate need and document services, the importance of demonstrating evidence of CBO effectiveness, the capacity to support the cost of providing care, ability to understand and negotiate contracts, manage fiscal reporting, etc.)

We look forward to hearing from you via the survey and talking with you during the Q and A on Tuesday morning’s webinar.

We look forward to hearing from you!  Please contact us if you have any questions about this exciting opportunity to support our region’s most vulnerable communities.

 

Best,

Gwen O’Shea

President/CEO


Report Proposes VBP model for Children in Medicaid


The Schuyler Center, together with United Hospital Fund, recently released a new report: Value-Based Payment Models for Medicaid Child Health Services, that proposes a new, child-centered approach to value-based payment in Medicaid. The researchers conclude that because of the significant differences in children’s health care utilization compared to adults, a payment model should be used that promotes—and pays for—screening and effective interventions to address psycho-social risks that are not currently widespread in primary care. The report notes that, “Given the increased recognition of how profoundly social determinants of health (including Adverse Childhood Experiences) affect childhood development and adulthood health and social productivity, payment models need to consider how to motivate and support attention in this area.”

Click here for the full report


Advancing Health Through Food Security


The Aspen Institute, an educational and policy studies organization based in Washington, convened a discussion forum on U.S Food Insecurity and Healthcare Costs that examined the policy and economic implications of the short and long term impacts of food insecurity on healthcare costs.   Their recently released report, Advancing Health Through Food Security: A Multi-Sector Approach to Address the Disease Burden and Costs of U.S. Food Insecurity on our Health System, finds that “two critical points must be recognized: first, that food insecurity is rooted in multiple systems (food, employment, economic, social insurance, health, culture, etc.) which should be addressed in parallel; and second, that food insecurity is not only an issue of ‘the poor.’”

The report highlights the intersection between food insecurity, healthcare costs, poverty and health outcomes, and concludes that public and private sectors have an opportunity to collaborate to address these multi-dimensional issues.  Research has clearly shown that hunger is a health issue that has negative effects on health throughout the lifespan.  Food insecurity among children is associated with birth defects, low birth weight, anxiety, and learning difficulties; it is a risk factor for poor nutrition, many diet-related diseases, and poor health in the short-term and long-term.  In addition, for seniors, those who are food insecure have a higher risk of heart attack, asthma, heart failure, and depression.  Available data provides strong evidence that food insecurity is associated with significant healthcare costs. Bread for the World Institute estimates the health-related costs of hunger and food insecurity at approximately $160 billion.

The Aspen Institute finds that effectively tackling food insecurity in the U.S. and its health and healthcare cost implications will require strong public policies, food industry innovations, healthcare engagement, and nonprofit and philanthropic leadership. Recommendations were made in five categories:  1) public policy approaches, 2) food industry leadership, 3) engagement by healthcare organizations, 4) support from nonprofits and foundations, and 5) food security research.

This timely report lends support to the efforts of New York State’s Delivery System Reform Incentive Payment Program (DSRIP) which is designed to restructure the health care delivery system with a goal of reducing avoidable hospital use by 25% over 5 years.  Healthcare organizations and hospital systems will be working towards a community health approach.  Providers and hospital systems are encouraged to work with Community Based Organizations (CBO) to address patients’ social determinants of health.

The Health & Welfare Council of Long Island is a CBO partner with the Suffolk Care Collaborative Preforming Provider Systems (PPS) and the Nassau/Eastern Queens PPS.   HWCLI is engaged in collaborating with local partners to address food insecurity through a variety of innovative outreach and referral methods which align with DSRIP goals and support communities.

For more information about HWCLI’s food programs please contact us at (516)505-4430.

Read the Aspen Institutes full report HERE


Statewide Survey: Community Engagement in DSRIP


Medicaid Matters New York (MMNY), the statewide coalition that advocates on the interests of Medicaid beneficiaries, is conducting a survey to assess the degree to which CBOs are engaged in DSRIP. A link to the survey can be found here, along with more background information about DSRIP.  More information about DSRIP is available here, and you can find out which DSRIP entity is active in your region using this map.

Community-based entities of any type, in any part of New York State, are encouraged to complete the survey. The survey results will be used to help MMNY assess what the needs are around the state for advancing community interests in local DSRIP regions. It will also allow MMNY to conduct state level advocacy to ensure that the DSRIP process engages CBOs in ways that recognize their strengths and address barriers to their participation.

DSRIP is a new health care payment and delivery system being implemented by New York State, which will impact how the State’s over six million Medicaid beneficiaries access health care services and how they experience care. All New Yorkers deserve access to high-quality care and the chance to experience good outcomes, including Medicaid beneficiaries. These significant changes, however, may disengage Medicaid beneficiaries from care if community-based organizations (CBOs) are not included in a meaningful way. Safety net providers and CBOs are rooted in low-income, underserved communities and have a trusted history of service to Medicaid beneficiaries.

Results of this survey will be shared only in the aggregate; individual responses to this survey will not be shared.