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The Value of Stakeholder Engagement for Integrated Care

The Value of Stakeholder Engagement for Integrated Care. Alliance for Health Care Reform Briefing December 12, 2011 Suzanne S. Gore Director, Integrated Care, CHCS. Overview. Why stakeholder engagement is important Key stakeholder groups What methods of communication are available

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The Value of Stakeholder Engagement for Integrated Care

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  1. The Value of Stakeholder Engagement for Integrated Care Alliance for Health Care Reform Briefing December 12, 2011 Suzanne S. Gore Director, Integrated Care, CHCS

  2. Overview • Why stakeholder engagement is important • Key stakeholder groups • What methods of communication are available • Lessons from states: Stakeholder priorities

  3. Why Stakeholder Engagement is Important • Critical for a state to develop a program that truly meets the needs of dual eligible beneficiaries. • Opportunity to share the state’s vision for improved care. • Chance to learn from stakeholders how care can be improved and understand what is working.

  4. Why Stakeholder Engagement is Important • Allows states to develop a partnership with stakeholders • Convey the message: “Your Input is Critical” • Include stakeholder’s recommendations or explain when that is not possible Integrated care will not move forward without stakeholder support.

  5. Why Stakeholder Engagement is Important Integrated care will not work with numerous carve outs and exclusions for certain services and populations. Experience in Virginia: Began with this Ended with this

  6. Key Stakeholders Critical to Achieving Buy-in for Integrated Care

  7. Communication Methods • Focus Groups • Cross-Disciplinary Stakeholder Meetings • Stakeholder Workgroups • Public Webinars • Project-Specific Websites • Requests for Information

  8. Lessons from States: Stakeholder Priorities • Assistance in navigating the system • A single point of coordination for all Medicare and Medicaid benefits and connected providers. • Greater flexibility in service use through blended funding • Access to the full continuum of services, including community-based care options • Person- and family-centered approach to care CHCS’ work in California is illustrated by this report: M. Bella, A. Lind, and S.A. Somers. Options for Integrated Care for Duals in Medi-Cal: Themes from Interviews with Key Informants and Community Dialogues. Center for Health Care Strategies, Inc., March 2010.

  9. Conclusion • Numerous stakeholder groups will have countless priorities • Remember why we are all working on integrated care- the guiding question is “Will this improve the care and the lives of beneficiaries?”

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