2018 Pinnacle Awards - Foundation - Michigan Association of Health Plans

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2018 Pinnacle Awards - Foundation - Michigan Association of Health Plans
2018
Pinnacle Awards

   Foundation
2018 Pinnacle Awards - Foundation - Michigan Association of Health Plans
Welcome

          On behalf of the Michigan Association of Health Plans and the
          Michigan Association of Health Plans Foundation, welcome to the
          18th Annual Pinnacle Awards Presentation.
          Since 2001, The MAHP Pinnacle Awards for Best Practices has recognized health plans for
          achievements in addressing the challenges of a shifting healthcare environment through
          improvements in operations, clinical services, disease management and community outreach.
          As our members face the challenges associated with an uncertain and changing landscape,
          they continue to innovate, improve and inspire. The Pinnacle Award continues to serve as an
          emblem of excellence to the member plans that are recognized with the award.

          This year, 10 of our member plans submitted 25 programs demonstrating creative approaches
          to solving problems and improving services in the commercial, Medicare and Medicaid sectors.
          Again this year, the Pinnacle Award winners were chosen by our panel of judges representing
          other healthcare organizations, government, small business and the media. Our judges are very
          thorough in their review of the programs and they always learn a great deal about managed
          care in Michigan in the process. Their thoughtful attention to this process is greatly appreciated.

          Thank you for joining MAHP and the MAHP Foundation to celebrate the achievements of
          Michigan health plans and to recognize the dedicated individuals who are committed to
          improving the health of their members and their communities.

          Dominick Pallone                                          Lisa Farnum
          Executive Director, MAHP                                  Managing Director, MAHP Foundation
Table of Contents

Participants...................................................................................... 4

Judges.............................................................................................. 5

Health Plan Submissions

  Business/Operational Performance - Commercial...............................................         6
  Business/Operational Performance - Government Programs...................................            7
  Clinical Service Improvement - Commercial......................................................      10
  Clinical Service Improvement - Government Programs..........................................         11
  Chronic Disease Management - Commercial (NO SUBMISSIONS)

  Chronic Disease Management - Medicaid........................................................        13
  Chronic Disease Management - Medicare........................................................        14
  Integration - Commercial (NO SUBMISSIONS)

  Integration with Medicaid.........................................................................   15
  Telemedicine/telehealth (NO SUBMISSIONS)

  Immunizations (NO SUBMISSIONS)

  Communication and Public Relations Campaign.................................................         16
  Community Outreach - Single Plan...............................................................      17
  Community Outreach - Collaborative.............................................................      18
Participants

                   2018 Pinnacle Award Participants
                                Aetna Better Health of Michigan
                                Health Alliance Plan of Michigan
                                     McLaren Health Plan
                                        MeridianHealth
                                  Michigan Complete Health
                                Molina Healthcare of Michigan
                                    Physicians Health Plan
                                        Priority Health
                                       Total Heath Care
                                 Upper Peninsula Health Plan

PAGE 4 | 2018 PINNACLE AWARDS
2018 Pinnacle Award Judges

         The Michigan Association of Health Plans Foundation
             and the Michigan Association of Health Plans
   extend their profound thanks to the judges for the generous contribution of their time and expertise.

         Mr. Ryan Cowmeadow                                             Ms. Kathy Stiffler
              Executive Director                                    Acting Medicaid Director;
Area Agencies on Aging Association of Michigan                 Deputy Director of Medical Services
                                                        Michigan Department of Health and Human Services
             Mr. Scott Dzurka
                 Vice President                                The Honorable Mary Whiteford
           Public Sector Consultants                                    State Representative
                                                                             District 80

            Mr. Jason Jorkasky
            Senior Director, Policy
                                                               The Honorable Sylvia Santana
                                                                        State Representative
   Michigan Health and Hospital Association
                                                                              District 9

          Ms. Dianne Malburg
        Acting Chief Executive Officer
       Michigan Pharmacists Association

                                                                              2018 PINNACLE AWARD | PAGE 5
Business Operational Performance
Commercial

                   Aligning Outpatient Rehabilitation Utilization
                   PHYSICIANS HEALTH PLAN
                   In 2016 Physicians Health Plan implemented an innovative model combining the use of
                   evidence-based guidelines with a clinical decision support system, to provide timely
                   authorizations for outpatient rehabilitation visits. An analysis of outpatient rehabilitation
                   data revealed utilization 150% above industry benchmarks and significant variance in practice
                   patterns between providers.

                   After exploring potential solutions, a multidisciplinary workgroup agreed to utilize MCG
                   CareWebQI Guidelines for the review of therapy services. CareWebQI uses a primary
                   diagnosis code to determine the visit frequency in percentile ranges based on national
                   averages. Providers were educated on the proposed changes prior to an August 2016
                   implementation date. This initiative resulted in a streamlined process at PHP, a reduction
                   in utilization variances between rehabilitation providers, and a closer alignment to industry
                   utilization benchmarks that saved over $250,000 in health care spend.

                   Provider Service in 60 Seconds or Less
                   HEALTH ALLIANCE PLAN
                   It can be challenging to manage contracts for thousands of doctors, but maintaining this
                   provider data is critical for HAP consumers and the bottom line.

                   When federal mandates for collecting provider information changed, Health Alliance Plan (HAP)
                   developed a way to automate this information, with Facets, a popular tool to manage health
                   plan operations.

                   This automation helped to build mutual trust and set the stage for better customer service.
                   This automation dubbed “Terminator 4,” was the game-changer.

                   Terminator 4 doubled HAP’s productivity without doubling its full-time employees to handle
                   the increased transaction volume. It reduced the time to develop a new provider record from
                   15 minutes to seconds per provider. Developing comprehensive service-level agreements for
                   providers is now a breeze.

PAGE 6 | 2018 PINNACLE AWARDS
Business Operational Performance
                                                     Government Programs

Service With a Smile ☺
MICHIGAN COMPLETE HEALTH
Michigan Complete Health Medicare-Medicaid Plan provides supports and services so members
can continue to live in their home and remain active in their community. Members can qualify
for services such as: personal care workers, non-medical transportation, home delivered meals,
chore services like lawn cutting and snow removal, home modifications like ramps and railings
and standard durable medical equipment. Current Federal/State mandated member surveys
do not capture the member’s degree of satisfaction with these support services. In 2017,
the Plan implemented a “Service With A Smile” program and satisfaction survey. The survey
asks questions around each aspect of the service(s) they received and rates them through a
smiley face emoji/icon method. The results of the survey are used to improve care and services.

Results have shown most care and services scored at more than an 80% rating of “Happy”
or “Very Happy”.

Transporting Taskforce - Reduction in Rider No Show Rates
MOLINA HEALTHCARE OF MICHIGAN
In 2016, Molina Healthcare established the Transportation Taskforce to reduce the Molina
membership transportation no-show rate. These particular members did not cancel their
transportation prior to a medical appointment and during Q1 2016 the rate was 3363 no-shows
which represented 2.4% of total rides. To address this issue, the Transportation Taskforce
implemented member, medical provider and transportation vendor interventions to address
the no-show rate. The results demonstrated a reduction from 2.40% no-show rate to a 1.30%
no-show rate.

                                                                                   2018 PINNACLE AWARD | PAGE 7
Business Operational Performance
Government Programs

                   Improving HMP/HRA Rate Using Personal Smart Video Technology
                   AETNA BETTER HEALTH OF MICHIGAN
                   Aetna Better Health (ABH) of MI is committed to improving business operating process and how
                   those processes impact our provider partners and members. In an effort to improve our Health
                   Risk Assessment (HRA) rates for the Healthy Michigan Plan (HMP) population we developed the
                   Personal Smart Video (PSV). The PSV is an educational tool distributed to our provider partners
                   which informs them of the member HRA, what is needed to complete the HRA, how to return
                   it to the health plan, and how to earn an incentive. The PSV was distributed to all HMP primary
                   care providers. The rate of returned HRA’s increased by up to 58% one month and 25% in a lower
                   month. This has been an impactful alternative form of provider communication and because of
                   the phenomenal impact on the HRAs returned we are implementing the PSV teaching tool and
                   email communications to include both the provider and member.

                   HAP’s Colonoscopy Claim Evaluation Program
                   HEALTH ALLIANCE PLAN
                   HAP discovered that its overall process to correctly distinguish preventative and diagnostic
                   colonoscopy claims was inefficient. This differentiator was critical for generating accurate claims
                   and member cost-shares.
                   The manual process to determine preventative or diagnostic procedures was time-consuming,
                   with 60 hours per month being devoted to identifying the preventative status against complex
                   CMS criteria. The time to remove the incorrect information and reprocess claims also hindered
                   efficiency.
                   An automated program was developed to identify the appropriate member cost share and apply
                   that information at the time the claim was paid. The improvement reduced the time to generate
                   accurate claim information from 60 hours to 30 seconds.
                   As a result, over 21,500 claims were processed correctly in an automated fashion which improves the
                   members experience. This saved time, improved the consumer experience and reduced the expense
                   of mailing checks, explanation of benefits and remittance advices for each incorrect transaction.

PAGE 8 | 2018 PINNACLE AWARDS
Business Operational Performance
                                                     Government Programs

Member Clinical Profile: An Innovation in Member Care
MERIDIANHEALTH
Using innovative population health strategies and advanced integrative technology,
MeridianHealth (Meridian) launched the Member Clinical Profile (MCP) as a tool for Care
Coordination to utilize while assisting our members. The profiles have streamlined the process
of member case investigation and provide a holistic view of the member. This helps decrease the
amount of time spent and increases the quality of case reviews. The MCP saves Care Coordinators
15 minutes per case investigation and amounts to a $4,375 savings for Meridian each day.
The profile has also had a positive impact on Meridian’s membership, as it provides the Care
Coordinator an individualized snapshot of each member, providing a positive member
experience to each phone call interaction.

                                                                                    2018 PINNACLE AWARD | PAGE 9
Clinical Service Improvement
Commercial

                   Antibiotic Safety Initiative -Combating Antibiotic Resistance
                   PHYSICIANS HEALTH PLAN
                   Antibiotic misuse and overuse leads to antibiotic drug resistance. In 2014 more than 1.5 million
                   cases of drug resistant infections were reported resulting in an additional national treatment
                   cost of approximately $2.2 billion dollars.

                   In 2016 PHP embarked on an antibiotic safety initiative to raise awareness among providers
                   and members regarding safe antibiotic prescribing practices. Using evidence-based guidelines
                   of care, PHP incorporated a series of targeted initiatives, incentives and education utilizing
                   newsletters, health-system television, social media, radio, and health fair settings.
                   Success was tracked using the HEDIS measures: Appropriate Testing for Children with
                   Pharyngitis, Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis, and
                   Appropriate Treatment for Children with Upper Respiratory Infection.

                   PHP saw improvement in all three HEDIS measures which demonstrates improvement in
                   treatment and prescribing practices. Awareness of appropriate antibiotic use is a major step
                   toward decreasing antibiotic resistance, improving the overall health of the PHP membership.

                   From First Breath to First Birthday: Supporting Premature &
                   Medically Complex Newborns
                   HEALTH ALLIANCE PLAN
                   In 2016, HAP implemented an NICU Care Management Program to improve health outcomes
                   of premature and medically complex newborns. As its partner in this program, HAP chose
                   ProgenyHealth, a leader in evidence-based care management with extensive experience
                   working with this specialized population. HAP and Progeny worked together to “connect
                   the dots” between families, NICUs and the health plan to improve the medical
                   outcomes of these tiniest members.

                   This partnership improved the care coordination process, including prenatal engagement, by
                   focusing more attention on medically complex newborns, and providing them and their families
                   with at-home and hospital care from birth to first birthday. Since implementing this program,
                   HAP has seen a decrease in NICU readmissions of 60 percent, which resulted in cost savings of
                   $1.02 million in the first year of this program.

PAGE 10 | 2018 PINNACLE AWARDS
Clinical Service Improvement
                                                                   Government Programs

2017 Provider Engagement Program
MOLINA HEALTHCARE OF MICHIGAN
Molina Healthcare redesigned its Provider Engagement Program in January 2017. Rather than the
broad approach from prior years, Molina focused efforts on thirteen HEDIS/STAR measures with
2016 scores within ten percent of the NCQA 75th percentile or 4 STAR rating. Molina’s goal was to
move at least four of the thirteen measures to exceed these benchmarks. Through an algorithm
 that identified the key 100 provider groups that could move the scores, Molina exceeded its
Provider Engagement goals for the first time.

Molina credits success in the program to the intensive focus on attainable quality measures and
PCPs with the largest numbers of eligible members. Of the thirteen measures, six exceeded goal
benchmarks. For Medicaid, three measures exceeded the 75th percentile and one exceeded the
90th percentile. For Medicare, two measures exceeded the 4 STAR rating.

The program resulted in better member outcomes and a 23.8% increase in provider reward
payments.

Share the Care: Outpatient Ambulatory Clinic Model
HEALTH ALLIANCE PLAN
In 2017, HAP and its parent company Henry Ford Health System implemented two different pilot
projects for HAP members who use HFHS primary care physicians and HFHS outpatient clinics.

This program, called “Share the Care,” was designed to integrate non-provider clinical resources
and to monitor and co-manage HAP members who have multiple complex chronic health
conditions in HFHS’s ambulatory outpatient care clinic setting.

The pilot targeted 4,468 members with a .5 Hierarchical Condition Category (HCC) gap or above.

The program resulted in a 79 percent increase in the Risk Adjustment Factor (RAF) score for these
members. The pre-campaign RAF was 1.143 and post was 2.041. The Healthcare Effectiveness
Data and Information Set (HEDIS) scores also improved for this entire population.

In addition, evidence based on patient stories resulted in less hospitalizations.

                                                                                    2018 PINNACLE AWARD | PAGE 11
Clinical Service Improvement
Government Programs

                   Saving Lives Through Home Testing Kits
                   MERIDIANHEALTH
                   In 2017, MeridianCare, Meridian’s Medicare line of business, facilitated a Colorectal Cancer
                   Screening (COL) initiative by inviting members to complete this service conveniently within
                   the privacy of their home. Fecal immunochemical test (FIT) detects small amounts of blood in
                   stool, which may indicate pre-cancerous polyps, also known as colorectal cancer. Mailing kits
                   directly to members is an alternative screening option and improves the likelihood of members
                   being tested. Colorectal cancer symptoms are easy to overlook, therefore educating members
                   about the benefits of routine screenings is essential. Through tailored outreach and provider
                   engagement, MeridianCare was able to make positive impacts on our membership. The success
                   of the program is evident in the high response rate of 26%, resulting in an 18% improvement
                   of the Medicare quality COL measure. In fact, one MeridianCare member said, “The home
                   test kit you sent me saved my life,” because it successfully detected pre-cancerous polyps.

PAGE 12 | 2018 PINNACLE AWARDS
Chronic Disease Management
                                                                          Medicaid

Pathways to Care
MERIDIANHEALTH
The Meridian Pathways Program at MeridianHealth (Meridian) is a multi-purposed end-of-life
care program focused on providing support to members, their caregivers, and providers. The
primary goal of the program is to ensure that members receive quality, compassionate, and
efficient care coordination through pain management, emotional, and spiritual support.
To date, Meridian has launched two successful programs: Hospice in August 2016 and Palliative
Care in January 2017. These programs are an attestation that Meridian assures that all members’
needs are clearly identified and addressed at each stage during the care continuum, while
making sure each member is prepared mentally, physically, and spiritually for hospice before
arriving at that point of care. Meridian’s compassion for its members is exemplified by providing
care above all else at every stage, from birth to end-of-life.

                                                                                   2018 PINNACLE AWARD | PAGE 13
Chronic Disease Management
Medicare

                    HAP Improves Care for Women with Osteoporosis
                    HEALTH ALLIANCE PLAN
                    Millions of adults between the ages of 67 and 85 are suffering with osteoporosis. Most are
                    women, many of whom are at high risk for experiencing painful bone fractures.

                    HAP realized that its 2018 one-star Osteoporosis Management in Women Who Had a Fracture
                    (OMW) HEDIS score meant that older female members at-risk for osteoporosis weren’t receiving
                    the best medical outcomes, primarily due to multiple bone fractures.

                    After investigating, the team learned that educating members about the importance of bone
                    mineral tests and other medical treatments within six months of their initial bone fracture
                    reduced the chance of subsequent bone fractures.

                    As a result, HAP’s OMW rate for 2019 (based on July 2016 – December 2017 data) is projected to
                    improve by two stars. This is significant, considering that the average OMW star rating nationally
                    is 2.6. More importantly, more at-risk women are getting the care they need.

PAGE 14 | 2018 PINNACLE AWARDS
Integration with Medicaid

Care Collaboration Program
AETNA BETTER HEALTH OF MICHIGAN
The Aetna Better Health of Michigan (ABH-MI) Care Collaboration Program (CCP) was initiated in
2016 to facilitate care collaboration activities between the health plan, physical health providers,
behavioral health entities, and community supports. The focus of the CCP is to facilitate safe
transitions between care settings, and to understand how to better support those who use the
ED frequently. Key to the success of the CCP are regularly-occurring inclusive rounds sessions
and informal communication among the health plan, hospital system, ambulatory clinics,
behavioral health organizations, and other stakeholders (especially those focused on SDoH),
including the member as appropriate. This program has been scaled significantly as a result
of its success. The CCP has been named a national best practice by the Institute for Medicaid
Innovations. Outcomes include PMPM cost decreases of 17%, decreases in ED and IP utilization
of more than 40% each, and approximately 50% decreases in readmission rates.

Supporting Healthy Behaviors
MERIDIANHEALTH
MeridianHealth (Meridian) has implemented the Healthy Michigan Plan (HMP) Community
Health Outreach Workers (CHOW) referral process for alcohol and Substance Use Disorder
(SUD) members who identify this healthy behavior via the HMP Health Risk Assessment (HRA).
The CHOWs perform home visits to provide education, refer to community resources, and
address barriers identified through the CHOW consultation. Members are provided with
community resource information, support groups, and community agencies that will assist the
member with their SUD and alcohol addictions. The goal of the CHOW referral program is to
improve the quality of care, and thus reduce inappropriate usage of the emergency room (ER) or
urgent care (UC), while addressing the barriers of the Healthy Michigan Plan population. Over a
12 month period, Meridian’s CHOW program had an overall cost impact of $51.96 per member
per month (PMPM).

                                                                                      2018 PINNACLE AWARD | PAGE 15
Communication and Public Relations Campaign

                   Know Your Health Care Costs
                   PRIORITY HEALTH
                   Priority Health’s Public Relations team executed an integrated communications plan to support the
                   company’s work toward health care price transparency. Our goal was positioning Priority Health
                   as a health care transparency and innovation leader, while educating and engaging consumers
                   about the importance of understanding their health care costs. Consumers aren’t accustomed to
                   shopping for health care procedures, so focusing on education was crucial.

                   Campaign objectives were to increase engagement with our shopping tool, Cost Estimator, and
                   earn media coverage. We focused on educating by informing consumers about the importance
                   of understanding health care costs. This included adding 80 new services and sharing an update
                   on total health care costs saved with this tool. We also announced & engaged, highlighting the
                   addition of shopping pharmacy costs, in addition to procedures.

                   Our tactics included traditional media relations, digital member e-mails and newsletters and
                   social media.

                   Health is My Choice
                   MERIDIANHEALTH
                   Providing a health insurance marketplace plan remains an affordable option for many individuals
                   who may have not access to healthcare coverage. As a result, MeridianChoice (Meridian)
                   implemented a social media campaign with the ultimate goal of increasing awareness of the
                   health insurance marketplace and promoting best practice health tips. The campaign utilized
                   social media outlets, such as Facebook™, to educate members on enrollment within the
                   marketplace and information on maintaining better health. Social media was utilized for the
                   campaign strategy due to a significant portion of the marketplace and potential enrollee
                   population falling into the “young invincible” demographic. Due to this, Meridian’s 170 social media
                   posts in 2017 led to a considerable increase during open enrollment. Campaign results also
                   revealed an increase in social media impressions, engagements, and clicks. Overall, Meridian’s
                   social media fan base increased by 367.9%, indicating a strong return on investment (ROI).

PAGE 16 | 2018 PINNACLE AWARDS
Community Outreach
                                                                                   Single Plan

Community Resource Connection
MERIDIANHEALTH
MeridianHealth (Meridian) recognizes that the health of its members can be greatly impacted by
circumstances outside of the traditional healthcare system. This can include food security, access
to safe housing, having reliable transportation, and other social determinants of health (SDoH).
Meridian is actively integrating SDoH needs assessments to stratify members and geographic
locations by health risks and social needs. This information is used by Meridian Community
Health Outreach Workers (CHOWs) who follow up with members in person, connect them to
region-specific community resources, and address health disparities that are identified through
additional needs assessments. A total of 6,755 members were referred to a CHOW in 2017,
resulting in 921 successful connections to resources, a 13% success rate. Meridian is dedicated
to identifying member needs, providing resources to populations experiencing disparate levels
of social challenges, and constantly strives to improve long-term health outcomes and enhance
quality of life for all members.

                                                                                     2018 PINNACLE AWARD | PAGE 17
Community Outreach
Collaborative

                   Upper Peninsula Perinatal Collaborative
                   UPPER PENINSULA HEALTH PLAN
                   The Upper Peninsula (Region 1) Perinatal Collaborative was formed in July 2017 to support the
                   MDHHS 2016-2019 Michigan Infant Mortality Reduction Plan. The goal of the collaborative is to
                   assure mothers and babies are healthy and thriving across our region by establishing a coordinated
                   network of services for mothers and babies. Neonatal abstinence syndrome (NAS) and maternal
                   opioid use is a key priority area for our region. According to MDHHS, it affects 4 out of every 1,000
                   births in Michigan. Our region has the highest incidence of NAS affected births (nearly double the
                   rate of every other region in the state). UPHP has convened project partners on a regular basis
                   to strengthen the regional system and standardize quality improvement. This project produced
                   a baseline inventory of the policies and procedures across systems, which will shape the larger
                   systemic response to pregnant women with opioid use disorders moving forward.

                   The Salvation Army Medical Respite Program: Addressing Housing
                   Stability to Improve Health Outcomes
                   TOTAL HEALTH CARE, INC.
                   Research has shown that patients experiencing housing instability have limited access to
                   preventive care and are more likely to have chronic conditions and high medical costs.
                   THC teamed up with Detroit Medical Respite to address housing stability issues for members of
                   the Detroit community. THC makes referrals and pays claims to the program so they may offer
                   assistance to enrollees who are at risk. Since implementation, 33 members have been referred.
                   Of those members, THC analyzed the utilization data of 4 members who have been out of the
                   program at least 6 months. THC paid $7,600 in claims to the respite program. However, in the
                   6 months after exiting the respite program, these members have greatly reduced their utilization
                   of emergency and inpatient services. THC has shown a cost savings of $47,545.85 in that short
                   period of time.

PAGE 18 | 2018 PINNACLE AWARDS
Community Outreach
                                                                                   Collaborative

Better Together
MCLAREN HEALTH PLAN
The key to quality population health care lies in the relationship between providers and members.
Mutual investment in this partnership is essential for achieving the best member outcomes and is
the foundation for optimal care delivery.

Better Together is a community-based collaborative partnership between the Health
Department of Northwest Michigan and McLaren Health Plan, designed to help rural members
establish a solid relationship with their primary care provider. Focus is on adults who over-utilize
the emergency room, women needing preventive screenings, and children who need primary
care. This population can be very difficult for the health plan to reach so the Health Department
community health workers (CHWs) initiate face-to-face contact with members. Once contact
is made, the CHW assists the member with making appointments and notifies providers of
needed preventive screenings. Program goals include:
     • Health care delivery in the right setting
     • Access to timely preventive care
     • Improving care coordination

2017 Molina HOPE Coat Drive
MOLINA HEALTHCARE OF MICHIGAN
In 2016, Molina launched the Molina HOPE Coat Drive program to improve the health of the
Detroit community. The goal of this program is to provide winter support to children and adults
in need as well as provide healthcare support such as member interventions, blood pressure
screenings and preventive services. Since that time, the Molina HOPE Coat Drive has branched
to several counties throughout Michigan, and Molina has distributed over 11,000 new coats and
winter accessories. The success of this program is largely in part to the successful partnership
between Molina Healthcare and numerous corporate partners, community based organizations
 and public service entities to support health outcomes within low-income communities.
Additionally, the Molina HOPE Coat Drive is only one example of the dedication Molina has to
the health of the community. Molina Healthcare works with hundreds of Michigan community
partners to deliver customized health events and interventions annually.

                                                                                      2018 PINNACLE AWARD | PAGE 19
Community Outreach
Collaborative

                   Aetna/Van Buren Great Start Collaborative
                   AETNA BETTER HEALTH OF MICHIGAN
                   The Van Buren Great Start Collaborative was established in 2008 to engage community partners,
                   businesses, leaders, providers, and parents to ensure that young children (ages birth to eight)
                   receive the services and education needed to have a healthy start at life. Aetna Better Health
                   of Michigan has been engaged with the collaborative for since 2017. Van Buren County is
                   demographically unique because it is very rural and has higher populations of Hispanics and
                   Native Americans than many other counties in Michigan. These populations are also well
                   represented on the collaborative. The Van Buren Great Start Collaborative has focused on two
                   major goals: 1) increasing lead testing in children via a scored checklist that providers can give
                   to parents during well visits and 2) promoting safe sleep for babies through education and
                   distribution of safe sleep resources such as pack and plays.

                   Closing Gaps, Opening Connections
                   MERIDIANHEALTH
                   MeridianCare, Meridian’s Medicare line of business, hosts multi-faceted health events to simplify
                   access to care, reduce social isolation, and build trust amongst Medicare members. In the five
                   community events hosted by Meridian, more than 750 healthcare services have been completed
                    resulting in an improvement of Meridian’s Medicare quality measure performance by as much
                   as 32%, as seen in HEDIS® data. Meridian has effectively reduced the average event cost to
                   $12.41 per care gap, with an average of 4.29 care gaps completed per member, and a member
                   satisfaction score of 4.48 out of 5. The events focus on health services, such as functional
                   status, pain assessment, medication review, and chronic condition management combined with
                   a social element to have members participate in games, chair exercises, and crafts. By taking
                   a holistic approach, these events improve both mental and physical health and enhance the
                   connection between the member, Meridian, and their community.

PAGE 20 | 2018 PINNACLE AWARDS
The MAHP Foundation received funding from
                                    the Michigan Health Endowment Fund to support
                                    the Michigan ACE Initiative. Learn more about
                                    the expanding efforts toward a statewide
                                    awareness of adverse childhood experiences at

                                                 www.miace.org

                                            Michigan ACE Initiative

The Michigan Association of Health Plans applauds your dedication to proving
innovative, outstanding service and quality to your members. Your commitment
to achieving the highest standards in all you do and for those you serve, continues
to place Michigan as a leader in the healthcare industry.
Upcoming Events

                     Join the MAHP Foundation for the

              Annual Best Practices Forum
                      Thursday, November 1, 2018
                        9:30 a.m. to 2:00 p.m.
                     The English Inn, Eaton Rapids

         Mark your calendars and plan to join the Pinnacle Award Recipients for
        the Annual Best Practices Forum. Again this year, the Forum will be held
           at the English Inn in Eaton Rapids to enjoy a beautiful setting and
            wonderful food, in addition to hearing excellent presentations.

             Highlights of the Forum will include:
              Presentation of Pinnacle Award Winning Programs

            Opportunities for discussion with those responsible for
       design and implementing the Pinnacle Award Winning Programs

           Discussion with Pinnacle Award Sponsors to learn more
                      about their products and services

                        Continental Breakfast and Lunch

                           Networking with colleagues

     Watch for detailed information in the weeks ahead
Our mission is straightforward:
                                                             To provide leadership for the promotion and
                                                             advocacy of high quality, affordable, accessible
                                                             health care for the citizens of Michigan.

 Our members live this mission every day. They deliver innovative, high quality insurance to businesses, non-profits,
        Medicaid and individuals, boosting vital access to medical care and improving health outcomes.

We invite you to learn more about MAHP by joining our members at our
  2019 Summer Conference, July 17-20, 2019 at the Grand Traverse Resort.
You’ll meet leading experts in health insurance and health care trends, state policymakers, and suppliers of health care-related products
        and services at one of the state’s most important conferences. For more information, visit mahp.org/summer-conference.
The Michigan Association of Health Plans Foundation
collaborates with public and private partners to conduct research
projects related to managed care, chronic disease and health care
quality improvement; and to provide education and resources for the
public and for health professionals about chronic disease and prevention.

         MAHP Foundation Board of Directors
                      Dominick Pallone, President
                  Michigan Association of Health Plans

                        Bobby Jones, Treasurer
                         CareSource Georgia

                           RoAnne Chaney
                  Michigan Disability Rights Coalition

                          James Forshee, MD
                            Priority Health

                    Richard Nowakowski, Secretary
                       Nowakowski & Associates

                         Renee Canady, Ph.D.
                    Michigan Public Health Institute

                             Lisa Farnum
                           Managing Director

                                                                     Foundation
                                        327 Seymour, Lansing, Michigan 48933 | Ph: 517-371-3181
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