Date(s) - Thursday, October 15, 2015, 12:30 PM - 1:45 PM
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- Hear updates on the activities of the LAN Guiding Committee
- Learn about a payment reform approach focused on low-income and vulnerable populations in New Jersey
During this webinar, Mark McClellan, the co-chair of the Guiding Committee (GC) of the Health Care Payment Learning & Action Network (LAN) will review the GC’s latest activities, including its most recent in-person and virtual meetings. Dr. McClellan will also review the progress being made toward launching the new Population-Based Payment (PBP) Work Group and Clinical Episodes Payment (CEP) Work Group, both of which will have their kick-off meetings later this month. The webinar will also feature a panel discussion on the payment reform approach used by the state of New Jersey that is focused on serving low-income and vulnerable populations at the state and local level.
- Welcome and Opening Remarks – Anne Gauthier
- Guiding Committee Updates and Q&A – Mark McClellan
- Panel: Sharing the New Jersey Medicaid Payment Reform Initiative – Mark Humowiecki, Edith Calamia, Derek DeLia
- About the state approach
- Implementing the models locally
- Lessons learned
- Questions from LAN Participants – Anne Gauthier
- Upcoming LAN Activities and Closing Comments – Anne Gauthier, Mark McClellan
A speaker panel was held on October 15, 2015 to discuss the state of New Jersey’s payment reform approach, or demonstration model, that focuses particularly on the healthare challenges of low-income populations. Dr. Derek DeLia from the Rutgers Center for State Health Policy discussed the challenges specific to low-income populations in NJ, and provided an overview of NJ’s demonstration model along with future plans to evaluate and obtain performance feedback on the model. Mark Humowieki of the Camden Coalition of Healthcare Providers and Dr. Edith Calamia of UnitedHealthcare discussed the Camden Accountable Care Organization (ACO) model and strategy, including its challenges and lessons learned. The panelists provided further advice on how other states may successfully implement ACO models. Questions from the panelists included how NJ’s ACO financial model is structured, how pharmacy/prescription benefits are incorporated into the total cost of care within the model, and how certain mental health challenges within low-income populations are addressed within the model.