Value-Based Reimbursement Information Webinar Planned

Alliance is providing a two-part webinar for our providers on value-based reimbursement. The webinars will provide an overview of alternative payment models, pros and cons of these models and practical steps to prepare​ for and implement value-based reimbursement arrangements. Registration is limited to 200 attendees, so early registration is encouraged. The webinars are scheduled for November 26, 2018 from 1 to 3 pm and December 3, 2018, from 1 to 3 pm. To register, please email Sandra Ellis, [email protected].

The presenter is Deb Adler, President, Transformation Health Resources, LLC. Deb has more than 20 years’ experience in executive health care roles, serving in a variety of capacities including network executive, quality management executive and chief operating officer. As the SVP of Network Strategy at Optum she led value-based contracting, medication assisted treatment and telehealth initiatives.

Alliance to Hold Community Forum in Johnston County

Alliance will hold a community forum to discuss Medicaid reform and how it will impact healthcare delivery.

The forum will also address:

  • Alliance’s Community Gaps and Needs Assessment, which surveyed service gaps and barriers identified by our Johnston stakeholders.
  • Alliance’s plan for improving access to care and supports.

The forum will be on Monday, December 3, 2018, 4–6 pm, at the Public Library of Johnston County and Smithfield, 305 E. Market Street, Smithfield, NC 27577.

Peer Support Specialist Training Scheduled

A Certified Peer Support Specialist Training will be held at Southern Regional AHEC in Fayetteville beginning on November 26, 2018 at 8:30 am.

The Certified Peer Support Specialist Training includes the North Carolina approved 40 hour Peer Academy training, and an ad and 20 hours of continuing professional development training, which consists of mental Health First Aid, The Challenge of Opioids, and Using Harm Reduction in the Treatment of Substance Use Disorders. Participants are able to apply for certification upon completion.

Click here for more information about the training. Click here to register.

1915(b) Waiver Posted for Public Comment

NC Medicaid has posted the 1915(b) Waiver for public comment at:  https://medicaid.ncdhhs.gov/get-involved/nc-health-choice-state-plan.

Public comments can be submitted by email or voicemail to NC Medicaid (Division of Health Benefits):

Email:  [email protected]

Phone:  919-855-4968

UPDATE-AlphaMCS Back in Service

The issue has been resolved and you should now be able to access Alpha. We apologize for any inconvenience.

Webinar to Discuss Alternative Payment Models

Alliance is pleased to offer a free, two-part webinar that will provide an overview of alternative payment models, pros and cons of these models and practical steps to prepare for and implement value-based reimbursement arrangements. The presenter is Deb Adler, President of Transformation Health Resources, LLC, who has more than 20 years’ experience in executive health care roles, serving in a variety of capacities including network executive, quality management executive and chief operating officer. Deb began her career in health care quality and is a recognized leader in value-based contracting and alternative payment models. Deb has facilitated network designs and benefit plan approaches that achieve both quality outcomes and healthcare cost savings.

The two-part webinar will be held November 26, 2018, from 1 to 3 pm and  December 3, 2018, from 1 to 3 pm. To register, please email Sandra Ellis, [email protected].

Referral Screening Verification Process (RSVP)

The Department of Health & Human Services (DHHS) is implementing the Referral Screening Verification Process (RSVP) for individuals being considered for admission to an Adult Care Home (ACH) effective November 1, 2018.  RSVP will replace Pre-Admission Screening Resident Review (PASRR) for ACHs, providing a more streamlined and effective process to screen Transition to Community Living Initiative (TCLI) target populations.

Starting November 1, all referrals will be submitted at the following website https//www.socialserve.com/nc/rsvp. Please see the FAQ and Fact Sheet for additional information on this new process.

i2i Center Plans Provider Success Symposium

The i2i Center for Integrative Health will hold a pre-conference “Provider Success Symposium” on December 4, 2018, from 1:30 to 4:00 pm before their “Visionary Voices” conference in Pinehurst, NC.

The symposium is titled “Change is Here! Critical Issues For Provider Success” and will offer  a big picture view and insight from experts on areas of planning most critical for provider success in the new Medicaid managed care integrated system.

  1. Topics to be covered include:
  2. Understand what being a value based provider as defined by health plans means;
  3. Understand the use of Electronic Health Records (EHR), connectivity to NC Health Information Exchanges (HIE), and how to use this data once it is flowing bi-directionally;
  4. Identification of the infrastructure you must have for data collection, reporting and analysis to meet quality indicators that will be dictated by multiple payer sources;
  5. Familiarization with the Alternative Payment Continuum including the tracking of costs in order to mitigate your financial risk;
  6. Practicing WHOLE person care and understanding that it is not as simple as integrated behavioral health and primary healthcare.

The speaker will be Tara Larson, Senior Health Policy Specialist, Cansler Collaborative Resources. Symposium experts include Paul Enderson, Executive Director, Youth Villages; Billy West, Executive Director, Daymark Recovery Services, Inc.; and Lindsay Crouse Mitrook, Director, Value Based Care, AmeriHealth.

More information may be found at the i2i Center website. To register, click here.

Alpha Maintenance Notification

AlphaMCS will be down on Thursday October 18th between the hours of 5 and 9 pm for scheduled maintenance.