Utah

Utah began the health system transformation process in 2011, with a clarion call from Governor Gary Herbert. He directed the Utah Department of Health (UDOH), to create a plan that would reduce Utah’s health care costs and provide a trained health workforce (new and existing) to meet the cost reduction challenge and develop measurable innovations that would lead to more patient inclusion in assuring the quality of their own health care.

In early 2013, Utah was awarded a State Innovation Models (SIM) Grant from the Center for Medicare and Medicaid Innovation to begin the process of putting the previous policy discussions into action. The Utah Health Innovation Plan is a statewide roadmap to achieve health systems transformation. It requires changes in the behavior of providers, purchasers and consumers. It has taken nearly three years, countless hours of work and dedicated community input to develop key components as outlined in the plan. In order to achieve the vision of improved health care value (better health, better healthcare, and lower cost) the plan sets out four critical aims:

  • AIM 1: To adapt to and perform well in a value-based purchasing environment (value = quality outcomes/cost)
  • AIM 2: To facilitate end-of-life preferences for Utah citizens so they receive care with dignity, respect and efficiency
  • AIM 3: To increase access to primary care and behavioral health
  • AIM 4: To create community-clinical linkages and healthful environments
CHIPRA: 
Yes
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
No
CPCi: 
No
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
No
Private Payer Program: 
Yes
State Facts: 
Population:
2,878,200
Uninsured Population:
11%
Total Medicaid Spending FY 2012: 
$2.1 Billion
Overweight/Obese Adults:
59.2%
Poor Mental Health among Adults: 
38.5%
Medicaid Expansion: 
Under Discussion

Providing Mental Health and Substance Use Treatment in an Integrated Care Setting

2021-05-13 14:00 to 15:00

This training series is on skills and best practices for supporting individuals experiencing co-occurring mental health and substance-use disorders. Only 7.4% of individuals with co-occurring substance use and mental health disorders receive treatment for both disorders, and approximately 55% are receiving no treatment at all (Priester, et al 2016). Access, availability, and affordability to behavioral health treatment is even more difficult when residing in rural areas.  

Announcement Type: 

Utah Issues Its First Primary Care Spending Report

The Utah Department of Health issued a primary care spending report using the state’s All Payer Claims Database (APCD). The report uses the Maine Quality Forum’s definition of primary care to calculate the total amount of spending on primary health care services as a percentage of all healthcare expenditures. It found that primary care made up a combined 6.4% (narrow definition) and 8.5% (broad definition) of total expenditures in 2019.

Panel Discussion: How States are Addressing TBI and Mental Health

2020-09-21 11:00 to 12:30

To address concerns around traumatic brain injury (TBI) and mental health, the Mountain Plains Mental Health Technology Transfer Center has partnered with the National Association of State Health Injury Administrators to host a series of workshops focused on the intersection of TBI and mental health. This panel will include state TBI leads from South Dakota, North Dakota, Colorado, and Utah.

Announcement Type: 

Telemedicine helps transplant patients stay close to home

Grand Valley and Western Colorado patients who go through blood and marrow transplant procedures at the Huntsman Cancer Institute can now have some of their follow-up appointments locally after they return home.

Salt Lake City's Huntsman Cancer Institute and Grand Junction's Community Hospital recently teamed up to open a telemedicine clinic to serve Mesa County patients.

News Author: 
Joe Vaccarelli

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.

Primary care teams discover benefits of improving family communication

It wasn’t medical knowledge or clinical acumen that ultimately helped Catherine M. White, M.D., FAAP, impact the life of a patient with special needs. It was her team’s commitment to building a relationship with the child’s mother, so they could determine why the family was missing the specialist appointments critical to the child’s care.

News Author: 
Jessica Pupillo

From Clinics to Child Insurance, Budget Deal Affects Health Care

WASHINGTON — The budget deal in Congress is billed as a measure to grant stability to a government funding process that has lurched from crisis to crisis — but it is also stuffed with provisions that will broadly affect the nation’s health care system, like repealing an advisory board to curb Medicare spending and funding community health centers.

News Author: 
Robert Pear

On-Call Resource for Medically Fragile Kids Improves Care, Saves $116M

There’s a point at which gaps in health care can become gaping holes for parents of children with specialized medical needs.

News Author: 
Kirsten Stewart

Why Personalized Primary Care Works

Intermountain Healthcare is achieving the Triple Aim through team-based care, mental health integration, and clinician and institutional leadership at all levels.

Health care providers are under tremendous pressure to achieve the Triple Aim of better health for designated populations, better care experiences for patients and reduced cost of care. It comes at a time of enormous transition in health care, in which successful models are hard to find and refine. That's what's so encouraging about the model of personalized primary care that we have been developing at Intermountain Healthcare. The lessons we've already learned are informing our expanding rollout of the model and enhancing the potential for broader scaling.

News Author: 
Mark Briesacher, M.D.

For most at-risk, a bet on primary care

Facing the fact that just 5 percent of the patient population was responsible for nearly half of its spending, one health organization has tried some fairly radical changes.

In Utah, Intermountain Healthcare decided to address the problem with primary care in an attempt to keep these most vulnerable patients from falling through the cracks.

News Author: 
Madelyn Kearns

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