As professionally interesting as I find the ins & outs of Medicaid 1115 waiver initiatives, I am looking forward to being a step (or more) removed from this next rapid, massive, and complex systems change initiative (sorry, DSRIP). While ready to support our local SCNs, I am most excited about the work ahead of Inclusive Alliance as we expand our Community Care Hub (CCH).
Unlike other initiatives where the impetus to come together is a funding opportunity, Inclusive Alliance's CCH is the product of 8 years of local CBOs coming together to form a network using their own time and dollars, with the goal of improving outcomes for their clients through collective strategies to enhance their service capacity and quality. While we work hard to position our CBO members for 1115 waiver opportunities, it is not our actual purpose.
Inclusive Alliance exists to develop and implement collective solutions to the shared need of our member CBOs. My colleague Nicole Hall likens us to a labor union for nonprofit human service agencies. Anticipating the shift to managed care, our founding I/DD members needed a legal structure for collective contracting with payors. Hence, Inclusive Alliance was organized as an independent practice association or IPA and later received 501c3 status.
Other shared CBO member needs resulted in group purchasing and CBO data initiatives, CCH activities undertaken before we ever heard the term. Our CCH's first offering is the result of member CBOs need for a shared service to bill plans for covered disease prevention program. We plan to extend this shared service billing capability to other providers, such as doulas, seeking to bill for other nonmedical services.
Our vision for the CCH includes CBOs and community providers of all stripes, with a goal of improving outcomes for any underserved group experiencing health disparities in our community. The grant we received will allow our CCH to implement collaborations that benefit older adults and people with disabilities, while improving KPIs for our healthcare and payor partners and developing sustainable revenue streams for member CBOs.
In the coming months, we will be seeking new healthcare and payor partners interested in tapping into our CBO networks' collective ability to reach and impact Medicare and Medicare Advantage patients/members. We plan to broaden our population focus as our CCH attracts additional funding, and are always evolving in response to changes in community & member needs.
#communitycarehubs #communitybasedorganizations #networks #collaboration
Since we shared the exciting news that Inclusive Alliance has been recognized as a Community Care Hub by the Center of Excellence at USAging and won a highly competitive, national grant for multi-year funding to support our work, we've received questions asking how CCHs are different from Medicaid 1115 waiver Social Care Networks (SCN).
One major difference is that Inclusive Alliance IS a CCH but is NOT in the running to be a SCN. With at least two other strong SCN applicants for Central New York and CBO members in other SCN regions, we will focus on our CCH role while offering to collaborate with and support the SCNs. We are encouraging our CBO network to prepare to engage with the successful SCN applicants in their regions once awards are announced.
Check out the infographic below for more key differences. We view the CCH and the SCN as a complimentary initiatives, addressing different populations and services, but both working to elevate the role of CBOs in the local delivery system. They are not either/or concepts, but rather both exciting opportunities to improve the health and wellbeing of our communities.
#networks #CBOs #collaboration #community #socialdriversofhealth
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