Missouri

The Missouri Health Improvement Act of 2007 included a provision that the Department of Social Services should create health improvement plans for all participants in MO HealthNet to include coordinated care plans and be enrolled in a health care home. The Missouri Foundation for Health launched the Advancing Chronic Care through Excellence in Systems and Support (ACCESS) program in 2010, designed to improve the delivery of chronic illness care. ACCESS works with Federally Qualified Health Centers (FQHC), local Health Departments, hospitals, and academic health centers through a learning collaborative model to improve team care and care coordination.  In 2011, Missouri was awarded the first approved State Plan Amendment (SPA) to implement their Section 2703 Health Homes program. To accelerate the transformation to a Health Home model, the Missouri Foundation for Health and the Healthcare Foundation of Greater Kansas City funded an 18-month Learning Collaborative for behavioral health and primary care teams.

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
Yes
CPCi: 
No
SIM Awards: 
No
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
6,005,100
Uninsured Population:
11%
Total Medicaid Spending FY 2013: 
$9.0 Billion 
Overweight/Obese Adults:
65.5%
Poor Mental Health among Adults: 
32.3%
Medicaid Expansion: 
No
CPC+: 
CPC+

Cigna and St. John's Mercy Medical Group Collaborative Accountable Care Pilot Program

The principles of the patient-centered medical home are the foundation of Cigna's collaborative accountable care initiatives.  During the pilot, the St. John's Mercy Medical Group (SJMMG) physician practice will monitor and coordinate all aspects of an individual's medical care. Patients - especially those with chronic illness or ongoing medical needs - will continue to go to their current SJMMG physician and will not need to do anything additional to receive the collaborative accountable care benefits. There also is no change in any plan requirements regarding referrals to specialists.

CMS Health Care Innovation Award - The Curators of the University of Missouri

The Curators of the University of Missouri are receiving an award to provide enhanced primary care to Medicare and Medicaid beneficiaries receiving primary care within the University of Missouri Health System, many of them chronically ill. The program will use advanced health information technology, evidence-based treatment planning, and a specialized workforce to coordinate care for both patients and the existing health care team.

Meritas Health Corporation and Cigna Accountable Care Program

Under the program, Meritas Health physicians monitor and coordinate all aspects of an individual's medical care. Patients continue to go to their current physician and automatically receive the benefits of the program. Individuals who are enrolled in a Cigna health plan and later choose to seek care from a doctor in the medical group will also have access to the benefits of the program. There are no changes in any plan requirements regarding referrals to specialists.

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