News and EventsTuesday, January 29, 2013
New managed care system to coordinate medical and long-term care for SW Ohio adults
Council on Aging is helping to implement a new joint federal state project designed to improve care and reduce costs for people who are eligible for both Medicare and Medicaid. Called the Integrated Care Delivery System (ICDS), the three year pilot project aims to improve health outcomes while saving taxpayers` money.
Via contracts with two health insurance companies, Council on Aging will work as part of a team of professionals providing coordinated health care and long term care services to low income, frail and disabled adults. The two companies are Aetna Better Health of Ohio and Molina Healthcare of Ohio. They will be serving the five counties of COA`s region, as well as other parts of Ohio.
Statewide, the ICDS will be launched in seven regions covering 29 counties and approximately 114,000 individuals. In our 5 county region, those enrolling in the ICDS are expected to include most PASSPORT clients more than 2000 people and thousands of others, including adults under the age of 60 with disabilities, and many nursing home residents. The project is expected to launch September 1.
"I am proud that Area Agencies on Aging were chosen to be partners in this new system," said Council on Aging CEO Suzanne Burke. "We have demonstrated our expertise in serving older adults and our success with interventions and services that contain medical and long-term care costs. The ICDS is part of our territory for opportunity that is, the points where health care and long-term care connect. Strengthening those connections in hospitals, physician practices, nursing homes and many other places is where our future lies."
The ICDS is designed for dual eligibles people eligible for both Medicare and Medicaid because they often require more care than a typical Medicare or Medicaid recipient. According to the Ohio Office of Health Transformation, Ohio`s 182,000 dual eligibles account for just 14% of the state`s Medicaid enrollment, but nearly 40% of total Medicaid spending. In light of the aging population, Ohio must act to contain health care spending. Most of Council on Aging`s PASSPORT home care clients are dual eligibles and will be included in the enrollment process for the ICDS.
The state`s new plan will change the way care is delivered and paid for by better coordinating the long term care, behavioral health and physical health services provided to the plan`s participants. Examples include eliminating unnecessary medical tests, reducing medication errors that can lead to hospitalizations, and connecting people with community based services that help them stay in lower cost care settings, such as their own homes.
The state`s new model of care, is based on several principles:
Council on Aging will report on progress toward implementation of the ICDS as more information becomes available. To learn more, also visit the Web site for the Office of Health Transformation.
More about ICDS
Who will participate in ICDS?