Healthier Medicaid Members through Health Systems Improvement - West Virginia
In 2007, 27 states received Medicaid Transformation Grants under Section 6081 of the Deficit Reduction Act of 2005. The grants were rewarded to states that proposed innovative methods which in the end of the two years are designed to produce better health outcomes at lower cost.
The Center for Health Transformation is highlighting states that have received these Medicaid Transformation Grants, and will be following their progress for the next two years. In order for key decisionmakers and industry leaders from around the country to learn from others’ successes, it is our intention to provide this resource in order to showcase innovative practices from across the nation. In the future, this site will be interactive, allowing program directors to submit updates and comments regarding their program.
Click here for the complete grant application >>
Healthier Medicaid Members through Health System Improvement will transform the primary health care delivery system into a network of connected Advanced Medical Homes. The Advance Medical Homes will apply the Chronic Care Model to provide pro-active patient-centered preventative and chronic disease care. Advanced Medical Homes will utilize an interactive electronic health management system with integrated clinical reminders, patient education and risk stratification tools to help Medicaid members meet personal responsibility guidelines and health self-management goals. Ultimately, the regional Advanced Medical Homes will be connected to the Medicaid data warehouse which will enable the system to engage in population-based health management and predictive modeling. The system will be able to evaluate the clinical and cost effectiveness of programs and will identify the need for additional training of health care providers or Medicaid members to achieve program objectives.
The West Virginia Bureau for Medical Services is requesting $3,895,730 from the Center for Medicare & Medicaid Services (CMS) to support Healthier Medicaid Members through Health System Improvement. This improvement will transform the current health delivery system from an acute-focused, fragmented, reactive system to a patient-centered, integrated, pro-active system that provides Medicaid members with the information and tools needed to more effectively self-manage chronic care conditions and avoid costly complications that consume disproportionate health care resources.
