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PA-RCP_Early_Lessons_Brief051412.pdf
Preview of https://www.chcs.org /media/PA-RCP_Early_ Lessons_Brief051412. pdf
🔗 Source: chcs.org
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👤 Author: lm
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Summary

About five percent of Medicaid beneficiaries account for as much as 50 percent of total Medicaid spending, often due to multiple chronic conditions and fragmented care. The Rethinking Care Program (RCP) aims to improve care quality and lower costs for high-need, high-cost Medicaid beneficiaries. In Pennsylvania, two regional pilot projects, the SMI Innovations Project, were launched to integrate physical and behavioral health care services for adult Medicaid beneficiaries with serious mental illness (SMI) and co-occurring physical health conditions. The pilots, in Southeast and Southwest Pennsylvania, used a common framework and joint financial incentives to stimulate collaboration among partners. Early lessons from the project include the importance of local buy-in, leveraging existing relationships between beneficiaries and behavioral health providers, and using care coordinators to enhance member engagement. The project's performance was assessed using four process measures and two outcome measures, with a full evaluation of outcomes to be published in mid-2012.

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About five percent of Medicaid beneficiaries account for as much as 50 percent of total Medicaid spending, often due to multiple chronic conditions and...

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  • Language: EN
  • Author: lm
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