Greetings from HFS Director Julie Hamos
Welcome to another periodic edition of HFS e-news to keep you updated on program changes. To register for future editions, please visit HFS E-News Online Registration or download for others who might be interested by visiting: hfs.illinois.gov/enews. If you are a Medicaid client, this newsletter is not the official notification of any changes that may impact you, and you do not have to respond in any way. This is general information for the public. Thank you,
New Accountable Care Entities
Today, the Governor signed SB 26 into law, as Public Act 98-104 (pdf)– legislation that includes Medicaid expansion under the Affordable Care Act. We will be updating you on progress with its implementation. As described last month, the legislation also creates an Accountable Care Entity (ACE).
An Accountable Care Entity (ACE) is a new model of an integrated delivery system that will be organized by providers (at a minimum primary care, specialty care, hospitals, and behavioral healthcare) and will coordinate a network of Medicaid services for children and their family members (initially), with an option to enroll ACA Medicaid adults. ACEs will each be large enough to have impact for a population: at least 40,000 clients in Cook County, 20,000 in collar counties, and 10,000 downstate.
Under P.A. 98-104, the state will post a solicitation for Accountable Care Entity (ACE) models by the close of business on August 1. Look for it on the HFS website, under “Care Coordination”, “Accountable Care Entity”.
Today, we are seeking your guidance as we finalize the solicitation.
We are seeking input on the quality measures contained in the solicitation, specifically guidance on which top four (4) measures are the utmost important, such that doing well on those measures would result in a pay-for-performance bonus payment for the ACEs.
Attached is a list of 30 measures that the ACEs will be responsible for monitoring and reporting. If you have suggestions as to which 4 of these measures you believe are the best indicator of good quality for an integrated delivery system, please e-mail your suggestions, by close of business on Friday, July 26, 2013, to HFS.ACE@illinois.gov.
See the list of 30 quality measures (pdf). We know this is a short timeframe, but the solicitation must be published by August 1 under the legislation. Thank you!