{"id":256,"date":"2016-11-10T00:00:00","date_gmt":"2016-11-10T00:00:00","guid":{"rendered":"https:\/\/eccovia.com\/index.php\/2016\/11\/10\/1115-whole-person-care-coordination-waivers-just-read-the-blog-2\/"},"modified":"2024-03-18T13:41:39","modified_gmt":"2024-03-18T13:41:39","slug":"1115-whole-person-care-coordination-waivers-just-read-the-blog-2","status":"publish","type":"post","link":"https:\/\/eccovia.com\/blog\/1115-whole-person-care-coordination-waivers-just-read-the-blog-2\/","title":{"rendered":"1115 Whole Person Care Coordination Waivers"},"content":{"rendered":"
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Traditionally, both medical care and social services are provided in a landscape dominated by fragmented care and service silos. Programs or medical practices are designed to focus on their individual specialties and providers are frequently unaware of resources that are available outside of their field of expertise, much less which resources are being utilized by their individual clients. This disjointed approach often subjects individuals with complex needs to a myriad of non-coordinated care plans, a strategy which leads to frustration and poor outcomes.<\/p>\n

The overarching goal of Medicaid providers is to improve patient outcomes and reduce costs. According to the Agency for Healthcare Research and Quality, \u201cCare coordination is the deliberate organization of patient care activities between two or more participants (including the patient) involved in a patient\u2019s care to facilitate the appropriate delivery of healthcare services. Organizing care involves the marshaling of personnel and other resources needed to carry out all required patient care activities and is often managed by the exchange of information among participants responsible for different aspects of care.\u201d Enter 1115 Medicaid Whole Person Care Waivers.<\/p>\n

Whole Person Care Waivers<\/strong><\/p>\n

The whole person care pilots include primary care, behavioral health, and community-based social service providers who address the full social determinants of health for vulnerable individuals. For example, providers could work together to get a homeless individual housing, care for diabetes, counseling for behavioral illness, and help to obtain employment. Conscious, whole person care coordination not only improves the individual\u2019s experience, but also leads to better long-term health outcomes as demonstrated by fewer unnecessary trips to the hospital, fewer repeated tests, fewer conflicting prescriptions, and clearer advice about the best course of treatment.<\/p>\n

Comprehensive Care Plans<\/strong><\/p>\n

A Comprehensive Care Plan is a holistic, dynamic, and integrated plan that can be shared between multiple providers to coordinate care in real time and evaluate individual progress. A Comprehensive Health Record incorporates an individual\u2019s entire medical history, including health, behavioral health, and health-related social needs. As Medicaid providers look to care coordination strategies for their patients, Comprehensive Care Plans provide a deeper, more meaningful view of the \u201cwhole person\u201d and communication and coordination is vastly improved as patients transition across settings.<\/p>\n

Chilmark Research highlights eight \u201ccore\u201d elements needed in a successful Comprehensive Care Plan:<\/p>\n