Nevada

Although there are no formal public patient-centered medical home (PCMH) programs in the state, the Nevada Division of Health Care Financing and Policy (DHCFP) has identified the most pervasive high cost and chronic conditions for persons served through the fee-for-service (FFS) system. Because the care enrollees received in Nevada’s FFS program have historically been unmanaged, the DHCFP estimates that costs for providing care to persons with chronic illness will only escalate. To curtail the costs and provide appropriate care navigation assistance to persons with chronic illness, the state has identified a distinct need for a comprehensive care management program, namely, the Nevada Comprehensive Care Waiver (NCCW) program. The DHCFP as well as its sister agencies and counties are partnering with the Centers for Medicare and Medicaid Services (CMS) and the Substance Abuse and Mental Health Administration (SAMHSA) to develop both the NCCW program and a model for Health Homes and Care Management and Coordination.

CHIPRA: 
No
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:
2,760,400
Uninsured Population:
20%
Total Medicaid Spending FY 2013: 
$1.8 Billion 
Overweight/Obese Adults:
64.9%
Poor Mental Health among Adults: 
33.4%
Medicaid Expansion: 
Yes 

AB 6 Provisions Relating to the Cost of Health Care

Primary care spending would be subject to measurement, analysis and annual reporting under this broader legislation establishing health care spending growth benchmarks for the state.

Five States Join the Peterson-Milbank Program for Sustainable Health Care Costs

Connecticut, Oregon, Nevada, New Jersey, and Washington to implement spending targets to make health care more transparent and affordable

The Milbank Memorial Fund announced March 9, 2021, that Connecticut, Oregon, Nevada, New Jersey, and Washington have been selected to participate in the Peterson-Milbank Program for Sustainable Health Care Costs. With Peterson Center on Healthcare support, the Milbank Memorial Fund and Bailit Health will provide technical assistance to these five states as they set and implement healthcare cost growth targets. These targets are a first step toward making health care more affordable and transparent.

Healthcare is moving from episodic to 'life-based care'

LAS VEGAS – Improvements in data management will soon mean healthcare providers can engage patients outside of standard care more than ever before, Judy Murphy, chief nursing officer at IBM, said Monday at HIMSS 2018 in Las Vegas. 

News Author: 
Dave Muoio

Nevada Medicaid patients face loss of doctors

Thousands of Nevada Medicaid patients may soon have to find new doctors.

One of two managed care organizations that contract with the state to manage Medicaid patient care is about to lose a large network of primary care physicians and specialists.

HealthCare Partners of Nevada — a medical group consisting of more than 150 primary care physicians — confirmed that it will withdraw from Amerigroup Community Care on Nov. 30, according to Todd Lefkowitz, senior vice president of HealthCare Partners' managed care operations and network development.

News Author: 
Yesenia Amaro

U.S. Bank Invests $5.6 Million to Build New Reno Health Clinic

U.S. Bank is investing $5.6 million in the construction of a new, nearly $20 million medical facility for the Northern Nevada HOPES clinic that will care for an additional 400 patients a month, including for the first time, primary pediatric care.

The clinic, which is operating out of a modular building at 580 W. Fifth St., is under construction now and is slated to be completed by December. The new 37,500-square-foot building will span three stories and be named for its benefactor “The Stacie Mathewson Community Wellness Center.”

Turntable Health - Iora Health

Founded in 2011, Iora Health incorporates team-based care that puts the patient first as well as a payment system that is based on care, not billing codes and technology. 

CMS State Innovation Model (SIM) Design Award - Nevada

The State of Nevada Division of Health Care Financing and Policy (DHCFP) was awarded $2 million under the second round of Centers for Medicare and Medicaid Services State Innovation Models initiative.  The Model provides financial and technical support to states to design or test innovative, multi-payer, health care payment and services delivery models that will improve health system performance, increase quality of care and decrease costs for Medicare, Medicaid and Children's Health Insurance Program beneficiaries

 

Enhanced Personal Health Care Program - Nevada

The Enhanced Personal Health Care Program empowers primary care physicians (PCPs) to engage in comprehensive primary care functions that move toward a coordinated, evidence-based care model that has the greatest impact on achieving the triple aim of improved quality, patient experience and affordability.  

This Program:  

MGM Resorts’ Direct Care Health Plan

MGM Resorts’ Direct Care Health Plan is a patient-centered medical home model that contracts with local physicians to control increasing medical and drug costs by reinforcing healthy lifestyle choices, proper benefit utilization, and patient care delivery. The program uses comprehensive utilization analytics, population health initiatives, and care delivery metrics to improve health outcomes and reduce costs. Enrollment in the Direct Care Plan has increased by 40% for 2014 to over 7,000 employees, with a 94% satisfaction rating among those who have opted-in.

A Radical Rethinking of Primary Care That Could Make Everyone Healthier

Iora Health practices replace the general practitioner model with a hands-on health team.

At 8:15 every weekday morning, the Culinary Extra Clinic team meets to talk about patients its members are most worried about. There are more than one thousand regular clinic patients in the Las Vegas area, most of whom work in hospitality jobs at the city's hotels and casinos. All of the patients are chronically ill, and the team members discuss those who are currently in the hospital or have just been discharged. But they also focus on other, less obvious, concerns.

News Author: 
Sophie Quinton

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