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McKesson Chronic Care Improvement Program

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Approximately 20,000 Mississippi Medicare beneficiaries will be ... American Geriatrics Society. Joslin Diabetes Center, affiliated with Harvard Medical School ... – PowerPoint PPT presentation

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Title: McKesson Chronic Care Improvement Program


1
McKesson Chronic Care Improvement Program
  • Mississippi

2
McKessonChronic Care Improvement Program
  • Part of the MMA included Section 721
  • Approximately 20,000 Mississippi Medicare
    beneficiaries will be eligible to receive disease
    management services
  • Mississippi is one of nine states chosen for the
    three-year CMS pilot program
  • Must have a diagnosis of heart failure and/or
    diabetes
  • Primary objectives
  • Improve clinical quality
  • Improve beneficiary and provider satisfaction
  • Achieve overall net cost reduction of at least 5
  • Develop new strategies for chronic care management

3
Expanding the McKesson-QIO partnership for
Disease Management
As a leader in Medicaid FFS DM programs, McKesson
has close partnerships with state QIOs
4
Evolving population care management model
5
Chronic Care Improvement Program
  • Physician-directed delivery model to promote and
    sustain the beneficiary-physician relationship
  • Quality improvement/pay for performance
    incentives
  • Nurse support available to physicians and
    beneficiaries to reinforce the treatment plan
  • Community-based nurses 24/7 nurse call center.
  • Remote health monitoring/home monitoring devices

6
McKessonChronic Care Improvement Program
  • The Mississippi chronic care collaborative
  • Information and Quality Healthcare (IQH)
  • The University of Mississippi Medical Center
  • American College of Physicians
  • American Academy of Family Physicians
  • American Geriatrics Society
  • Joslin Diabetes Center, affiliated with Harvard
    Medical School

7
McKessonChronic Care Improvement Program
  • IQH subcontracting responsibilities
  • Review methodologies in data collection and pay
    for performance
  • Review reporting tools and quality improvement
    efforts
  • Recruit local physician champions
  • Providing assistance in educational materials
    Training staff in QIO performance measures
  • Participation in technical consulting group
  • Support use of COMMAND software
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