Community Health Outreach Worker Project
Authors: David L. Rickard
Website link: https://nachw.org/wp-content/uploads/2023/04/AR-Data-Analysis-Plan-REV.doc
Publicly Available: Yes
Evidence Generation: Evidence-based interventions, General other
Sustainable Financing: Expand evidence base, How to engage and work with Medicaid, Billing/CPT codes, Education to HC orgs on payment options bundled etc., MCO or bundled payment reimbursement models, Reimbursement TA for FQHCs Medicaid etc.
This data analysis plan, based on five years of Medicaid paid claims, will concentrate on two groups: adults with physical disabilities 18 through 64 years of age; and persons 65 years of age and older. It seeks to meet three goals: To justify the proposed demonstration waiver based on projected cost savings to Medicaid for these beneficiaries; to help narrow the focus of the CHOW intervention by identifying the highest cost cases historically in Lee, Monroe, and Phillips Counties; and to identify the appropriate cost factors to target in order to assure cost neutrality.
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