Data Collection Essential for Medicaid Care Coordination

Date: 06.10.2013 | Anna Abraham

During the recent 2013 State Healthcare IT Connect Summit a keynote panel discussed the topic of Care Coordination for Medicaid, Dual Eligible and Behavioral Health Populations with respect to data collection and application.

The main take away from this panel was that the collection of data and its application into care plans and claims is incredibly useful. The insight that comes from this data is phenomenal  for health are business intelligence as well as care management, including:

• Whole person care, workflow, care management

• Health information exchange

• Analytics and reporting

• Patient engagement

Lori Evans Bernstein, President of GSI Health moderated the panel of healthcare professionals who shared their different uses of data in care coordination in their respective state organizations. The three panelists were: Cynthia Green Edwards, Director Office of Medicaid Information Technology, State of Michigan; Beverly Court, Director Research and Data Analysis Division, Washington Department of Social and Health Services; and Josh Hardy, Behavioral Health Informaticist at Louisiana Department of Health and Hospitals.

Evans set the context of the panel by stating that the current healthcare system is clearly unsustainable. She introduced the topic of ACOs as a viable solution for “whole care” instead of “fragmented care” for Medicaid and dual eligibility and behavioral populations.

The first speaker, Cynthia Green Edwards, Director of Medicaid Technology in the trailblazing state of Michigan spoke of effective work groups. These groups were created in Michigan to effectively coordinate care for the Medicare/Medicaid Dual Eligibility and behavioral population. The purpose of the work group was to create processes, tools and management to improve the experience of care, to improve the health of this population and to reduce the costs of care.

This work group began sharing data for claims and encounters with their Health plans to aid them in their assessment of what they need for coordination of care. Edwards shared that interestingly back in 2008 when they initially offered this data sharing to health plans they were not interested. Now in 2013 they want all the data they can get their hands on. This data helps them coordinate their care in so many ways.

Beverly Court was the second speaker from Washington state to talk about care coordination. She shared with us the findings they’ve had after they merged Medicare and Medicaid data. In the state of Washington they’ve found out many details about patient participation in their own health and individual needs through this analysis. She highly encourages state to maximize their use of administrative data.

The third speaker was Josh Hardy, Behavioral Health Informaticist at Louisiana Department of Health and Hospitals.  They were able to identify a very PCP rate among healthcare providers and the behavioral health care management plan. They discovered that less than 60 percent were receiving follow-up care from a healthcare provider after being discharged, so there was a lot of room for improvement. They are now working to coordinate care and have better more meaningful communication between plans.

This panel discussion can be viewed by registering at the State Healthcare IT Connect Media Portal and Video Archive.



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