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Health Foundation Awards $1.5 million to Drive New Payment Reform Efforts, Support Successful Ongoing Work

Health Foundation Awards $1.5 million to Drive New Payment Reform Efforts, Support Successful Ongoing Work

The Maine Health Access Foundation (MeHAF) has awarded $1.54 million in new grants and renewed funding to eleven Maine nonprofits dedicated to overhauling health care delivery and payment approaches that  reduce costs, maximize value and deliver better health to Maine people.

“Maine is a nationally recognized leader in advancing new strategies to pay for health care delivery.  We are pleased to continue our support for innovative Maine-based strategies that can improve quality while controlling costs,” said Dr. Wendy J. Wolf, MeHAF’s President and CEO. “As Maine moves forward with implementation of the Affordable Care Act, controlling costs in ways that work for Maine people, businesses and health care system will be critical.”

New Grants
The Aroostook Medical Center: $193,642: To connect frequent users of Emergency Department services with primary care providers to ensure that they have a primary care home and to reduce the number of repetitive and expensive Emergency Dept. patient visits.

Eastern Maine Medical Center: $187,641: To examine whether Patient-Centered Medical Homes both reduce unnecessary health care utilization and increase patient satisfaction – particularly among those who are uninsured and underinsured.  The project will leverage nationally recognized electronic health data improvements from Bangor Beacon Community. 

Franklin Memorial Hospital: $197,818:  To implement Franklin C.A.R.E.S., a Nurse Navigator pilot program to improve care coordination, access to care and integration of behavioral health care for uninsured and underinsured patients qualifying for free or discounted care under the hospital’s Financial Assistance policy.

Maine Medical Education Trust: $189,888: To educate and provide legal and accounting tools to independent physician practices that serve MaineCare (Medicaid) and underinsured patients to boost participation in Accountable Care Organization (ACO) payment reform efforts. This approach compensates care providers based on patient wellness, not volume of procedures and visits. 

MaineHealth:  $196,200: To develop a new model of primary care reimbursement aligned with principles of Patient-Centered Medical Homes that can be rapidly implemented system-wide, integrated in payer contracts with no negative consequences to the uninsured or underserved people of Maine, and can be replicated by other providers outside MaineHealth. 

Mercy Hospital: $ 197,052: To form the Mercy Medical Neighborhood Model, a collaboration with community partners and insurers that addresses the needs of the most costly charity care patients through an improved care and cost management program that mirrors Mercy’s Accountable Care Organization practices.

Renewed Grants
Maine Health Management Coalition Foundation:  $75,000: To continue the statewide work of the Accountable Care Implementation (ACI) committee which provides comprehensive support, tools and research to Maine health care organizations that are in the process of transforming their health systems into Accountable Care Organizations (ACO’s).

Maine Quality Counts:  $75,000: To continue the work of Community Care Teams, a component of the Patient-Centered Medical Home pilot program that reduces system costs and unnecessary care by connecting patients who have complex medical and social needs to comprehensive and coordinated services in their home communities.

MaineGeneral Medical Center: $75,000: To develop patient “peer navigators” – Maine people who themselves are dealing with chronic disease. These peer navigators will be trained and supported by MaineGeneral and leaders of chronic disease prevention programs to assist and guide other patients toward appropriate disease self-management and care.

Medical Care Development Public Health:  $75,000:  To sustain and expand the successful employee wellness and insurance coverage efforts modeled with very small Somerset County businesses in partnership with Greater Somerset Public Health Collaborative (GSPHC) and communities participating in the Maine Development Foundation’s Community Transformation Grant. 

Prescription Policy Choices:  $74,987: To contain prescription drug costs, assist the uninsured and underinsured in obtaining reasonably priced medications, promote cost-effective alternatives to brand-name drugs, and ensure that prescription policies are addressed in new, affordable insurance coverage options.

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