Medicaid Accelerated eXchange (MAX) Series
Accelerate Transformation and Lasting Change
All PPS Meeting
June18, 2015
April – May 2015
June – July 2015
July – August 2015
October 2015
January 2016
Action Period 2
Action Period
April 2016
September 2016
Action Period
MAX Series1
Medicaid Accelerated eXchange
Topic
Selection
Partner
Recruitment
Program
design
Enrolment,
planning and
organization
MAX
Clinic 1
MAX
Clinic 2
MAX
Clinic 3
Continuous improvement and Performance Measurement
Support: MIX, Email, Phone conferences, Assessments
Notes
1 Designed by KPMG for the NYS Department of Health Delivery System Reform Incentive Payment (DSRIP) Program 2015.
2 Action Periods employ “PDSA – Plan Do Study Act” techniques of design, implement, review, and improve
Summative
congress /
publication
MAX Series Topics
Super-utilizers:
Meeting patient
needs in Primary
Care
Integrating Behavioral
Health and Primary
Care services
Primary Care access
optimization
High risk populations:
Patient engagement and
preventative care
Reduce avoidable hospital use by 25% over 5 years (better care, better health, lower costs)
Care system redesign to Ensure care coordination
better meet complex
to improve outcomes for
and high-cost patient
patients with Behavioral
needs
Health diagnoses
October 2015
(pilot – limited availability!)
January 2016
Building an effective
Primary Care system to
avoid use of secondary
care
Prevent high risk patients from
becoming super-utilizers
February 2016
March 2016
The MAX Series
Supporting your PPS to achieve DSRIP goals, milestones, and requirements.
Multidisciplinary
and PPS
collaboration
Clinical
professionals in
the lead
Applying best
practices
Subject matter
experts
Key Elements of the MAX Series
Alignment with DSRIP performance measures
The MAX topics will align with DSRIP performance measures to accelerate PPS performance, achieve DSRIP
goals and help PPSs secure DSRIP funding
Improving performance
PPS Baseline
performance
Scenario #1: Achieve 10%
reduction in gap to goal
Scenarios 2 and 3 apply only to HPF qualifying measures
Scenario #2:
Achieve 20%
reduction in
gap to goal
Performance
target
Scenario #3: Meet or
exceed 90th
percentile
Contact us
E: [email protected]