Friday, March 24, 2017

Community Safety Net Clinics reconvene April 26, 1-4pm

Thank you to those clinics that participated in the facilitated strategy session on Monday! You heard updates on outreach with health funders, community stakeholders and partners from Kraig Burleson (Inner City Health Center), Jessica Dunbar (Rocky Mtn Youth Clinics) & Kim Boyd (ClinicNET's last Board Chair). We will reconvene on April 26, 1-4 pm. More info to come! Stay tuned!

American Health Care Act (AHCA) pulled from the House floor!

The American Health Care Act (AHCA) was just pulled from the House floor by the Republicans! They did not have the votes to pass it!

Vox - Paul Ryan just canceled the House health bill vote in a major defeat for President Trump

State legislative session continues!

Thanks to a contract with Frontline Public Affairs, community safety net clinic directors are receiving periodic email updates on the activities in the current 2017 State of Colorado Legislative SessionClick here to view a 2017 bill tracker specifically for community safety net clinics.

Part of the legislature's work includes the 2017/2018 State Budget (aka 'the long bill'). The Joint Budget Committee finalized the budget yesterday so the long bill will be introduced on Monday. Click here to read Frontline's Long Bill Summary.

Friday, March 17, 2017

Final reminder! PLEASE PRIORITIZE THIS ENGAGEMENT…your voice is essential!

Clinic directors: Please attend a facilitated strategy session this coming Monday, March 20, 1:00-4:00pm at COPIC, Stapleton Rm (7351 E. Lowry Blvd., Denver) to hear updates on outreach with health funders, community stakeholders and partners from Kraig Burleson, Jessica Dunbar & Kim Boyd (ClinicNET's last Board Chair). NOW is the time to reconvene and chart the plan for next steps for a collective voice for community safety net clinics! If you have not done so already please reply to this email with your RSVP.

If you are not able to attend in person please join us virtually via Zoom:

What's happening on the national level with health care? Plenty!

Despite the release of the scoring and coverage impact analysis from the Congressional Budget Office (CBO), the American Health Care Act (AHCA) is moving through Congress!
Interested in letting Colorado's Congressional delegation know your concerns? The Protect Our Care Colorado campaign has plenty of information on how to do so including signing on in opposition to the American Health Care Act and the Protect Our Care Colorado letters to members of Congress. (Sign on by March 20th)

State legislative session continues!

Thanks to a contract with Frontline Public Affairs, community safety net clinic directors are receiving periodic email updates on the activities in the current 2017 State of Colorado Legislative Session. Click here to view a 2017 bill tracker specifically for community safety net clinics.

Part of the legislature's work includes the 17/18 State Budget (aka 'the long bill'). Click here for a report from Frontline on the recent Joint Budget Committee (JBC) figure setting hearing for the Dept. of Health Care Policy & Financing (HCPF). "The biggest news was their decision to draft a potential JBC bill to authorize the Medicaid Accountable Care Collaborative (ACC) Phase II and Medicaid’s proposed payment reform projects." Learn more about Medicaid's payment reform work: alternative payment models for primary care and the ACC 2.0: https://www.colorado.gov/pacific/hcpf/accphase2

Latest from CO Dept. of Health Care and Financing (HCPF)

Response from Provider Relations staff at HCPF regarding the many challenges being experienced due to the new claims payment system, the Colorado interChange, for processing payments for Health First Colorado (Medicaid) and Child Health Plan Plus (CHP+):

"We are still working to resolve the issue of long wait times and dropped calls at the HPE Call Center.  HPE is hiring new agents and training them as quickly as possible, but a newly minted Call Center Rep won’t have the depth and breadth of experience that more seasoned reps will have in time. We are grateful that many of our reps have previous experience with Xerox and are able to “translate” provider concerns more easily.

We are also being impacted by a high number of provider calls that could have been resolved by using our online resources, which we update on a daily basis.  Please be sure that your colleagues are aware of our online resource page: https://www.colorado.gov/hcpf/provider-resources.  This is where we post updates on known issues and potential workarounds or resolutions, as well as Cheat Sheets and FAQs that are being developed based on provider feedback. We also encourage all providers to take all the relevant Webinar trainings, read the updated provider manuals, etc. so that they are current on important changes in the new system.

Our EDI Support page at https://www.colorado.gov/hcpf/edi-support and the updated Companion Guides for batch billers and clearinghouses is also a great resource.  

We are concerned to hear about patient prescription issues, as those need to be resolved immediately for our members. Are the safety net clinics getting the support they need from Magellan to resolve those issues?  If not, please send me the pertinent data and I’ll get the issue escalated internally.

Finally, we have established a tracking form to report issues we hear about from our providers.  This list of issues is reviewed and triaged daily so that we can address systems issues as they are reported and assist providers who are in critical need of support in order to meet payroll, etc.  HPE is performing systems changes every evening starting around 7pm, often running until midnight.  We hope that these changes will soon help providers move through the system more easily."