2018 State HIT Connect Summit

As healthcare delivery models evolve to more effectively link payment to improved health care outcomes, State Medicaid programs have a strong need for new data analytics tools to help inform their decision-making. This fundamental shift from rewarding volume to rewarding value creates real opportunity for State Medicaid directors to use data in a way that makes their programs more efficient. It also pushes the analytics needs of states past descriptive analytics to evaluative and predictive analytics.

In this workshop, Mathematica data experts will share important descriptive statistics needed for state operations and oversight. Our team will also showcase evaluative and predictive analytics that are, or could be, used in policy development and implementation. Panelists will have an honest discussion about analytic needs within the states, emphasizing implementation challenges and options for overcoming them.  

A variety of state data analytic projects will be discussed during this session, including:

• Risk adjustment with the Massachusetts Division of Health Care Finance and Policy
• Interactions between child welfare and Medicaid
• Medicaid enrollment and churn
• Evaluative work about interventions for pediatric case management in vulnerable populations
• Opioid hot-spotting
• Value-based purchasing

As the discussion around Health Care reform continues to fluctuate, States have been working to understand the options that are available to them to design and devise solutions that will empower them to address health, insurance coverage and premium issues that exist within their states.
 
This panel seeks to further the conversation and offer recommendations and best practices for proactively engaging with HHS to design state based coverage solutions.

This session will look at the suite of Medicaid Health IT Toolkits for SPAs, Waivers and Demonstration as a vehicle to advance HIT, HIE and Interoperability through Medicaid Program Design.  It will also look at programmatic strategies currently in use by states to advance health IT alignment and interoperability.  Colorado will be sharing its successes and challenges in advancing the State’s health IT, health information exchange and interoperability goals through leveraging innovations in its procurements and governance processes

Individuals with serious mental illness often die at relatively young ages due to complications of tobacco use and obesity. Learn how a managed care organization used innovative technological approaches and Medicaid data to support provider efforts that enhanced the health of these individuals in a state Medicaid program. An evaluation, funded by the Patient Centered Outcomes Research Institute (PCORI), identified significant improvements that correlate with enhanced health and decreased healthcare spending.

Michigan has partnered with CMS and seven managed care organizations (integrated care organizations) in what is known as the MI Health Link Demonstration. Health Plans participating in this demonstration are required to create a person-centered care plan that allows beneficiaries to sit in the driver's seat when navigating their healthcare, with the assistance of a designated care coordinator. The care plan is used to coordinate medical services and supplies, behavioral health, substance use disorder, pharmacy, dental, vision, long term services and supports including home and community based services.

MDHHS developed a solution to reduce the burden for care coordinators and streamline the process for creating, updating, and sharing patient-centered care plans with members of the care team. MDHHS developed an electronic care plan using the C-CDA and paired it with a complimentary rendering tool for a customized view of the care plan for members of the care team. The solution enables care team members to view the care plan within electronic health records (EHRs). For care team members without an EHR, the care plan is configurable to view and print via a secure portal. This approach facilitates real-time integrated and coordinated care. During this workshop, MDHHS will review the architecture and functions of the C-CDA and rendering tool and discuss how other state Medicaid agencies could potentially leverage this approach to improve beneficiaries care coordination.