Date: 10/19/2009
Final
Update on the CRICC
HEALTH CARE TASK FORCE
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10:38 AM -- Update on the Colorado Regional Integrated Care Collaborative (CRICC)
Dr. Marshall Thomas, President, Colorado Access and Stephanie Denning, Public Programs, Operations Manager, Kaiser Permenente Colorado introduced themselves and provided two handouts to the committee (Attachments E and F respectively). Dr. Thomas described the pilot program regarding regional integrated care collaborative. He stated that it is intended to improve the quality of care received by Colorado Medicaid's highest-need, highest-cost clients. He provided further details regarding the intended goals of the program which are to decrease the cost of care by decreasing inappropriate emergency room visits, unnecessary speciality care, admissions for ambulatory care, and hospital readmissions.
10:46 AM
Dr. Thomas described the general population attributes of the pilot program participants. He stated that there are approximately 2,357 members, at an average of 45 years old with a majority being female. He stated that the population has one of five chronic conditions including diabetes, hypertension, chronic obstructive pulmonary disease, osteoarthritis, and asthma. He stated that these patients are expected to cost approximately 3.3 times as much as the average adult Medicaid recipient. Dr. Thomas detailed a success story of a participant in the pilot program.
10:53 AM
Dr. Thomas spoke to the preliminary outcomes of the pilot program which are:
- an increase in use of a single primary care physician;
- an increase in pharmacy compliance;
- a decrease in emergency room visitation; and
- a decrease in readmissions to the hospital.
Ms. Denning spoke to the Kaiser Permanente program. She described the populations served by the program indicating that approximately 300 individuals have been enrolled in the program to date. She stated that common medical conditions seen in the program include diabetes, heart failure, hypertension, mental retardation, obesity, and seizures. She indicated that key efforts of the program include making a connection with care teams; bonding new members with a primary care physician; providing a heath risk assessments for each person; providing initial health exams as soon as possible after enrollment; customizing individual care plans; and coordination with external providers such as behavioral health providers. She described challenges with the program, including adjusting workflows for maximum efficiency and effectiveness; reaching new members; and helping new members learn about being in the Kaiser Permanente system. She described some of the success stories for the program.
11:07 AM
Committee members asked several questions to the panel.