Medicaid Waiver Texas, Texas Region 10 RHP - 1115 Medicaid Waiver Fort Worth, TX Registration

Learning Collaborative

The annual RHP Learning Collaborative is an event hosted in conjunction with our regional partners – RHP 9 and 18 – as an opportunity to discuss information from HHSC, changes in healthcare, as well as RHP Plan Updates to support continuous quality improvement and shared learning among the region. Learning Collaboratives in many regions were designed to connect MCO’s and DSRIP providers to better coordinate their efforts and are a great way to learn about other processes/ procedures that some region providers have found successful. Typically, this event’s agenda is comprised of two full days of presenters and breakout sessions with various healthcare professionals who share insights on strategic direction and efforts around continuous transformation in healthcare.

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JPS Health Network is the Anchor entity for Region 10

contact RHP10@jpshealth.org for questions and concerns

JPS Health Network Tarrant County Hospital District Healthcare transformation act Obama care ACA accountable care act Medicare Medicaid homeless population public health indigent care regional healthcare providers RHP Medicare transformation Texas reform health insurance healthcare exchange impact of Obama care impact of ACA impact of healthcare reform implications of healthcare reform David Salsberry Mallory Johnson Janet Villasenor John Peter Smith Hospital 1115 Waiver Medicaid Waiver California healthcare reform California waiver Health and Human Services Division Center for Medicaid and Medicare reform Mental health and retardation mental illness health care
services MHMR Tarrant county health care cost health care insurance health care reform hospital anchor hospital DSRIP Uncompensated Care Region Plan Health care plan IGT Intergovernment transfer government hospital Texas Health Resources Baylor Health Care System Childrens Hospital Wise County Ellis County Texas Waiver

In December 2011, Texas received federal approval of an 1115 waiver that would preserve Upper Payment Limit (UPL) funding under a new methodology, but allow for managed care expansion to additional areas of the state.

The purpose of the 1115 Healthcare Transformation waiver, supplemental payment funding, managed care savings, and negotiated funding will go into two statewide pools now worth $29 billion (all funds) over five years. Funding from the pools will be distributed to hospitals and other providers to support the following objectives: (1) an uncompensated care (UC) pool to reimburse for uncompensated care costs as reported in the annual waiver application/UC cost report; and (2) a Delivery System Reform Incentive Payment (DSRIP) pool to incentivize hospitals and other providers to transform their service delivery practices to improve quality, health status, patient experience, coordination, and cost-effectiveness.

Uncompensated Care Pool Payments are designed to help offset the costs of uncompensated care provided by the hospital or other providers.

DSRIP Pool Payments are incentive payments to hospitals and other providers that develop programs or strategies to enhance access to health care, increase the quality of care, the cost-effectiveness of care provided and the health of the patients and families served.

Under the transformation waiver, eligibility to get Uncompensated Care or DSRIP payments will require participation in a regional healthcare partnership. Within a partnership, participants include governmental entities providing public funds known as intergovernmental transfers (IGT), Medicaid providers and other stakeholders. Participants will develop a regional plan identifying partners, community needs, the proposed projects, and funding distribution. Each partnership must have one anchoring entity, which acts as a primary point of contact for HHSC in the region and is responsible for seeking regional stakeholder engagement and coordinating development of a regional plan.

The Texas Health and Human Services Commission (HHSC) is now proceeding with implementation of a five-year Section 1115 Medicaid Waiver, Texas Healthcare Transformation and Quality Improvement Program: Medicaid 1115 Waiver, which was approved by the Centers for Medicare and Medicaid Services (CMS) in December of 2011. Through this Waiver, we have an unparalleled opportunity to re-shape health care in our communities and improve access to quality, affordable care. As the public health care system for our region, JPS Health Network will serve as the anchor facility.

Planning and implementation of Waiver activities will be achieved through the development of Regional Health Plans. In the coming weeks, as the Tarrant County region is formalized, additional information will be posted on this web page, including an overall project timeline and information regarding stakeholder engagement.

In order to develop the most effective Regional Healthcare Partnership proposal to deliver better care at a lower cost to our patients and communities, JPS will issue a regional health plan assessment Request for Proposal (RFP) and planning process. This process is designed to ensure transparency in the development of a Regional Healthcare Partnership proposal that will represent the best interests of our region, while delivering value to patients, our state and federal government.

Registration - 1115 Waive

Region 10 Health Partnership (RHP)

for the Texas 1115 Medicaid Waiver

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