Health News
In January 2011, the Illinois legislature passed a bill that requires 50% of the State?s Medicaid population to be covered in a risk-based care coordination program by 2015. Subsequently, in May 2012, the State Legislature passed the SMART Act, cutting Medicaid services and projecting cost savings through various care coordination initiatives.
The care coordination, or managed care, initiatives referenced through this bill are: the Integrated Care Program, the Dual Eligibles Capitation Demonstration and the Innovations Program. All three of these initiatives have a goal to better coordinate primary, acute, behavioral health and long-term supports and services thereby improving the delivery of health services and lowering health costs.
The move to better coordinate care across primary, acute, behavioral health and long-term supports and services is in alignment with the federal Affordable Care Act (ACA), passed in March 2010. In fact, Illinois has made an effort to take advantage of several of the ACA provisions to move towards a better coordinated and integrated health system.
One of the ACA provisions Illinois is interested in is called Medicaid health homes for individuals with chronic conditions. To date, Illinois has filed a draft Medicaid state plan amendment to create health homes. The other federal ACA inititiave relating to care coordination that Illinois interested in is the Medicare-Medicaid Alignment Initiative, or the Dual Eligibles Demonstration Project. Illinois has submitted a proposal for this demonstration project.
For more details about the various care coordination, or managed care, initiatives in Illinois, please reference the document ?Illinois Health Reform 2012: Care Coordination, Managed Care and Long-Term Services and Supports? developed by Health & Medicine Policy Research Group.
Kristen Pavle
Associate Director, Center for Long-Term Care Reform
Health & Medicine Policy Research Group
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The Illinois Medicaid program provides life-saving health coverage to nearly 2.7 million low-income children, parents, seniors, and people with disabilities and behavioral health needs, including addiction and mental illness. However, the program faces...
- Moving Forward: Current Waivers For Coordinated Care Projects In Illinois
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- Care Transitions & Health Reform: What's The Big Deal?
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Health News
Update:Illinois? Care Coordination and Managed Care System
In January 2011, the Illinois legislature passed a bill that requires 50% of the State?s Medicaid population to be covered in a risk-based care coordination program by 2015. Subsequently, in May 2012, the State Legislature passed the SMART Act, cutting Medicaid services and projecting cost savings through various care coordination initiatives.
The care coordination, or managed care, initiatives referenced through this bill are: the Integrated Care Program, the Dual Eligibles Capitation Demonstration and the Innovations Program. All three of these initiatives have a goal to better coordinate primary, acute, behavioral health and long-term supports and services thereby improving the delivery of health services and lowering health costs.
The move to better coordinate care across primary, acute, behavioral health and long-term supports and services is in alignment with the federal Affordable Care Act (ACA), passed in March 2010. In fact, Illinois has made an effort to take advantage of several of the ACA provisions to move towards a better coordinated and integrated health system.
One of the ACA provisions Illinois is interested in is called Medicaid health homes for individuals with chronic conditions. To date, Illinois has filed a draft Medicaid state plan amendment to create health homes. The other federal ACA inititiave relating to care coordination that Illinois interested in is the Medicare-Medicaid Alignment Initiative, or the Dual Eligibles Demonstration Project. Illinois has submitted a proposal for this demonstration project.
For more details about the various care coordination, or managed care, initiatives in Illinois, please reference the document ?Illinois Health Reform 2012: Care Coordination, Managed Care and Long-Term Services and Supports? developed by Health & Medicine Policy Research Group.
Kristen Pavle
Associate Director, Center for Long-Term Care Reform
Health & Medicine Policy Research Group
- Accountable Care Entities (aces): A New Coordinated Care Model In Illinois
SB 26 to be signed by the Governor into law on July 22, 2013, will expand Medicaid to over 600,000 new potential enrollees but it will also usher in a new form of coordinated care in Illinois for these new Medicaid enrollees as well as existing families...
- Choose Wisely, Illinois: Alternatives For Balancing The Medicaid Budget
On Thursday, April 19, 2012, the Governor released a proposal for the reduction of the current $2.7 billion Medicaid budget deficit. The proposal, developed with a group of legislators on the Medicaid Commission, includes $2 billion in cuts to eligibility...
- Keep Illinois Medicaid Strong: Principles For Financial Stability
The Illinois Medicaid program provides life-saving health coverage to nearly 2.7 million low-income children, parents, seniors, and people with disabilities and behavioral health needs, including addiction and mental illness. However, the program faces...
- Moving Forward: Current Waivers For Coordinated Care Projects In Illinois
?Care Coordination,? along with related terms like ?managed care? and ?medical home? have become the buzz words of health care reform. The terms refer to new types of health care delivery models that many states and programs are turning to as the key...
- Care Transitions & Health Reform: What's The Big Deal?
You may have heard the buzz about care transitions as an aging professional, or health care professional, or even if you are simply keeping up on current events. Transitions in care are a form of care coordination during a transitional event. Care transitions...