Monday, August 14, 2017

The Centers for Medicare & Medicaid Services (CMS), Medicare-Medicaid Coordination Office (MMCO) is pleased to announce the following updates:

Centers for Medicare & Medicaid Services
The Centers for Medicare & Medicaid Services (CMS), Medicare-Medicaid Coordination Office (MMCO) is pleased to announce the following updates:
  • Washington Managed Fee-for-Service Final Demonstration Year 1 and Preliminary Demonstration Year 2 Medicare Savings Estimates
  • New Summary of Benefits Model Document for Plans Integrating Medicare and Medicaid
  • MMCO Webinar Training Announcement
Washington Managed Fee-for-Service Final Demonstration Year 1 and Preliminary Demonstration Year 2 Medicare Savings Estimates
On Friday, July 28, CMS released the Washington Final Demonstration Year 1 and Preliminary Demonstration Year 2 Medicare savings report, containing Medicare savings results of the Washington Health Home Managed Fee-for-Service model demonstration under the Medicare-Medicaid Financial Alignment Initiative.  The report is posted on the MMCO website: https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/FinancialAlignmentInitiative/Downloads/WAEvalMedicareCostYr1FinalYr2Preliminary072817.pdf
CMS and Washington State launched the Washington Health Home Managed Fee-for-Service Model Demonstration in 2013.  The demonstration leverages Medicaid health homes to integrate care for high-cost, high-risk, full-benefit Medicare-Medicaid beneficiaries.  For more information about the Washington demonstration, please see: https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/FinancialAlignmentInitiative/Washington.html
In January 2016, CMS released a preliminary estimate of Medicare Parts A and B savings for the Washington Health Home demonstration for Demonstration Year 1 (Jul. 2013 – Dec. 2014) as part of an issue brief on early findings in Washington.  That report found preliminary gross Medicare savings of $21.3 million.  The results presented in the report just released update the Demonstration Year 1 results from the January 2016 report, providing a final estimate of Medicare savings for Demonstration Year 1 and a preliminary estimate of Medicare savings for Demonstration Year 2 (Jan. – Dec. 2015).  The increase in Demonstration Year 1 savings between the preliminary and final Medicare savings reports were largely driven by updates to the savings calculation methodology intended to improve accuracy of results, including a more accurate data source for determining beneficiary eligibility for the demonstration and comparison groups.
  • The final results for Demonstration Year 1 show total gross Medicare savings of $34,891,668.
  • The preliminary savings results for Demonstration Year 2 show total gross Medicare savings of $32,091,003.
  • Across both demonstration years combined, total gross Medicare savings was $67.0 million.
New Summary of Benefits Model Document for Plans Integrating Medicare and Medicaid
CMS released an integrated Summary of Benefits (SB) model document. This model document can be customized by states and their Dual Special Needs Plans (D-SNPs) to develop SB documents that better integrate Medicare and Medicaid benefits for enrollees. The model was developed in collaboration with Minnesota, combines the consumer-friendly SB document used by Medicare-Medicaid plans in the Financial Alignment demonstrations with the SB requirements for Medicare Advantage.
Assessing Organizational Ability to Provide Navigation Services
Registration Link: https://www.resourcesforintegratedcare.com/Behavioral_Health/2017_Navigation_Services_Webinar_Series/Assessing
Date: Wednesday, August 23, 2017
Time: 2:00-3:00PM ET
Note: CMS CEUs are available for this webinar
Navigation services coordinate care between the individual, the community, and the entire care team, leading to more holistic and person-centered care.  Individuals with serious mental illness (SMI) are less likely to receive coordinated care due to insufficient linkages between mental health care and other services.  This webinar will review the Navigation Services in Behavioral Health – Organizational Assessment Tool (NAV OAT), a resource that assists organizations in assessing their ability to provide navigation services to clients with SMI and to identify gaps and concrete next steps in the form of a customized action plan.  Presenters will provide background information on navigation, discuss its importance, orient users to the NAV OAT, and speak to examples of how the NAV OAT has been used.
Featured Speakers:
  • Alice Geis, Director of Integrated Health, Trilogy, Inc
  • Kimberly Smathers, Managing Consultant, The Lewin Group
  • Mindy Klowden, Director of Technical Assistance and Training, SAMHSA-HRSA Center for Integrated Health Solutions
Registration Information for all Resources for Integrated Care Webinars:
After clicking the registration link hosted on https://resourcesforintegratedcare.com/ and completing the registration form, you will receive an email from do_not_reply@on24event.com containing event log-on information.  The email also contains an attachment that, when opened, will save the event log-on information to an Outlook calendar.  On the day of the live event, please use the web link to join the webinar.  You can access the platform using a computer, smart phone, or tablet.  The audio portion of the presentation will automatically stream through your computer/device speakers.  Please make sure that the volume on your speakers is turned up.  Phone dial-in information will also be available during the live event if you are unable to listen to the audio through the computer/device speakers.  For individuals who will be away from a computer, smart phone, or tablet on the day of the live webinar event, please email RIC@lewin.com to request dial-in information.
Please contact RIC@lewin.com or Gretchen.nye1@cms.hhs.gov with any questions.

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