Health care integration leads to early wins in SW Washington

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Southwest Washington reports early success in health care integration

Preliminary data show encouraging results in the first year of fully integrated managed care in Southwest Washington.

Research and data analysts at the Department of Social & Health Services are finding evidence that integrated financing for physical and behavioral health services can have positive results. Of special note are statistically significant lower rates of homelessness and incarceration as compared to statewide data.

Since the April 2016 launch of fully integrated managed care for Apple Health (Medicaid) clients in Clark and Skamania counties, the region reports improved performance in 10 of 19 measures.

Washington State Medicaid Director MaryAnne Lindeblad responded that this is an exciting time for everyone involved in health care transformation.

“These results are the first real evidence that the transformation is making a significant, palpable difference in the lives of those we serve,” Lindeblad said, “It’s working because teams are laser-focused on the goal: providing all Washingtonians equal access to whole-person care, improving the overall health of our communities, and using state resources more efficiently.”

The measures track four key areas: access to care, quality of care, coordination of care, utilization, and social outcomes (homelessness, employment, and criminal justice involvement). Report highlights:

  • The Southwest Washington region is performing better than non-integrated regions in 10 of 19 measures, including percent homeless, percent arrested, follow-up after emergency department visit for alcohol or drug dependence after both seven and 30 days, and antidepressant medication management.
  • The Southwest Washington region is performing as well as non-integrated regions in eight measures.
  • Metrics showed statistically significant improvement for adult Medicaid beneficiaries residing in the region for the following:
  • Adults' Access to Preventive/Ambulatory Health Services
  • Cervical Cancer Screening
  • Chlamydia Screening in Women
  • Comprehensive Diabetes Care - Hemoglobin A1c Testing
  • Antidepressant Medication Management - Continuation Phase Treatment
  • Percent Homeless 
  • Percent Arrested

    For more information, see the presentation Evaluation of fully integrated managed care in Southwest Washington - preliminary first-year findings.

    CHart of percent homeless
    Chart of percent arrested