Health Reform Announcements -
The Minnesota Department of Health is now posting weekly updates of announcements related to Minnesota’s health reform activities. These updates are also sent out via e-mail to subscribers to Health Reform Announcements. Updates are sent each Friday.
Weekly Update - November 21, 2014
Contractor hired to validate claims database
The Minnesota Department of Health (MDH) has selected FAIR Health to help with assessing the quality of data in Minnesota’s All Payers Claims Database (MN APCD) and identify opportunities for further improvement. FAIR Health, based in New York, will work with Minnesota over 24 months to validate the completeness, accuracy, consistency and usability of the state’s data. Among other responsibilities, this process will include conducting robust data validation, comparing enrollment and claims counts by payer and market characteristics, and assessing the effectiveness of data aggregation methodology. MDH selected FAIR Health after a competitive bidding process.
Minnesota’s all-payer claims database is an effort to aggregate information on health care prices and medical and pharmacy claims from private and public payers. The data, which do not include patient identifiers, such as names, social security numbers or addresses, are collected by MDH under the direction of the Minnesota Legislature to support conducting research and analysis about health care use, cost and quality and illness burden in Minnesota. Currently, over 100 different sources submit medical, pharmacy and enrollment data to the MN APCD, making it one of the most robust data sets in the country, with historical data dating back to 2009. Additional information about the data can be found online: http://www.health.state.mn.us/healthreform/allpayer/
Comments sought on 2016 Statewide Managed Care Procurement
The Minnesota Department of Human Services (DHS) is gathering input into the statewide procurement Request for Proposals (RFP) for Medical Assistance (MA) and MinnesotaCare members enrolled in managed care. The purpose of this request for comments is to solicit community feedback on how we can improve the measurement and performance of managed care contracting; our goal is to improve outcomes and service to our members, providers, counties and communities. DHS will use the feedback it receives through this request for comments and other stakeholder meetings to inform the design (measurement, weight, evaluation) of the statewide managed care procurement for MA and MinnesotaCare.
The comments provided through this process are for planning purposes only. Those who respond should not anticipate feedback from DHS. DHS will publish the RFP Jan. 5, 2015, for contracts beginning Jan. 1, 2016. More information about the request for comments is in response instructions document (PDF).
New health care homes
The Minnesota Department of Health announces 2 newly certified health care homes.
- Mayo Clinic – Employee and Community Health (Baldwin Bldg. Internal Medicine) Rochester, MN
- Mayo Clinic – Employee and Community Health (Baldwin Bldg. Pediatrics) Rochester, MN
There are now 356 certified Health Care Homes. For more information or to find a certified health care home near you, please visit http://www.health.state.mn.us/healthreform/homes/index.html
Weekly Update - November 14, 2014
Minnesota Accountable Health Model Learning Community Grants
The Minnesota Department of Health (MDH) is seeking proposals from qualified professionals or organizations to plan, implement, facilitate, and evaluate four Learning Communities. Proposals are due December 30. The General Learning Community grant goal is to provide support to facilitate efforts of interested small, independent practices to create learning communities to emphasize their special learning needs.
Learning communities give care providers tools to improve quality, patient experience and health outcomes, while actively engaging communities and reducing health care expenditures as part of the Minnesota Accountable Health Model Grant.
General Learning Communities: Round 1: February – October 31, 2015 - This grant opportunity will provide funding to four Learning Communities to advance the Minnesota Accountable Health Model. There will be three General Learning Communities, which will be focused on a selected transformation topic. There will be an additional round of funding in 2015.
Accountable Communities for Health (ACH) Learning Community: February 2015 – December 2016 - One Accountable Community for Health (ACH) Learning Community focused on topics specific to implementation of an ACH. The ACH Learning Community grant goal is to provide technical support and peer learning opportunities for ACH teams throughout the State.
Reporting and Measurement System: Q&A
MNCM Q&A - MN Community Measurement’s (MNCM) monthly Question & Answer (Q&A) call-in session will occur on November 20th at noon. Please see the MNCM training calendar for more information.
Weekly Update - November 7, 2014
SIM Task Force News
The Minnesota Accountable Health Model task forces are scheduled to meet on Wednesday, November 19th. The Community Advisory Task Force will convene from 9:00 a.m. – 12:00 p.m. at the Hiway Federal Credit Union, 840 Westminster Street, St. Paul, MN. The Multi-Payer Alignment Task Force will convene from 1:00 p.m. – 4:00 p.m. at the Department of Human Services, Elmer L. Andersen Human Services Building, 540 Cedar Street, St. Paul, MN The agenda for both groups will contain an update on data analytics, an e-health advisory committee presentation, and an overview of the state specific evaluation efforts. Creation of the Data Analytics Subgroup has been finalized with the announcement of fourteen members. The first meeting will be held on Monday, November 17th.
Request for Proposal for Minnesota Emerging Professions Toolkit Program
The Minnesota Department of Health (MDH) requests proposals for the Minnesota Emerging Professions Toolkit Program with the goal of developing resources to integrate the following three emerging health professions into the workforce: community health workers, community paramedics and dental therapists/advanced dental therapists.
Three contracts are available for up to $100,000 each for the development of a toolkit for one of three emerging professions: community health workers, community paramedics, and dental therapists/advanced dental therapists. Eligible applicants include any individual or organization that has significant knowledge and experience with one of the three above mentioned emerging professions and has the capacity to develop a toolkit for that profession. Respondents may apply for more than one contract, but each application must be submitted separately. The contract term is 12 months from execution of the contract. Work is proposed to start in April of 2015.
Proposals are due no later than 4:00 p.m. CST, Friday, December 5, 2014. All written questions are due to MDH: November 12, 2014. Questions and answers to all questions will be posted on the Emerging Professions website November 17, 2014.
Request for Proposal for Practice Transformation Grant Program
The Minnesota Department of Health (MDH) requests proposals for the Minnesota Accountable Health Model Practice Transformation grant program. Many providers, including small, independent, rural, and safety net providers face financial barriers to implementation of practice transformation. These grants will support models that integrate primary care, behavioral health, social services, training, and coordination through practice facilitation. This grant opportunity will support a range of providers and teams in primary care, social services, or behavioral health to allow team members to participate in practice transformation activities. $200,000 is available for implementation of up to 20 grants from $10,000 - $20,000 per grantee for six months. Applications are due December 4, 2014 at 4 p.m. Please submit questions on the Practice Transformation Grant program page. All submitted questions will receive a response. A comprehensive Q & A document of all submissions is updated regularly.
Minnesota continues to test how emerging professionals impact health care teams
The Minnesota Department of Health (MDH) awarded another round of $30,000 grants to four organizations to test the potential of emerging professionals to strengthen health care teams and improve access to care. This is the second round, of three rounds of grant funding, awarded for the Emerging Professions Integration Grant Program.
The following organizations were awarded 12 months of start-up funding for round two. Each organization is also contributing funds toward the emerging professional they plan to hire (indicated below).
- Essentia Health, Ada, Community Paramedic
- Hennepin County, Minneapolis, Community Health Worker
- Northern Dental Access Center, Bemidji, Dental Therapist
- Ringdahl Ambulances Inc., Fergus Falls, Community Paramedic
Federal funds of $120,000 accounted for about 47 percent of this $254,280 project. Non-governmental sources accounted for 53 percent of the project.
Request for Proposals for Learning Community Grants
General Learning Communities Grant
The Minnesota Department of Health (MDH) is seeking proposals from qualified professionals or organizations to plan, implement, facilitate, and evaluate four Learning Communities. Learning communities give care providers tools to improve quality, patient experience and health outcomes, while actively engaging communities and reducing health care expenditures as part of the Minnesota Accountable Health Model Grant. The General Learning Community grant goal is to provide support to facilitate efforts of interested small, independent practices to create learning communities to emphasize their special learning needs. This grant opportunity will provide funding to four Learning Communities to advance the Minnesota Accountable Health Model. Three General Learning Communities, which will be focused on a selected transformation topic. There will be an additional round of funding in 2015. One Accountable Community for Health (ACH) Learning Community focused on topics specific to implementation of an ACH.
General Learning Communities Round 1: February – October 31, 2015
Grant term is for nine (9) months from the start date
Total of up to $150,000 available for first round
Up to $50,000 will be awarded per proposal for up to 3 awards
Applicants may apply or re-apply for more than one grant round. Applicants may submit proposals to convene more than one learning community during each grant round (eligible funding up to $50,000 per award). Applicants are required to submit separate proposals for each Learning Community they are proposing to convene.
ACH Learning Community Grant
There will be one round for the ACH Learning Community for one award of up to $200,000. Grantees can only apply for the ACH Learning Community grant during the first round of applications. The scheduled start date for the ACH Learning Community is February 2015 and the end date is December 31, 2016. The ACH Learning Community grant goal is to provide technical support and peer learning opportunities for ACH teams throughout the State. Applications for both opportunities are due December 30, 2014 at 4 p.m. An optional informational webinar will be held on Tuesday, November 18, 2014 from 11:00 am to 12:30 p.m. Please submit questions online. All submitted questions will receive a response. A comprehensive Q & A document of all submissions will be updated regularly.
Community Health Worker (CHW) Events
Success with CHW’s is hosting several events this fall that are geared to many different health disciplines and organizations including providers, home visiting programs and others interested in effective health equity strategies. We would like to draw your attention to the webinar on Wednesday, December 3 entitled, Community Health Worker Enrollment, Coverage and Payment under Minnesota Health Care Programs.
MDH announces new health care homes
The Minnesota Department of Health announces 2 newly certified health care homes. The following clinics for Organization Unity Family Health Care were certified as a health care home: Family Medical Center – Little Falls and Randall Lakes Area Clinic – Randall. There are now 354 certified Health Care Homes.
Health Care Home/State Innovation Model: Upcoming Webinars
November Webinar: Care Coordinator Burnout
Wednesday, November 19 from Noon – 1 p.m.
Care coordination work is stressful and, over time, can be overwhelming. This free webinar will offer strategies for preventing and addressing care coordinator burnout and working with challenging patients with mental health concerns. Presented by Jennifer Butler, MSW, LICSW, Behavioral Health Triage Therapist, Sanford Clinics. Register for the webinar.
Save the Date December Webinar: The New Medicare Benefit for Intensive Behavioral Therapy, Thursday, December 11 from Noon – 1 p.m.
Webinar: Community Health Worker Enrollment, Coverage and Payment under Minnesota Health Care Programs
Wednesday, Dec. 3, 10:00-11:00 a.m.
This free webinar will provide an informative overview of Community Health Worker (CHW) coverage and rates under Minnesota Health Care Programs (MHCP). The session will include step-by-step guidance on the CHW enrollment process and billing procedures. Requirements related to CHW supervision and documentation of CHW services will also be addressed. Q & A will be part of the session. The webinar will be led by Alex Kaiser, Provider Trainer with the Member/Provider Relations unit at the Minnesota Department of Human Services. Minnesota is one of only two states with Medicaid payment for CHW services. Whether you are new to the CHW role or an experienced CHW employer, this webinar will help you better understand this funding stream for CHW services available to Medicaid-eligible providers. This Alliance program is offered with support from The St. Paul Foundation and MN Community Measurement. Space is limited so please register today.