CHA News Article

CHHS Webinar to Review Draft Concept Paper for ACA Section 2703 Health Homes

The California Health and Human Services Agency (CHHS) will conduct a webinar Nov. 17 from 9:30 a.m. to 11 a.m. to review the draft concept paper for its proposed Health Homes for Patients with Complex Needs initiative. The initiative is a key care improvement initiative outlined in the State Health Care Innovation Plan (Innovation Plan), which formed the basis of a three-year State Innovation Model testing grant application submitted to the Center for Medicare and Medicaid Innovation (CMMI) on July 18. During the webinar, CHHS will share the health homes program concept to solicit stakeholder feedback on the program design and stakeholder process.

CHHS has requested that individuals register for the webinar by Nov. 10 at www1.gotomeeting.com/register/537863184. Once registered, participants will receive details to connect to the webinar. The webinar agenda and meeting materials will follow. Questions or comments about webinar registration can be directed to hhp@dhcs.ca.gov.

Background
California’s Innovation Plan is organized into two main strategic components: 1) initiatives, which include four targeted health system and payment reforms; and 2) building blocks, which directly support the four initiatives and are designed to enhance overall data, transparency and accountability efforts intended to accelerate transformation throughout the state.

The core organizing principle underlying all of the initiatives is care coordination, including team-based care and linking with community-based programs. The initiatives are:

  • Maternity Care. Promote safe, evidence-based deliveries to improve birth outcomes, promote maternal and infant health, and reduce unnecessary costs.
  • Health Homes for Complex Patients. Implement and spread care models, which include coordinated, team-based care, to improve the quality of care and outcomes for medically complex patients and reduce costs associated with unnecessary emergency department visits and hospitalizations.
  • Palliative Care. Promote the use of palliative care, when appropriate and in line with patient preferences, by educating patients, training providers and removing any structural or informational barriers to receiving care.
  • Accountable Care Communities. Support development of two or three Accountable Care Community pilots, which will model how population health can be advanced through collaborative, multi-institutional efforts that promote a shared responsibility for the health of the community. Pilots will include a Wellness Trust, which is designed to serve as a vehicle to pool and leverage funding from a variety of sources for long-term sustainability.

The building blocks are intended to address the capacities and supports necessary for health and health care transformation and payment reforms to succeed. Designed to sustain the transformation process over the long term, the building blocks address data, transparency and accountability issues on a system-wide basis. The building blocks’ goal is to enable California to track costs and quality across diverse systems of care, promote transparency and competition, and drive continuous improvement. The building blocks are:

  • Workforce. Leverage and advance existing efforts to deliver team-based, culturally engaged health care services, focusing on support for training and technical assistance of key health personnel, including enhancing the ability of community-based health and other lower-cost workers to play an enhanced role, where appropriate.
  • Health Information Technology and Exchange. Target assistance to high-need entities and geographies developing health homes for complex patients, and support research analysis, including business case analyses, related to the take-up and spread of health technologies and data collection.
  • Enabling Authorities. Identify and secure needed policy changes that either remove barriers or create incentives to achieve the goals of the Innovation Plan. Because the initiatives proposed in the Innovation Plan build on existing innovations and activities underway in California, most can be implemented without significant legislative and regulatory changes. Two requests for Medicare waivers are included.
  • Cost and Quality Reporting System. Build on current efforts to create a robust reporting system that promotes transparency and monitors trends in health care costs and performance.
  • Public Reporting. Enhance state efforts to make data on health care quality, costs and population health – especially focusing on the Let’s Get Healthy California goals and indicators – readily available and accessible to stakeholders and the general public.
  • Payment Reform Innovation Incubator. Support an expanded private-public forum to facilitate payers, providers and purchasers to build consensus regarding methods for developing and implementing new payment reform methods, and for calculating costs and impacts of payment reforms.

California’s Innovation Plan is projected to yield savings of $1.4 to $1.8 billion over three years – a more than 20-fold projected return on the potential $60 million SIM investment. For more information, see the following resources:

CalSIM Infographic
California State Health Care Innovation Plan
California State Health Care Innovation Plan Appendices
California Market Assessment
Multi-Stakeholder Health Care Payment Reform in California Framing Report

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