KHA Members Only Webinar on Medicaid Claims Analysis for Managed Care Payment
Thursday, July 09, 2015 7:55 AM
On Tuesday, July 14, KHA will host a two-hour Members Only Webinar from 10:30 a.m. to 12:30 p.m. (ET) to present the results of a year-long project involving analysis of Medicaid claims data across all sites of service. As part of the Association's Medicaid Reform Strategy, KHA engaged the national consulting firms of Dobson/DaVanzo and Milliman to obtain Kentucky’s Medicaid claims data from the Centers for Medicare and Medicaid Services (CMS) and perform this analysis to assist the membership as they consider new risk-based approaches to Medicaid payment. The analysis and an accompanying chartbook, which will later be made available to the membership, can be used as hospitals work to improve efficiencies in care delivery and negotiate with the MCOs.
Al Dobson of Dobson/DaVanzo and Rebecca Johnson of Milliman will conduct the webinar. Below is an overview of the presentation. Please make note of the presentation of data on episodic payments, which is something being considered by the Cabinet for Health and Family Services (CHFS) under the state State Innovation Model (SIM) grant, as well as a discussion of hospital risk taking.
- Purpose of the Study
- Methodology in Brief
- Population Characteristics
- Population Clinical Characteristics and Risk
- PMPM Spending Patterns
- Utilization Patterns – by Eligibility Category, Region, Service, Risk, and Hospital System
- Spending Patterns by 90-Day Episodes of Care
- Performance Benchmarks
- Implications for Hospital Risk Taking in Transition from Fee-for-Service to Value-Based Payments
- Questions and Discussion
If you did not receive the participation via email, or if you have not submitted your RSVP yet, please contact Debbie Bonn at KHA (firstname.lastname@example.org).