An Honest Look at the Sustainability of ACHs
• Mich’l Needham, Chief Policy Officer – WA State Health Care Authority
• Alison Poulsen, Executive Director – Better Health Together
• Barbe West, Executive Director – SWACH
A Refresher on Medicaid Transformation and ACHs
Medicaid Transformation Project
The Medicaid Transformation Project is a five-year agreement between Washington State and the Centers for
Medicare and Medicaid Services (CMS) that provides up to $1.5 billion of investments in local health systems, to benefit Apple Health (Medicaid) clients.
This work is led by nine Accountable Communities of Health (ACH) regions, each governed by a backbone organization responsible for convening local leaders from multiple sectors that impact health to collaborate on projects that are testing new and innovative approaches to transform how we deliver health care.
ACHs: About Us
Each ACH, and their community
partners are taking on a locally
established portfolio of projects,
(options listed on the back side)
ACHs draw down Medicaid Waiver
incentive funds as they achieve
milestones and show improvement
in key health outcomes related.
These projects require collaboration
across multiple sectors in order to
be successful.
Medicaid Transformation – Initiative 1
ACH Focus Areas
• Bi-Directional Integration (required)
• Addressing the Opioid Use Crisis (required)
• Community-Based Care Coordination
• Transitional Care
• Diversion Interventions
• Reproductive and Maternal/Child Health
• Oral Health
• Chronic Disease Prevention and Control
Supporting Strategies (Capacity Building)
• Workforce and Practice Transformation
• Value Based Payment
• Population Health Management / Health Information Exchange
Healthy Living Collaborative
Barbe West, Executive Director, SWACH
Past, Present, and Future
• Case Study
• Five Years
• Long term
SW Washington Case Study
• Community Choices
• Lessons Learned
Healthy Living Collaborative
• Purpose
• Four Counties – SW Washington
Healthy Living Collaborative
• Members
• Functions
• Funding
Healthy Living Collaborative SWACH
• 2017
• Complementary
• Sustainability
The Health Care Authority’s Partnership with ACHs
Mich’l Needham, Chief Policy Officer
Existing Healthier Washington Strategies
Because health is more than health care, we
know we need increased collaboration across
communities and partners
• Convening and connecting to identify shared
goals, alignment, roles, and resources.
• Engaging community members (beneficiaries) and
creating a feedback loop for continuous
improvement.
• Coordinating regional data analytics and
strategic planning across communities and
organizations.
• Creating braided funding models that support
collaborative efforts to improve population health
across communities and organizations.
Existing (and Potential) Long-Term ACH Roles
The Evolving Role of BHT’s ACH
Alison Poulsen, Executive Director
BHT’s Role
Outreach & Engagement
Advocacy & Leadership
Investments & Leveraged
Funds
Incentives
Leveraging Data
Technical Assistance
The Evolving Role of BHT’s ACH
ACH Contact Information
ACH Executive Director Email Website
Better Health Together Alison Poulsen [email protected] www.betterhealthtogether.org
Cascade Pacific Action Alliance Jean Clark [email protected] www.cpaawa.org
Greater Columbia ACH Carol Moser [email protected] www.gcach.org
HealthierHere Susan McLaughlin [email protected] www.healthierhere.org
North Central ACH Linda Parlette [email protected] www. ncach.org
North Sound ACH Liz Baxter [email protected] www.northsoundach.org
Olympic Community of Health Elya [email protected]@[email protected]
www.olympicch.org
Pierce County ACH Alisha Fehrenbacher [email protected] www.piercecountyach.org
SWACH Barbe West [email protected] www.southwestach.org
Questions?