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NC Employer Coalition to Offer Medical Homes
“First in Health” to offer employees option of e-enabled, high-touch care coordination
Raleigh, N.C. – Regardless of where they stand on health care reform, most employers don’t expect health care legislation to lower costs in the near future. That leaves businesses looking for ways to get more value for their health care dollar and move costs toward more sustainable levels. Employees want more time with health care providers and help navigating a complex health care system. Physicians and hospitals want public and private payers to coordinate efforts on quality and health information technology.
Enter “First in Health,” a public-private partnership that will enable private-sector employers to tap into a “medical home” infrastructure created for Medicaid recipients by a nonprofit organization on behalf of the State of North Carolina in the last ten years. “Medical home” is an approach to coordinating healthcare that relies on a patient’s primary care physician to use health information technology, best practices and care managers to coordinate care among a patient’s various health care providers.
Partners in the First in Health effort include
Community Care of North Carolina (CCNC), GlaxoSmithKline (GSK), the
State Health Plan of North Carolina (SHP), local pharmacy chain KERR
DRUG, business analytics company SAS and Blue Cross and Blue Shield of
North Carolina (BCBSNC), the state’s largest health insurer. They are
joining forces to promote medical homes, change the way care is
delivered and demonstrate that increasing the focus on managing chronic
diseases, which account for 75 percent of the nation’s healthcare
spending, can improve outcomes and hold down costs. The partnership,
which is unprecedented in size and scope given CCNC’s network, was
announced today at the annual meeting of the N.C. Institute of Medicine.
[Please see the downloadable document at right for quotes from leaders at First in Health partner organizations.]
CCNC is known for providing the state’s Medicaid program with “on the ground” care management, health information technology infrastructure and population-based health initiatives that have raised quality and saved Medicaid nearly $1.5 billion over just three years. CCNC’s performance is in the top 10 percent nationally in HEDIS measures for diabetes, asthma and heart disease, compared to private Medicaid managed care organizations. Now, private sector companies are joining the effort in hopes of realizing similar quality and cost-saving benefits for employees, their dependents and retirees. The Brookings Institution, a nonprofit public policy organization based in Washington, DC, will evaluate the program’s impact on cost and quality.
First in Health builds on several federal demonstration projects already underway across much of North Carolina including the Beacon Communities program, Medicare 646 waiver and the Multi-payer Advanced Primary Care Practice initiative (MAPCP), a demonstration program of the Centers for Medicare and Medicaid Services (CMS). All of these feature on-the-ground local care managers, population-based initiatives, and a broad cross-section of public and private payers linked by HIT to provide services to 1.1 million North Carolinians.
GSK will begin offering its employees in the North Carolina the option of joining a medical home beginning in January, 2012. Employees from GSK will have the option of adding the First in Health benefit to their existing health benefits. GSK will waive copayments for primary care doctor visits for employees choosing this option and pay participating doctors a “per member, per month” fee for each GSK employee assigned to a medical home. These resources will fund an enhanced level of care coordination including improved HIT and “high-touch” assistance from local care managers.
The State of North Carolina will begin offering employees access to CCNC medical homes in targeted counties in the fall of 2011. SHP plans to offer the option to 400,000 enrollees in 100 North Carolina counties within two years of launch through a cooperative agreement with Active Health Management.
KERR DRUG is working through its benefit process with an eye towards offering employees access to medical homes in the company’s 2013 benefit year. KERR DRUG brings to the partnership extensive experience in collaborative efforts to provide education and personal oversight to North Carolinians with chronic health problems.
SAS brings to First in Health sophisticated analytical tools, experienced health data consultants and support for a detailed evaluation of First in Health’s medical home approach.
BCBSNC is a major partner in North Carolina’s seven-county MAPCP demonstration that integrates efforts of public and private payers to lower costs and improve health care quality. BCBSNC is also involved in the Model Practice project, a collaboration with UNC Healthcare to create an expanded medical home model that better coordinates patient care and enables teams of health care providers to work collaboratively with patients and families in delivering high quality care.
CCNC is a community-based, public-private partnership that takes a population management approach to improving health care and containing costs for North Carolina’s most vulnerable populations. Through its 14 local network partners, CCNC creates “medical homes” for Medicaid beneficiaries, individuals eligible for both Medicare and Medicaid, privately-insured employees and uninsured people in all 100 counties.
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