The MAPOC
committee that is working with DSS to redesign Medicaid under the SIM directives
met Wednesday to begin the process of designing a shared savings plan. The plan
will be called the
Medicaid Quality Improvement and Shared Savings Program (MQISSP). In good
news, DSS was able to secure from SIM a delay
of six months in the ridiculous timeframe. In bad news, six months is nowhere
near long enough to build a new program and ensure consumers are protected, but
it is better than the original plan. In very good news, we understand that the
process will be driven by MAPOC, not SIM, and DSS will make all final
decisions. SIM representatives are at the table, but DSS and legislators have
emphasized that they value PCMH committee members’ input. DSS is very open to
working with stakeholders on the process and issues to be considered. The
committee agreed to create workgroups for both efficiency in this exceptionally
short timeframe and to expand the voices at the table ― which is always good
news. A plan for those is forming.
The first set
of decisions will be around quality.
The committee has done some preliminary work on this area and DSS was very open
to input, incorporating some of the committees’ suggested metrics.
