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Introduction to Beacon Health Strategies

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 .

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Introduction to Beacon Health Strategies

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  1. Introduction to Beacon Health Strategies Western Region RBHO County Director’s Meeting November 21, 2011

  2. Beacon serves 6 million lives in 13 states on behalf of over 50 health pans and State Partners Medicaid medicare Multi-sector

  3. Beacon is NY’s largest public population MBHO Beacon’s New York Footprint Key New York Business Highlights 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 642K Medicare SNP SMI/Duals Medicaid

  4. Quality MattersBeacon Consistently Outperforms the State HEDIS/QARR Scores 30 DAY FOLLOW-UP RATE AFTER IP ADMISSION 7 DAY FOLLOW-UP RATE AFTER IP ADMISSION Source: nydoh Source: NY DOH

  5. 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

  6. Beacon engages high risk members using a team-based approach OVERVIEW OF THE WESTCHESTER CARES ACTION PROJECT (CIDP) MEMBER: High risk, multiple chronic diseases, 39% homeless, FFS 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. PEER NAVIGATOR: makes connection to social and medical services, adds credibility, serves as a role model of recovery SOCIAL SUPPORTS MEDICAL APPOINTMENTS HOUSING

  7. 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 jim.spink@beaconhs.com • Mark Deasy, Dir. Account Ops. BHS mark.deasy@beaconhs.com • Chris Mangione, Clinical Mgr, BHS christine.mangione@beaconhs.com • Adele Gorges, Ex Director, NYCCP agorges@ccsi.org

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