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Health Care Delivery System Demonstrations

Overview

In 2008 Minnesota passed health care legislation to improve affordability, expand coverage and improve the overall health of Minnesotans. In addition, the 2010 Legislature mandated the Minnesota Department of Human Services (DHS) to develop and implement a demonstration testing alternative and innovative health care delivery systems, including accountable care organizations.

DHS will contract with delivery systems as voluntary demonstration sites that will be paid under alternative arrangements. Demonstration sites will include Minnesota Health Care Programs (MHCP) fee-for-service recipients and managed care enrollees and support a robust primary care model and improve care coordination (e.g. health care homes) for recipients.

Updates

Request for proposals (RFP)

Final RFP (PDF)

RFP questions and answers (PDF); Additional questions and answers (PDF)

More about quality measures (PDF)

More about data feedback to providers (PDF)

More about areas of flexibility (PDF)

Category of service inclusion table (PDF)

Definitions of total cost of care (PDF)

More on catastrophic claim cap levels (PDF)

In addition to the RFP, potential responders were told to review the proposed design features and implementation plan (PDF).

Activity	Date
RFP published	June 30, 2011
Revised RFP published	Aug. 1, 2011
Responders’ Conference	Aug. 10, 2011
All RFP questions received	Aug. 16, 2011
All RFP questions answered and published online	Aug. 19, 2011
Revised RFP published	Sept. 14, 2011
Individual Q&A sessions with potential responders	Sept. 19 – Oct. 14, 2011
Proposal responses due	4 p.m. Nov. 4, 2011
Review of proposals completed	Nov. 25, 2011
Notice of intent to contract	Dec. 2, 2011
Contract negotiations begin	Dec. 7, 2011
Managed care contract amendments	1st Quarter 2012
Performance period begins	2nd Quarter 2012

Request for information (RFI)

The RFI issued in April began the process of defining the demonstration by soliciting comments from interested stakeholders. Each topic area of the RFI represents a major operational component of the demonstration. Comments were used to identify areas of concern and form the shape of the demonstration.

Health Care Delivery System Demonstrations Presentation (PDF)

RFI – Health Care Delivery System Demonstrations (PDF)

RFI – Question and Answer (PDF)

Responses to RFI

Aging Services of Minnesota	ISAIAH
Allina Hospitals and Clinics	Jim Hart
Alternative ACO Alliance	Lutheran Social Service of Minnesota
Association of Minnesota Counties	Mayo Clinic
Becker County Human Services	Medica
Blue Cross and Blue Shield of Minnesota	Minnesota Association of Community Health Centers
Care Providers of Minnesota	Minnesota Association of Community Mental Health Programs
Children’s Hospitals and Clinics of Minnesota	Minnesota Association of County Health Plans
Courage Center	Minnesota Center for Health Care Ethics
Cultural Wellness Center	Minnesota Coalition for the Homeless
Dental Advisors LLC	Minnesota Community Measurement
Essentia	Minnesota Disability Law Center
Evidity	Minnesota Hospital Association
Fairview Health Services	Park Nicollet
Forma Actuarial Consulting Services LLC	Physicians for a National Health Program - Minnesota
Greater Minnesota Health Care Coalition	Planned Parenthood
HealthPartners	St Mary’s Health Clinics
Hennepin County	Take Action Minnesota and Legal Services Advocacy Project
Hennepin County Medical Center - Aqui Para Ti Program	Washburn Center for Children
Institute for Clinical Systems Improvement	Wilder Foundation

Additional Resources

MDH Minnesota’s Health Reform Initiative, 2008

MDH Health Reform Announcements, News and Information email list

Legal References

MS 256B.0755 Health Care Delivery Systems Demonstration

MS 62U.02 Payment Restructuring; Quality Incentive Payments

MS 62U.04 Payment Reform; health care Costs; Quality Outcomes

MS 62U.05 Coordination; Legislative Oversight

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