Care Coordination Does Well For Ohioans... And Ohio's Budget
As it has evolved, Care Coordination has proven to be more beneficial than ever anticipated. Care Coordination helps the budget, helps providers, and helps consumers get the care they need and use that care effectively.
Total fiscal benefit to Ohio in 2010 - 2011 fiscal year is $1 Billion.
The Health Care Home approach to prevention, wellness, and coordination of care is working so well to save Ohio taxpayer dollars, we are actually under budget. In fact, Medicaid savings are credited by the media for keeping our state in the black...when many other states are struggling with big deficits.
- Medicaid in Ohio is currently $103 million under budget for the current fiscal year, despite enrollment increases of more than 17,000.
- Care Coordination Plans are responsible for over 3,500 jobs in Ohio.
- Plans generate $4.3 million in payroll taxes to Ohio.
- We support our communities: plans provide $1.2 million in charitable support each year.
Just as importantly, Care Coordination Plans allow Ohio much-needed budget predictability, since the state pays a set premium, no matter how much care their enrollees receive.
Here's how Care Coordination keeps Ohioans Healthier
Care Coordination Plans cover 45% of all Ohio children from birth to age 6. These facts mean we're helping families now... and building a healthier Ohio far into the future.
- Well above the national average.
- Infant emergency room visits are down 28%.
- Infant hospital stays are down 54%.
- Prenatal care increased 17%; there are 50% fewer very low birth-weight babies.
- 14% more children got first-year check-ups.
- 23% more children had annual dental visits.
- 20% more 1-year olds and 24% more 2-year olds got tested for lead poisoning.
- Ohio Care Coordination plan members feel well-served: less than 1% have expressed concerns.
Here's how Care Coordination helps providers
Care Coordination plans work to make it easier for providers to file forms, get information on regulations, and get paid promptly. And Care Coordination case managers reach out to members who are not filling prescriptions, are missing appointments, or need non-medical help like food or clothing to stay well.
- Incentive payments for high-quality performance
- Support for creation of medical homes
- Campaigns like "Keep up with Check Ups" and "Get Your Well On" to foster primary care relationships and healthy, responsible behavior. (links of course
- 98% of clean claims are paid within 30 days and 99.9% within 90 days
- Plans collaborate on common forms whenever possible to minimize provider paperwork; explore the forms.