Utah

Utah began the health system transformation process in 2011, with a clarion call from Governor Gary Herbert. He directed the Utah Department of Health (UDOH), to create a plan that would reduce Utah’s health care costs and provide a trained health workforce (new and existing) to meet the cost reduction challenge and develop measurable innovations that would lead to more patient inclusion in assuring the quality of their own health care.

In early 2013, Utah was awarded a State Innovation Models (SIM) Grant from the Center for Medicare and Medicaid Innovation to begin the process of putting the previous policy discussions into action. The Utah Health Innovation Plan is a statewide roadmap to achieve health systems transformation. It requires changes in the behavior of providers, purchasers and consumers. It has taken nearly three years, countless hours of work and dedicated community input to develop key components as outlined in the plan. In order to achieve the vision of improved health care value (better health, better healthcare, and lower cost) the plan sets out four critical aims:

  • AIM 1: To adapt to and perform well in a value-based purchasing environment (value = quality outcomes/cost)
  • AIM 2: To facilitate end-of-life preferences for Utah citizens so they receive care with dignity, respect and efficiency
  • AIM 3: To increase access to primary care and behavioral health
  • AIM 4: To create community-clinical linkages and healthful environments
CHIPRA: 
Yes
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
No
CPCi: 
No
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
No
Private Payer Program: 
Yes
State Facts: 
Population:
2,878,200
Uninsured Population:
11%
Total Medicaid Spending FY 2012: 
$2.1 Billion
Overweight/Obese Adults:
59.2%
Poor Mental Health among Adults: 
38.5%
Medicaid Expansion: 
Under Discussion

Integrated care plan helps primary care physicians address mental health

on Thu, 2014-10-16 16:21   caroline

According to Brenda Reiss-Brennan, PhD, mental health integration director for Intermountain Healthcare, the first step toward integrating behavioral health into primary care is to stop thinking of patients with mental health issues as “other.”

Story Date: 
October 16, 2014
Source Link: 
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Medicaid in an Era of Change: Findings from the Annual Kaiser 50-State Medicaid Budget Survey at a Forum with the National Association of Medicaid Directors

2014-10-14 09:30 to 11:30

State Medicaid programs are in a time of transformation as the implementation of the Affordable Care Act, the focus on delivery system reforms and the improving economy drive changes in Medicaid’s coverage and provision of health and long term services and supports, with varied impacts on Medicaid spending and enrollment around the country.

Register
Announcement Type: 
Open Forum

Early surgical follow-up with primary care physicians can cut hospital readmissions

on Thu, 2014-06-26 00:00   lisabeth

Patients who have post-operative complications following high-risk surgery have a significantly lower risk of being readmitted to the hospital within 30 days if they go see their primary care physician soon following discharge, a new study in JAMA Surgeryshows.

Story Date: 
June 26, 2014
Source Link: 
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CMS State Innovation Model Design Award - Utah

In early 2013, Utah was awarded a State Innovation Models (SIM) Grant from the Center for Medicare and Medicaid Innovation to design a Utah Health Innovation Plan that oultined potential policy reforms in health information, health workforce, prevention and wellness, payment reform and quality/patient safety. In order to achieve the vision of improved health care value (better health, better healthcare, and lower cost) the Plan sets out four critical aims:

New Report Finds Medical Homes Are Reducing Health Care Costs, Utilization, and Improving Health

on Mon, 2014-01-13 00:00   staci
A review of the year’s academic and industry-generated PCMH evaluations finds significant impact across a number of clinical and financial outcomes.

Embargoed Until Monday, January 13th, 4PM

PCPCC: Michelle Shaljian, 347-754-1692, michelle@pcpcc.net

Milbank: Tara Strome, 212-355-8400, tstrome@milbank.org

New Report Finds Medical Homes Are Reducing Health Care Costs, Utilization, and Improving Health

Story Date: 
January 13, 2014

University of Utah - Care by Design Program

In 2003, the University of Utah Health Care Community Clinics (CCs) developed and initiated a series of research-informed, self-funded phases of practice redesign under the name Care by Design (CBD). CBD utilizes organizing principles of appropriate access, care teams (CTs) incorporating the efforts of advanced practice medical assistants, and planned care supported by a robust, augmented el

Military Health System PCMH Initiative - Hill Air Force Base

The Air Force has employed their version of the PCMH, termed the Air Force Patient-Centered Medical Home (previously the Family Health Initiative), at several of their bases within the United States. The Air Force PCMH was modeled after the qualities and goals of a PCMH. These Air Force PCMH practices are within the Air Force Bases themselves, and each of them has a patient panel of military beneficiaries (active duty members, retirees, and families) creating a unique healthcare environment.

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