263050
Medicaid redesign in NY and homeless health care: Developing strategies to formulate, design and implement appropriate protocols for adjustment to Medicaid managed care and Health Homes for homeless people
Tuesday, October 30, 2012
: 9:10 AM - 9:30 AM
Medicaid redesign in New York State seeks to vastly change health care delivery systems to improve outcomes and reduce cost. High cost, high need vulnerable populations, such as the homeless, are viewed as key demographic groups in fulfilling these objectives. Redesign brings two fundamental changes to homeless health care in NY. First, all homeless Medicaid beneficiaries in NY are being placed in Medicaid managed care. Second, most homeless Medicaid beneficiaries in NY will receive new care coordination services from NY's ACA Health Homes initiative. It became imperative to diligently evaluate existing systems and orchestrate stakeholder relations as these major policy shifts occurred. Ultimately, more than 110,000 homeless New Yorkers, accounting for many chronically ill single adults, will be affected by these changes. Providers of Health Care for the Homeless (PHCH), a coalition of Health Care for the Homeless providers in NY, provided leadership and guidance to ensure all relevant parties were educated about the nature and impact of Medicaid changes. PHCH, as lead advocate, served as the point of coalescence as implementation and enrollment strategies were developed. It served as a forum for local and state planning and development, and represented a key point of contact for federal regulators (primarily HRSA and CMS). To ensure a smooth transition, PHCH, as a coalition of experts, further provided the knowledge and understanding of issues unique to the administration of health care to homeless people. Special emphasis will be placed on state and local planning efforts to address and mitigate barriers to care.
Learning Areas:
Advocacy for health and health education
Program planning
Public health or related public policy
Learning Objectives: 1. Evaluate different strategies about how to build strong community based coalition to work and negotiate with government regulators
2. Discuss important insights regarding proactive and reactive strategies in approaching significant systems change
3. Formulate ideas about how they can utilize discussed strategies and tactics back home
4. Identify partnership opportunities in home community
5. Develop strategies to create, maintain and leverage community based partnerships
6. List strategies utilized to promote smooth health care systems change
7. Evaluate methodologies used to address the complexities of health care for vulnerable populations
Keywords: Homeless Health Care, Advocacy
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have been a policy analyst and director on homelessness issues in New York since 1997 and coordinate the NYC Providers of Health Care for the Homeless Coalition.
Any relevant financial relationships? Yes
Name of Organization |
Clinical/Research Area |
Type of relationship |
Care for the Homeless |
Policy |
Employment (includes retainer) |
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
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