NCMS Morning Rounds 4-15-21

Happy Thursday! Here’s your NCMS Morning Rounds.

April 15, 2021

All NC Behavioral Health Managed Care Organizations Join NCCARE360

NCCARES360, the state’s coordinated care network connecting patients to local services and resources, announced that all seven North Carolina behavioral health managed care organizations have joined the network.

The seven Local Management Entities/Managed Care Organizations or LME/MCOs are responsible for managing and monitoring the provision of public mental health, intellectual and developmental disabilities and substance use disorder services for people who are uninsured or are covered by Medicaid. As part of NCCARES360 these organizations will use the platform to coordinate whole-person care, promote health equity, and address the social drivers that influence their beneficiaries’ health.

“LME/MCOs have deep experience in serving populations with significant behavioral health needs, substance use disorders, and intellectual and developmental disabilities,” said Dave Richard, Deputy Secretary of NC Medicaid. “LME/MCOs will use NCCARE360 as the infrastructure to strengthen connectivity between care providers, case management, and community-based organizations in an effort to reduce barriers, promote equity, and deliver better health for the people they serve and their communities.”

NCCARE360 will allow LME/MCOs to make electronic referrals, communicate in real time, securely share client information, and track outcomes through the Unite Us Platform. Community members can search NCCARE360’s repository of more than 10,000 local services at nccare360.org/resources or access resources by contacting NCCARE360 Navigators through nccare360.org/request-assistance.

Since the development of NCCARE360’s statewide network, health and human service providers in all 100 North Carolina counties have made more than 100,000 electronic referrals to connect individuals and families to the resources they need to stay healthy and well.

Value-Based Payment Reform – One Payer’s Approach

A recent article in the American Journal of Accountable Care by leaders from Blue Cross and Blue Shield of North Carolina gives a quick and accessible overview of the state’s largest commercial payer’s approach to value-based payment reform. Read the article here.

The authors make the case for ‘upstream problem solving’ to promote positive health outcomes for patients.

“Facilitated by federal legislation, payers and providers are realigning financial incentives with outcomes that matter to patients through alternative payment models (APMs). These arrangements fundamentally change the business case of clinical care delivery by decoupling revenue generation from discrete services or activities. Rather, financial success in APMs depends on effectively moving clinical care upstream by rewarding optimal health and avoiding undesirable and costly events,” the authors state.

The NCMS has long been focused on value-based payment models and has a library of toolkits for a wide variety of specialties and on more general topics around moving to accountable care. These ‘Toward Accountable Care’ guides are available here.

The NCMS also holds meetings twice a year for its Population Health Collaborative, which brings together those working toward innovative, value-based approaches to improving population health. Our ACO Council also meets twice yearly, with its next meeting scheduled for June 3 from 11 a.m. to 1 p.m. This group of North Carolina’s ACO leaders share their challenges, opportunities and successes through the Council. The upcoming meeting will address current issues around the impact of the COVID-19 pandemic. The council also will be joined by Katie Owens from the Healthcare Experience Foundation, who will present how organizations are addressing resiliency in the health care workforce as well as among patient populations.

For more information on the Population Health Collaborative or the ACO Council, please contact Danielle Snyder at dsnyder@ncmedsoc.org or Kristen Spaduzzi kspaduzzi@ncmedsoc.org

Your Input is Needed TODAY!

As we have since the start of the pandemic, the NCMS, the NC Medical Group Management Association and Curi continue working together to gather essential practice information from administrators and clinicians across North Carolina relative to the current COVID crisis.

We are continuing to send a brief e-survey, now bi-weekly, with the same tracking questions to enable us to see trends and develop resources to help you and your practice. Please complete this week’s survey TODAY.

TAKE THE SURVEY.

The information and data you share will be compiled and used anonymously to better understand your most acute and immediate needs and to establish any trends to inform our policymakers and legislative initiatives on behalf of the physicians, PAs, practice administrators and patients of North Carolina.

We know this is a stressful and uncertain time, but by taking less than 5 minutes to complete this survey, you are allowing us to better respond to and represent your needs. Please click the link above to take this short survey and help us work together to battle back against this healthcare crisis.

Thank you for your time and for your commitment to your communities.

In the News

Study: 33% of Covid-19 Patients Get Neuropsychiatric Diagnosis Within 6 Months, Advisory Board, 4-13-21

Learning Opportunity

Developing a Nationwide Coordinated System of Shared Health Data with Insight from COVID-19, April 22 | 9:30 am – 12:30 pm
Join the NAM’s Leadership Consortium for a free webinar that will explore the role that a nationwide health data governance framework can have in accelerating evidence generation and mobilization for a continuously learning health system.

Learn more and register here.

If you have policies you’d like your NCMS Board of Directors to consider, please complete the Board input form here. Thanks for reading!

 

 
 

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