Required reading: J. Billings, T. The Management of Care for High-Cost Medicaid Mijanovich, “Improving Health Affairs no 6 (2007) 1643-1655. Patients” Issues for discussion in Day 2 PM Session Problem C A large number of uninsured children and adults are eligible but not – enrolled in Medicaid. Why? What can government/not-for-profit groups do to get more eligible enrolled? What are the barriers? Who should do what? Discussion Group 3 Problem D It is possible to identify Medicaid patients from claims data who are at very – high risk of future hospital admissions. These patients have high rates of chronic disease, mental health conditions, and substance abuse problems, and these patients are often homeless or precariously housed and socially isolated. What are the critical components of a program to respond the needs of these patients (reducing future hospital admissions)? How can it be implemented (assuming there is no new money and the initiative would have to break even with savings from reduced hospital admissions covering the costs of the intervention)? What are the barriers to implementation? Discussion Groups 1 and 2 Day 3 10/06/17 AM Session – – The major challenges confronting the health and “system”: Disparities, Uninsurance, Costs Overview of disparities in health services, utilization, and outcomes Discussion of the factors that are contributing to these disparities Description of the size and characteristics of the uninsured population Review of the causes of uninsurance Description of the dynamics of current cost increases Review of the causes and implications of cost increase Discussion of the implications of these challenges for policy makers and providers and for the current health reform initiative Required Reading: J. Billings, L. Zeitel, J. Lukomnik, et al., of Socioeconomic Status on Hospital “Impact Use in New York Health Affairs (Spring 1993): 162-173. City” J. Billings, the Research Base to Help Improve “Management Matters: Strengthening Performance of Safety Health Care Management Review 28, No 4 Net Providers,” 2003): 323-334.
Required reading: J. Billings, T. Mijanovich, “Improving The Management of Care for High-Cost Medicaid Patients” Health Affairs no 6 (2007) 1643-1655. Issues for discussion in Day 2 PM Session Problem C – A large number of uninsured children and adults are eligible but not enrolled in Medicaid. Why? What can government/not-for-profit groups do to get more eligible enrolled? What are the barriers? Who should do what? Discussion Group 3 Problem D – It is possible to identify Medicaid patients from claims data who are at very high risk of future hospital admissions. These patients have high rates of chronic disease, mental health conditions, and substance abuse problems, and these patients are often homeless or precariously housed and socially isolated. What are the critical components of a program to respond the needs of these patients (reducing future hospital admissions)? How can it be implemented (assuming there is no new money and the initiative would have to break even with savings from reduced hospital admissions covering the costs of the intervention)? What are the barriers to implementation? Discussion Groups 1 and 2 Day 3 – 10/06/17 – AM Session The major challenges confronting the health “system”: Disparities, Uninsurance, and Costs Overview of disparities in health services, utilization, and outcomes Discussion of the factors that are contributing to these disparities Description of the size and characteristics of the uninsured population Review of the causes of uninsurance Description of the dynamics of current cost increases Review of the causes and implications of cost increase Discussion of the implications of these challenges for policy makers and providers and for the current health reform initiative Required Reading: J. Billings, L. Zeitel, J. Lukomnik, et al., “Impact of Socioeconomic Status on Hospital Use in New York City” Health Affairs (Spring 1993): 162-173. J. Billings, “Management Matters: Strengthening the Research Base to Help Improve Performance of Safety Net Providers,” Health Care Management Review 28, No 4 2003): 323-334.
HPAM-GP.2836.001.docx