Nebraska

In 2009, Legislative Bill 396 authorized the Nebraska Medical Home Pilot Program Act with the purpose of improving health care access and health outcomes for patients and containing costs in the Medicaid program. The act defined medical home for the state of Nebraska and authorized a medical home pilot program. In 2011, the Nebraska Medicaid Patient-Centered Medical Home (PCMH) pilot was launched with two participating primary care practices; the pilot ended in 2013. In 2014, a voluntary, two-year, multi-payer medical home pilot was launched with the support of the Nebraska Legislature through a Participation Agreement. Commercial insurers and Medicaid managed care plans were asked to support PCMH-recognized practices by linking payments to clinical, financial and patient satisfaction measures. The goals of the Agreement include contracting with approximately 10 clinics by the end of 2014 and 20 clinics by the end of 2015.

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
No
CPCi: 
No
SIM Awards: 
No
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
1,844,800
Uninsured Population:
10%
Total Medicaid Spending FY 2013: 
$1.8 Billion 
Overweight/Obese Adults:
66%
Poor Mental Health among Adults: 
30.4%
Medicaid Expansion: 
No

Avera Health Medical Neighborhood Demonstration - Nebraska

This award is part of the Health Care Innovation Awards program, a Department of Health and Human Services initiative investing up to $1 billion to test promising new approaches that aim to improve health care and lower program costs for recipients of Medicare, Medicaid and the Children's Health Insurance Program (CHIP).

To Align or Not to Align: State Options in Multi-Payer Medical Home Initiatives

2014-03-04 15:30 to 17:00

Currently, 19 states are participating in one or more multi-payer patient centered medical home initiatives (PCMH). As states develop new multi-payer PCMH initiatives, they will have to grapple with the question of how much, if any, alignment is necessary among key programmatic elements, including payment, qualification standards and evaluation measures. This webinar, supported by The Commonwealth Fund, will feature key stakeholders from New York, Michigan, and Nebraska who will share their unique approaches that span the alignment spectrum.

Speakers:

To Align or Not to Align: State Options in Multi-Payer Medical Home Initiatives
Announcement Type: 
Webinar

Primary Blue - Blue Cross and Blue Shield of Nebraska’s Patient-Centered Medical Home Program

Primary Blue focuses on chronic disease management (diabetes, congestive heart failure, coronary artery disease, hypertension, metabolic syndrome and asthma), as well as preventive services (BMI recording, colorectal cancer screening, breast cancer screening, cervical cancer screening, and immunizations). The three types of providers participating in Primary Blue are: Family Physicians, Internal Medicine Physicians, and Pediatricians.

Nebraska Medicaid Multi-Payer Medical Home Pilot Program

In 2014, the Nebraska State Legislature issued a voluntary Participation Agreement to recognize and reform payment structures to support the PCMH. Through this agreement, commercial insurance companies and health care providers agree to support the PCMH by using "consistent requirements and measurements to promote the efficient transformation of primary care practices into PCMH." The goals set forth are that insurers have active PCMH contracts with 10 clinics by the end of 2014 and 20 clinics by the end of 2015.

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