introduction to beacon health strategies western region rbho county director’s meeting november...
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Introduction to Beacon Health StrategiesWestern Region RBHO County Director’s MeetingNovember 21, 2011
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BEACON HEALTH STRATEGIES | 200 State Street Suite 302, Boston, MA 02109 | t. 617.747.1230 | beaconhealthstrategies.com
Beacon serves 6 million lives in 13 states on behalf of over 50 health pans and State PartnersMEDICAID MEDICARE MULTI-SECTOR
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BEACON HEALTH STRATEGIES | 200 State Street Suite 302, Boston, MA 02109 | t. 617.747.1230 | beaconhealthstrategies.com
Working in the Hudson Valley since 1997
7 Health Plan Partners
7,000 Contracted Providers in New York State
2009 Case Management and Quality Improvement partnership
with NYCCP/ CCSI and 7 County systems:
• Chautauqua, Erie, Genesee, Monroe, Onondaga,
Westchester, and Wyoming
>30 New York Clinicians Based Locally in NY:
• UR, CM and Physician Advisors
Beacon is NY’s largest public population MBHO
BEACON’S NEW YORK FOOTPRINT KEY NEW YORK BUSINESS HIGHLIGHTS
SMI/Duals
Medicaid
Medicare SNP
642K
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BEACON HEALTH STRATEGIES | 200 State Street Suite 302, Boston, MA 02109 | t. 617.747.1230 | beaconhealthstrategies.com
Quality MattersBeacon Consistently Outperforms the State HEDIS/QARR Scores30 DAY FOLLOW-UP RATE AFTER IP ADMISSION 7 DAY FOLLOW-UP RATE AFTER IP ADMISSION
SOURCE: NY DOH SOURCE: NY DOH
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BEACON HEALTH STRATEGIES | 200 State Street Suite 302, Boston, MA 02109 | t. 617.747.1230 | beaconhealthstrategies.com
59% decrease in ER utilization
62% decrease in IPMH ALOS
34% decrease in self harm incidents
32% decrease in physical harm to others
50% decrease in suicide attempts
44% increase in gainful employment
Engaging community service providers improves care and social well-being
% OF HIGHEST COST SPMI MEMBERS RECEIVING COUNTY SERVICES
SPMI CARE MANAGEMENT PROGRAM
Enrollees 654 704
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BEACON HEALTH STRATEGIES | 200 State Street Suite 302, Boston, MA 02109 | t. 617.747.1230 | beaconhealthstrategies.com
COMMUNITY-BASED ORGANIZATIONS NETWORK:>29 organizations signed confidentiality agreements and provide referrals
OUTREACH PERSONNEL:outreach to club houses, shelters, churches, libraries, parks, etc.
CLINICIAN:actively engage clients with initial intake, weekly telephonic coaching, quarterly face to face appointments, re-assessment every 6 months.
MEMBER:High risk, multiple chronic diseases, 39% homeless, FFS
SOCIAL SUPPORTS
HOUSINGMEDICAL APPOINTMENT
S
PEER NAVIGATOR: makes connection to social and medical services, adds credibility, serves as a role model of recovery
Beacon engages high risk members using a team-based approach
OVERVIEW OF THE WESTCHESTER CARES ACTION PROJECT (CIDP)
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BEACON HEALTH STRATEGIES | 200 State Street Suite 302, Boston, MA 02109 | t. 617.747.1230 | beaconhealthstrategies.com
RBHO Partnership with CCSI and County Systems will inform Participation in Phase II of the NY’s Medicaid Redesign
• Beacon brings managed care preparedness, IT infrastructure and clinical and analytic leadership to its RBHO work
• Health Home review and consideration underway• Expanding staff in the Western Region to support provider, County,
peer and health plan engagement• Fully operational Jan 1, 2012
Contact Information:
Jim Spink, Chief Client Officer, BHS [email protected]
Mark Deasy, Dir. Account Ops. BHS [email protected]
Chris Mangione, Clinical Mgr, BHS [email protected]
Adele Gorges, Ex Director, NYCCP [email protected]