Payments for care coordination
Our current health care payment system doesn’t reward health care providers who provide higher quality care or who do a good job of preventing complications of chronic disease that can be both dangerous and costly. In fact, providers that do a good job of managing care can end up losing money due to their patients’ using fewer services.
Under the 2008 health reforms, Minnesota health care providers that are certified as health care homes will be eligible for care coordination payments from public and private health care purchasers. Providing explicit payments for care coordination, especially for people with complex or chronic conditions, is expected to result in better health outcomes by preventing complications of disease and is expected to reduce costs by reducing the need for costly interventions related to complications of disease.
This system of care coordination payments will be developed jointly by the Minnesota Department of Human Services and the Minnesota Department of Health, and must be completed by January 1, 2010. Health plan companies, the state employee health plan, and state public programs must implement care coordination payments to health care homes by July 1, 2010 (or upon federal approval, for state public programs).