NCMS Morning Rounds 10-17-19

It’s Thursday and time for your

 NCMS Morning Rounds.

Oct. 17, 2019

NCMS Hosts Stakeholder Meeting on Advanced Medical Home Program

At the request of the NC Department of Health and Human Services (NCDHHS), the NCMS convened a meeting of physician and physician assistant stakeholders on Tuesday evening at the NCMS Center for Leadership in Medicine to gather feedback on the Advanced Medical Home (AMH) program.

NCDHHS Secretary Mandy Cohen, MD, MPH, led off by stating the philosophy underpinning the Department’s objective for the development and implementation of the AMH program: “to provide a pathway for practices to have a larger role in managing the health outcomes and cost for their patient populations.”

The discussion included valuable feedback and thoughtful discussion guided by a series of questions including the decision making that goes into to becoming a Tier 3 AMH; choosing to work with a clinically integrated network (CIN); contracting with the Medicaid pre-paid health plans (PHP) and how to define and measure success. See the list of questions. The over 40 participants in attendance included representatives from the NCMS, the NC Pediatric Society, the NC Community Health Center Association and the NC Academy of Family Physicians among others.

Sec. Cohen clarified the Department’s expectations of what Tier 3 services were to include by the practices or their CIN/other partner as well as the expectations for the PHP’s oversight responsibilities of the AMH Tier 3 practices. Review those expectations.

Much discussion focused on care management fees, expectations of the practices and the PHPs at the Tier 2 level versus the Tier 3 level, data platform, infrastructure elements and lack of upfront resources to achieve AMH Tier 3 infrastructure.

The meeting concluded with the Secretary asking for continued feedback and examples to aid the Department in determining appropriate guidance and resolutions.

Also on Tuesday, NC Medicaid published information in its Medicaid Bulletin for AMH providers who believe they are not ready to meet program requirements to perform at the tier level to which they attested. Those providers may now submit a request to change their AMH Tier status from Tier 3 to Tier 2. The AMH Tier 3 providers may not downgrade lower than AMH Tier 2. Learn more.

Saturday, Oct. 26, is National Prescription Takeback Day

Part of the effort to stem the opioid abuse epidemic is to raise awareness around proper disposal of unused opioids – and other prescription medications. Next Saturday, Oct. 26, is the Drug Enforcement Administration’s (DEA) national prescription Takeback Day, an opportunity for you and your patients to properly dispose of unused or unwanted prescription drugs, including opioids.

Find a takeback location near you at this website as well as many ways to publicize the event in your practice and your community.

Kudos to Our Greater Wilmington ‘Health Care Heroes’

Kudos to the following NCMS members who were selected as Greater Wilmington Business Journal’s 2019 Health Care Heroes:

  • NCMS President-elect and Kanof Institute for Physician Leadership co-chair and Leadership College alumnus Philip Brown, Jr., MD, Chief Physician Executive, New Hanover Regional Medical Center, was awarded the honor for Community Outreach.
    Megan Whitley, PA-C, Cape Fear Heart Associates, in the physician assistant category.
    Toren Davis, Jr., DO, Coastal Family Medicine, in the physician category.
    William Hope, MD, FACS, NHRMC Physician Specialists in the physician category.
    William Sutton, MD, EmergeOrtho, Wilmington, in the physician category.
    NCMS Community Practitioner Program participant and KIPL Health Care Leadership and Management program alumna Karen Isaacs, MD, MPH, Coastal Family Medicine, in the community achievement category.

‘Health Care Heroes’ is an annual celebration to bring together the Wilmington-area medical community and its supporters. The program has three goals: to give members of the health community a chance to connect in a fun relaxed atmosphere; to celebrate individuals who go well beyond expectations to provide excellent care for our community, and to award scholarships to up-and-coming members of the health care community. The awards will officially be presented at a ceremony on Friday, Nov. 15 at the Country Club of Landfall. Learn more and purchase event tickets here.

Congratulations to all!

In the News

Faced with a Drug Shortfall, Doctors Scramble to Treat Children with Cancer, The New York Times, 10-14-19

Learning Opportunity

‘Understanding Medicaid Transformation for Community Leaders: How to Prepare Today for Tomorrow,’ an event created specifically to offer a condensed and targeted overview and connect information on important aspects of the Medicaid Managed Care Implementation to help those at the community level feel fully informed and prepared to respond will take place on Tuesday, Dec. 3 from 10 a.m. to 5 p.m. in Pinehurst. Learn more and register.

 
 

More Posts in Medicaid/Medicare

 
 

Share this Post



 
 
 
 

Leave a Reply

The NCMS moderates this blog, so expect a slight delay in posting. Please include your full name and affiliation. We insist on respectful dialogue and reserve the right not to post remarks incompatible with our guidelines.

Your email address will not be published. Required fields are marked *