Restore Smoking Cessation Benefits - ($0.53M) ($0.53M) Increase Benefits Allow dental benefits for individuals using - ($3.15M) ($3.15M) the ER for dental services Total savings for Mid-term strategies with additional benefits - ($0.45M) $0.9M Increase promotion of targeted initiatives ED Value-Based Maternal & child health - $1.46M $1.95M Purchasing Care Coordination to assist transition Provider incentive program Value-Based Care Management Organization Purchasing with - $0.51M $0.68M CMO Reduce Neonates Healthy Babies Initiative - $0.7M $1.39M Targeted Care Targeted Care Management for top 20% - - $8.61M Management Total Savings for Long-Term Strategies - $2.67M $12.63M Overview The MaineCare Redesign Task Force was established in 2012 by legislative mandate to “provide detailed information that will maintain high-quality, cost-effective services to populations in need of health care coverage, comply with the requirements of the federal Patient Protection and Affordable Care Act of 2010 for state Medicaid programs and realize General Fund savings in fiscal year 2012-13 of $5,250,000” (Public Law, Chapter 657, LD 1746, 125th Maine State Legislature). This report provides an overview of the Task Force findings and recommendations for MaineCare reform and cost containment strategies. Background Task Force membership was established pursuant to PL 2011, Chapter 657, Part T. Mary Mayhew, the Commissioner of Health & Human Services, served as the chair of the Task Force. Eight additional members were appointed to represent MaineCare members and providers and to provide expertise in public health, financing, state fiscal and economic policy. The Task Force convened nine times between
Increase Benefits Restore Smoking Cessation Benefits - ($0.53M) ($0.53M) Allow dental benefits for individuals using the ER for dental services - ($3.15M) ($3.15M) Total savings for Mid-term strategies with additional benefits - ($0.45M) $0.9M Value-Based Purchasing Increase promotion of targeted initiatives ED Maternal & child health Care Coordination to assist transition Provider incentive program - $1.46M $1.95M Value-Based Purchasing with CMO Care Management Organization - $0.51M $0.68M Reduce Neonates Healthy Babies Initiative - $0.7M $1.39M Targeted Care Management Targeted Care Management for top 20% - - $8.61M Total Savings for Long-Term Strategies - $2.67M $12.63M Overview The MaineCare Redesign Task Force was established in 2012 by legislative mandate to “provide detailed information that will maintain high-quality, cost-effective services to populations in need of health care coverage, comply with the requirements of the federal Patient Protection and Affordable Care Act of 2010 for state Medicaid programs and realize General Fund savings in fiscal year 2012-13 of $5,250,000” (Public Law, Chapter 657, LD 1746, 125th Maine State Legislature). This report provides an overview of the Task Force findings and recommendations for MaineCare reform and cost containment strategies. Background Task Force membership was established pursuant to PL 2011, Chapter 657, Part T. Mary Mayhew, the Commissioner of Health & Human Services, served as the chair of the Task Force. Eight additional members were appointed to represent MaineCare members and providers and to provide expertise in public health, financing, state fiscal and economic policy. The Task Force convened nine times between