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Historical information: Minnesota’s Demonstration to Integrate Care for Dual Eligibles

This is historical information about the Minnesota Department of Human Services (DHS) Demonstration to Integrate Care for Dual Eligibles, also known as the “Dual Demo.”

August 30, 2016
The four grantees selected to do cultural outreach for the Minnesota Senior Health Options (MSHO) program presented their grant findings, lessons learned and recommendations to stakeholders at the DHS Elmer L. Andersen Human Services Building. This opportunity allowed each grantee to present information about their specific grant activities and allowed DHS the opportunity to present their recommendations and express the desire to continue to work on cultural sensitivity of MSHO and other Medicaid managed care programs.

Overall, it seems some barriers or issues are specific to certain cultures, but there are some overarching issues which affect many cultural groups. DHS will issue a grant summary, which includes recommendations for the future based on these grants and implementation plans. Each grantee provided very culturally sensitive outreach and gathered very important information about cultural sensitivity needs and preferences.

The DHS Diversity Outreach presentation DHS-3766 (PDF) includes the presentations from the four grantees:

  • Briva Health (formerly known as Somali Health Solutions)
  • Lao Assistance Center of Minnesota
  • Stairstep Foundation
  • Volunteers of America

August 26, 2016
Bailit Health presented their findings from the evaluation they conducted of the overall implementation of the Integrated Care System Partnerships (ICSP) initiative. Managed care organizations and providers involved with the ICSPs attended Bailit’s presentation DHS-7427A (PDF), provided feedback and asked questions about Bailit’s findings and recommendations.

September 12, 2013
DHS and the Centers for Medicare and Medicaid Services (CMS) signed a Memorandum of Understanding (PDF) establishing a demonstration to align administrative functions for improvements in beneficiary experience (demonstration). The demonstration began on September 13, 2013, and continues until December 31, 2016. The project is designed to reduce costs associated with beneficiaries eligible for both Medicare and Medicaid, or dual eligibles.

June 29, 2012
DHS staff continued discussions with CMS to improve outcomes for dually eligible populations through new payment reform models as proposed on April 26, 2012.

We discussed two possible avenues for the demonstration. First, Minnesota is one of the 15 selected states to design a dual demo demonstration, and the second option is a more prescribed financing path called the Financial Alignment Demonstration (FAD).

CMS and DHS agreed that it is in Minnesota’s best interests not to pursue the FAD model at this time, though DHS will continue to consider that model in the future as it rolls out in other states.

The reason for this decision is that Medicare financing under the FAD model would result in a significantly lower payment than Minnesota is now receiving for senior Medicare beneficiaries in current programs. Lower payments could jeopardize DHS’ proposed purchasing and payment reform strategies.

DHS is making progress in discussions with CMS around the framework for the demonstration’s Memorandum of Understanding (MOU) for 2013 for the senior dual eligible population.

DHS intends to continue discussion with CMS in a second phase for the SNBC group for 2014 as stated in the proposal. Please note that the purchasing models (Model 1 and Model 2 with a future Model 3 for SNBC members) continue to be the core of this dual eligible demonstration as originally proposed.

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