Interesting pilot study aimed at increasing access to education and health management support for an underserved population. What do you guys think of this?
Managing High Risk Fee-For-Service Medicaid Populations: Success in Texas
ISSUE
High risk fee-for-service (FFS) Medicaid patients in Texas needed care management, better education on self-management techniques, access to locally available resources, and improved engagement from statewide Medicaid providers.
SOLUTION
AxisPoint Health placed regionally-based care teams throughout Texas to provide one-on-one counseling, assessment, case management, and personal care planning, while coordinating with providers and community resources to support and educate FFS Medicaid patients.
Summary
According to the Kaiser Family Foundation, half of Medicaid beneficiaries are enrolled in MCOs nationally. However, only 20% of Medicaid payment for services is made to MCOs. Disabled and elderly beneficiaries can be found mostly in fee-for-service (FFS) programs, and it is this group which accounts for the largest portion of Medicaid spending.
Since 2004, the Texas Health and Human Services Commission (HHSC) and AxisPoint Health, formerly a McKesson company, have partnered to provide disease management programs helping high cost, high risk FFS Medicaid patients better manage their health. Through the programs, community-based care teams deliver one-on-one patient counseling, health assessments, and personalized care plans to help patients better self-manage their conditions.
This partnership, which targets fee-for-service Medicaid beneficiaries, has proven highly successful in generating significant financial savings for the State of Texas, while improving quality of care, engaging providers, delivering innovative solutions, and increasing patient and provider satisfaction.
Download and read the paper:
APH-CaseStudy-Texas.pdf (320.0 KB)