The Minnesota Department of Human Services (DHS) recently
released a Request
for Information (RFI) related to the Integrated Health Partnerships (IHP) program.
Over the past four years of the IHP demonstration, which was
formerly known as Health Care Delivery Systems (HCDS), DHS has engaged in
alternative payment arrangements directly with provider organizations that
serve an attributed population, in an agreed-upon total cost of care and
risk/gain sharing payment arrangement. Quality of care and patient experience
are measured and incorporated into the payment models alongside cost of care.
DHS is interested in advancing this
accountable care model to continue to improve the quality of and reduce the
cost of care provided to individuals in the state’s public programs, such as
Medical Assistance, Minnesota’s Medicaid program and MinnesotaCare, a program
for residents who do not have access to affordable health care coverage.
DHS recognizes that there are still many opportunities for
potential improvements to the model. Examples of areas that DHS is requesting
feedback on include: Continuing to incentivize efficiency and improvement over
time, the flexibility of payment mechanisms, inclusion of specialty providers
and providers that do not have direct affiliation with a hospital system,
attribution methodology, and more.
Responses from any stakeholders are requested by Friday, May
27.
DHS will be hosting one in-person public stakeholder meeting and a
public online webinar meeting.
In-Person Stakeholder Meeting
Friday, April 29, 1 to 2:30 p.m.
Elmer L. Andersen Human Services Building
540 Cedar Street
St. Paul, MN 55101
Webinar Stakeholder Meeting
Wednesday, May 4, 2:30 to 4 p.m.
Webinar only:
Audio only option:
- 1-888-742-5095
 Call-in toll-free
number
- 1-619-377-3319 Call-in number
- Conference Code 796 395 9269
For further information, please contact Mat Spaan at 651-431-2495.
The IHP program, Minnesota’s groundbreaking approach to
delivering quality health care more efficiently for low-income people,
continues to grow across the state, now encompassing 19 provider groups and
more than 340,000 enrollees in the state’s public programs.
The IHP demonstration prioritizes the delivery of higher
quality and lower cost health care, encouraging providers to focus on
delivering efficient and effective health care and preventive services to reach
mutually agreed-upon health goals. In contrast, the traditional payment system
pays providers for the volume of care they deliver, rather than the quality of
care they provide. In the IHP model, providers who meet a threshold for savings
are eligible for a share of the savings. Beginning in the second year of
participation, some providers also share the downside risk if costs are higher
than projected.
The IHP initiative is a key component of a $45 million
federal State Innovation Model (SIM) grant, which is helping to drive health
care reform in Minnesota. Several IHP participants have also received SIM
grants for their innovative efforts to improve health care.
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