CMS grant put toward coordinated care

September 9, 2014 in Medical Technology

Seattle Children’s has received a $5.56 million grant from the Centers for Medicare Medicaid Services to pilot a program deploying innovative care management strategies for disabled patients.

[See also: Care coordination's day in the sun]

The grant, administered through the CMS Innovation Center, will go toward the hospital’s Pediatric Partners in Care program, which seeks to give better care at lower cost for disabled children with multiple medical issues.

“The PPIC program represents a huge leap forward for the special needs children we serve,” said Sandy Melzer, senior vice president and chief strategy officer for Seattle Children’s, in a press statement.

[See also: CMS innovation website will be tool to vet delivery models ]

“These children and their families already have so many challenges to face,” he added. “It is our responsibility to look for ways to improve their lives while also taking a leadership role in supporting national goals to reduce costs of care.”

The three-year pilot, which focuses on 3,000 Supplemental Security Income patients on Medicaid in Washington’s King and Snohomish counties, kicks off this month.

It will deploy strategies for targeted care management such as tiered approaches, shared care plans; integrated behavioral health and primary care; clinical standard work for management of common problems; and coordination of specialist and primary care teams, including at school, according to Seattle Children’s.

CMS Innovation Center was established to test innovative payment and service delivery models to reduce program expenditures while preserving or enhancing the quality of care for those individuals who receive Medicare, Medicaid or Children’s Health Insurance Program benefits.

Seattle Children’s applied for the grant because of its experience providing care for special needs children, officials say.

“There is growing recognition of the challenges of improving outcomes and decreasing medical expenses for children with special needs,” said Melzer. “Children’s Hospital Association is supporting legislation to develop federally-designated centers for children with special healthcare needs on a regional basis.”

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