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Grants to Minnesota nonprofits, counties, groups of counties, and other group types for partnership initiatives that enhance the quality and value of public health services. Webinars will be held between May 29 and July 25. One-on-one meetings are available between June 7 and July 25. Questions will be accepted through July 25. LOIs are due August 18.
Purpose of Request:
The goal of the Integrated Health Partnerships (IHP) program is to improve the quality and value of the care provided to the citizens served by Minnesota’s public health care programs. This Request for Proposal (RFP) solicits a response from organizations interested in participating in the Integrated Health Partnership program.
The Integrated Health Partnerships program allows provider organizations to voluntarily contract with the Minnesota Department of Human Services (DHS) to care for Minnesota Health Care Programs (MHCP) recipients in both fee-for-service (FFS) and managed care under a payment model that holds these organizations accountable for the total cost of care and quality of services provided to this population. Within this structure, DHS seeks to expand the IHP program in different geographic regions of the state and across different models of care delivery that will integrate health care with chemical and mental health services, safety net providers, and social service agencies. The projects will include clear incentives for quality of care and targeted savings, and will result in increased competition in the marketplace through direct contracting with providers.
Scope of Work:
The purpose of the IHP program is to provide opportunities for providers and other organizations to develop innovative forms of care delivery through payment arrangements that reduce the cost of care, improve health outcomes, and improve patient experience. The demonstration will be conducted over a three-year contract cycle with annual performance periods. The demonstration will be conducted statewide and is not limited to providers or MHCP beneficiaries in a specified geographic area. This RFP provides the detail of how an IHP can meet the objectives of the program.
IHPs will not administer the MHCP benefit set or pay claims under the demonstration or be required to contract for additional services outside of the services delivered by the IHP.
Nothing in the contract agreement will obviate all providers included in the IHP from meeting all MHCP fee-for-service and/or managed care organization (MCO) requirements including, but not limited to enrollment, reporting, claims submission, and quality measures.
Core Principles of Model:
The goal of the 2018 IHP model is to introduce enhanced options for participating in value-based payment arrangements based on the past four years of experience and feedback from existing IHPs and state stakeholders, and continue to work towards achieving the Triple Aim of health care for patients in the state of Minnesota. Core principles of the Model are:
-Recognition that “value-based” payment arrangements for health care consist of both cost and quality components.
-Promoting IHP sustainability and innovation through population-based payments paid on a quarterly basis for IHP-attributed patients which will encourage IHP responsibility for patient care coordination, quality of care provided, and Total Cost of Care.
-Addressing non-medical health factors by incentivizing community partnerships between medical and non-medical providers; both recognizing the additional risk and investment required to establish and incorporate non-medical community partnerships into the health system, and rewarding non-medical providers appropriately for contribution to patient and population health.
-Claims-based attribution with an emphasis on primary care but that is flexible based on services provided and coordinated by the IHP.
-Expanding participation in value-based payments to a variety of providers by offering two different payment models that correspond to the entities’ ability to bear financial risk and take on full responsibility for patients.
-Actuarially sound benchmarks, cost estimations, and payment mechanisms, for the benefit of the payer as well the provider participating in the value-based payment arrangement.
-Ability to act upon, share, and strengthen health care data and technology in a timely and accurate way.
-Alignment with other federal, national, and state-based value-based payment arrangements and/or existing initiatives to the extent possible.
The term of any resulting contract is anticipated to be three years, from January 1, 2018 through December 31, 2020.
DHS will release periodic updates on the RFP through webinars, emails and other communications, as necessary. To be added to the DHS IHP email list, email firstname.lastname@example.org or sign up at: https://public.govdelivery.com/accounts/MNDHS/subscriber/new?topic_id=MNDHS_198
Health Care Administration
Department of Human Services
444 Lafayette Road N.
St. Paul, MN 55155