Health Care Homes
News & Announcements
MDH Health Care Homes invites you to find the latest news on upcoming events, webinars and other important information related to MDH Health Care Homes.
- Winona Health – Winona Clinic
Overall, 416 primary care clinics have been certified as Health Care Homes. Find currently certified Health Care Homes on the HCH Interactive map.
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Register for Learning Days 2017!
"Our Journey Toward Accountable Health"
April 4 - 5, 2017
River’s Edge Convention Center, St. Cloud, MN
Don't miss this exciting opportunity for Minnesota health care home providers, and community partners from behavioral health, public health, social services, and long term and post-acute care to gain and share knowledge, form relationships, and exchange information about integrating care for people we all care for and work with in our day-to-day practice.
In 2016, the Health Care Homes (HCH) Advisory Committee and its workgroups were instrumental in helping the Minnesota Department of Health (MDH) clarify its vision for how the program could continue to evolve to meet changing needs and expectations related to state and federal health reform initiatives. As part of that process, the HCH Advisory Committee worked with MDH to develop a Request for Information (RFI) for the purpose of obtaining broad community and stakeholder feedback from key stakeholders on potential enhancements to Minnesota’s HCH program.
The Centers for Medicare and Medicaid Services (CMS) has informed the Minnesota Department of Health (MDH) that Minnesota’s certified Health Care Homes will receive full credit for the Clinical Practice Improvement Activities (CPIA) performance category under the Merit-based Incentive Payment System (MIPS). MIPS is a new Quality Payment Program (QPP) track under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Eligible clinicians will attest to their own status in order to receive full points in the CPIA category. More information on this process will be available from MDH at a later date.
MACRA redesigns payment for Part B services in the Medicare program, with the initial payment period beginning in 2019. MACRA eliminates the Sustainable Growth Rate and combines several other programs (i.e. the Physician Quality Reporting System, the Value-Based Payment Modifier and Meaningful Use) into the new QPP. The 2019 payment changes and reporting will be based on data submitted by clinicians in 2017. Clinicians will participate in one of two tracks in the QPP: MIPS or Advanced Alternative Payment Models (APM).
MIPS evaluates clinicians in four performance categories: quality, resource use, CPIAs and advancing care information. Points are assigned in each of the categories and then combined into a composite performance score, which determines whether a clinician receives a positive, negative or neutral adjustment to Medicare Part B reimbursement. The initial payment adjustment, for 2019, will be between plus or minus 4 percent; this percentage will increase in subsequent years of the program. Participants in MIPS will also be eligible to receive positive payment adjustments based on high levels of performance.
The Advanced APM track offers a route to exemption from MIPS. Advanced APMs require participants to make use of certified electronic health record technology, have established payment based on quality measures comparable to those in MIPS and bear a certain amount of financial risk. A list of current payment models approved as Advanced APMs can be found on the CMS website. Providers who meet a certain threshold of Medicare payments received through an Advanced APM are eligible to receive Qualifying Participant (QP) status. QPs are exempt from MIPS reporting requirements and receive an automatic plus 5 percent adjustment to their Part B payments.
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The Minnesota Department of Health (MDH) has released a report updating the status of Minnesota's 15 Accountable Communities for Health (ACH) as they strive to improve health across the state.
Accountable Communities for Health meet the clinical and social needs of a population through community partnerships and person-centered, coordinated care across a range of providers. Minnesota is evaluating whether the model of care providers and communities working together results in improvements in quality, cost, and experience of care. About $5.6 million, or 14 percent, of Minnesota's State Innovation Model funds are dedicated to 15 ACH grant projects.
The report, Advancing Health Equity (PDF)"Accountable Communities for Health: Perspectives on Grant Projects and Future Considerations", includes the following highlights:
•An overview of the Accountable Community for Health model
•A summary of successes and challenges as the efforts completed more than half of their 2-year funding cycle
•Examination of similar approaches in at least four other states, and
•Recommendations and considerations for developing the model in the future
For questions contact Health.HealthCareHomes@state.mn.us.
Health Care Homes was a topic of conversation on WCCO's Healthy Matters radio program on Sunday June 5, 2016.
To hear Dr. Hilden interview Bonnie LaPlante, HCH Director, and Danette Holznagel, HCH Nurse Planner, as they talk about ways HCH clinics improve care for patients and families across Minnesota, go to the Healthy Matters podcast page.