Over the course of the summer, OneCare hosted town hall style meetings in each health service area in Vermont that participates in OneCare’s programs. The intention of these meetings was to prepare communities for changes to the Complex Care Coordination payment model that will go into effect on April 1, 2020.
Leaders and their designees from across the continuum of care, including all current funding recipients, were invited to come together at these meetings to participate in a collaborative session to highlight data specific to their community that could be positively impacted by care coordination. OneCare management provided education about changes to the payment structure. OneCare leaders also reviewed strategies and tactics to prepare communities for a successful transition to the new payment structure.
Over the course of the statewide series, more than 250 individuals attended the sessions and left with material prepared specifically for their organization to support their progress towards achievement of a 15% care managed rate.
Below are strategies OneCare leaders recommended at the statewide town hall meeting series:
- Schedule visits with individuals that have not had a wellness visit in the past 12-24 months
- Develop a process to review and ensure alignment of patients in active care management across community organizations
- Ensure there are clear strategies in your organization to address:
- Transitions of care
- High ED utilizers
- Avoidable readmissions
- Vulnerable populations (e.g. homeless, socially isolated, multiple conditions)
- High cost outliers
- Drive focus on patient outcomes
- Monitor and share progress with leaders and staff in your organization
- Be on the lookout for new care coordination training opportunities
- Train your staff in care models and tools
OneCare welcomes the opportunity to provide your organization with additional information and wants to work with you to ensure patients receive the absolute best care.
Please connect with your local clinical consultant for support and questions.