Nebraska

In 2009, Legislative Bill 396 authorized the Nebraska Medical Home Pilot Program Act with the purpose of improving health care access and health outcomes for patients and containing costs in the Medicaid program. The act defined medical home for the state of Nebraska and authorized a medical home pilot program. In 2011, the Nebraska Medicaid Patient-Centered Medical Home (PCMH) pilot was launched with two participating primary care practices; the pilot ended in 2013. In 2014, a voluntary, two-year, multi-payer medical home pilot was launched with the support of the Nebraska Legislature through a Participation Agreement. Commercial insurers and Medicaid managed care plans were asked to support PCMH-recognized practices by linking payments to clinical, financial and patient satisfaction measures. The goals of the Agreement include contracting with approximately 10 clinics by the end of 2014 and 20 clinics by the end of 2015.

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
No
CPCi: 
No
SIM Awards: 
No
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
1,844,800
Uninsured Population:
10%
Total Medicaid Spending FY 2013: 
$1.8 Billion 
Overweight/Obese Adults:
66%
Poor Mental Health among Adults: 
30.4%
Medicaid Expansion: 
No

LB 863 - Adopt the Travel Insurance Act and the Primary Care Investment Act

This legislation establishes a Primary Care Investment Council, charged with measuring primary care spending in Nebraska recommend an appropriate level of primary care investment across public and private payers, and recommend steps to attain that target. The Council is futher instructed to issue a report to the Governor and Legislative Council on an annual basis, starting in 2023 and continuing through 2028.

The Future of Health Care Reform — A View from the States on Where We Go from Here

The future of U.S. health care reform is muddier now than at any point in the past two decades. Health care was one of the most important issues for voters in the 2018 election, but there is little reason to believe that substantive national action is likely any time soon. The Trump administration is taking aggressive steps to undermine the Affordable Care Act (ACA) but is limited in what it can do on health policy absent legislation from Congress. States are poised to fill this vacuum.

News Author: 
David K. Jones, Ph.D.
Christina Pagel, Ph.D.

A Vote Expanded Medicaid in Maine. The Governor Is Ignoring It.

PORTLAND, Me. — Brandy Staples, a 39-year-old breast cancer survivor, had expected to become eligible for Medicaid coverage this month after Maine voters approved an expansion of the program last fall. Instead, she found herself in a courtroom here on Wednesday, watching the latest chapter unfold in a rancorous, drawn-out battle over whether she and thousands of other poor people in the state will get free government insurance after all.
News Author: 
Abby Goodnough

Patients in Pain, and a Doctor Who Must Limit Drugs

MILFORD, Neb. — Susan Kubicka-Welander, a short-order cook, went to her pain checkup appointment straight from the lunch-rush shift. “We were really busy,” she told Dr. Robert L. Wergin, trying to smile through deeply etched lines of exhaustion. “Thursdays, it’s Philly cheesesteaks.”

News Author: 
Jan Hoffman

Participation Agreement

This Participation Agreement is predicated on LB239 - Adopt the Nebraska All-Payer Patient-Centered Medical Home Act, proposed by Senator Wightman. The voluntary agreement provides an opportunity for insurance companies and providers to agree to support and promote the creation of PCMHs in Nebraska through the use of consistent requirements and measurements.

Nebraska Patient-Centered Medical Home Pilot

In 2009, the Nebraska Legislature, through enabling legislation initiated the Nebraska Medical Home Pilot Program Act to be designed and implemented by the Division of Medicaid and Long-Term Care (DHHS). The two-year pilot began in February, 2011, with two rural practices and 7000 Medicaid patients. The focus for the pilot was to transform the two practices into recognized patient-centered medical homes (PCMH) in order to improve health care access and health outcomes for patients and contain costs of the medical assistance program.

Legislative Bill 396

The legislation authorized the Nebraska Medical Home Pilot Program Act with the purpose of improving health care access and health outcomes for patients and containing costs in the Medicaid program. The act defined medical home for the state of Nebraska and authorized a two-year medical home pilot program.

Catholic Health Initiatives Value-Based Care program - Nebraska

Mercy Health Network (MHN) Critical Access Hospitals (CAH), in partnership with Catholic Health Iniativies, is using the CMS Health Care Innovation award to test a model to transition a network of rural critical access hospitals to value-based care. 

The Nebraska Medical Center, Methodist Health System and Humana Announce Accountable Care Agreement for 2015

A new Accountable Care partnership is expected to drive quality health care outcomes for Medicare Advantage members in the greater Omaha area. Humana Inc. (NYSE: HUM) and the Nebraska Health Network, an integrated health care delivery organization co-owned by Methodist Health System, The Nebraska Medical Center and their affiliated physicians, announced the partnership will begin January 1, 2015.

To reduce costs, health workers move toward more contact with patients

The days when doctors simply waited for sick people to walk into their clinics are done. Many patients with chronic diseases now find themselves in contact with clinic-employed health coaches who nudge them to take their medications, eat right, be active and assume ownership of their health. These efforts go well beyond previous patient outreach, in part because they are increasingly tied to insurance payments. The goal is to reduce costs by rewarding providers more for keeping groups of patients well rather than simply for office visits and procedures.

News Author: 
Rick Ruggles

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