Introduction to Beacon Health Strategies
7
Introduction to Beacon Health Strategies Western Region RBHO County Director’s Meeting November 21, 2011
description
Introduction to Beacon Health Strategies. Western Region RBHO County Director’s Meeting. November 21, 2011. Beacon serves 6 million lives in 13 states on behalf of over 50 health pans and State Partners. Medicaid. medicare. Multi-sector. Beacon is NY’s largest public population MBHO . - PowerPoint PPT Presentation
Transcript of Introduction to Beacon Health Strategies
Introduction to Beacon Health StrategiesWestern Region RBHO County Director’s MeetingNovember 21, 2011
November 2011 | 2BEACON 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
November 2011 | 3BEACON 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
August 2011 | 4BEACON 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
November 2011 | 5BEACON 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
August 2011 | 6BEACON 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)
August 2011 | 7BEACON 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]
