In February 2023, HCPF, with the support of a contractor, John Snow Training and Research Institute, Inc. (JSI Inc.), began conducting a process improvement project to improve communication, collaboration, and coordination for Health First Colorado members with long-term disabilities and/or complex medical/behavioral conditions. The project is focused on improving care for Long-term Services and Support (LTSS) members who are assigned to a Regional Accountable Entity (RAE) and a Home and Community-Based Waiver (HCBS) case management agency.
Over the past 12 months, JSI Inc. has been gathering stakeholder input through interviews and focus groups to identify RAE/CMA best practices that will improve agency communication, collaboration, and coordination with and for members. The best practices that JSI, Inc. identified can be put into 5 categories with the overall goal of improving member experience. The categories are:
- Intra-Inter-Agency Alignment and Collaboration
- RAE and CMA Role Clarification, Collaboration and Coordination
- Data Sharing and Technology
- Payment and Performance
- Contracts and Oversight
- Member Experience and Satisfaction
HCPF will be sharing opportunities to learn more about this project in upcoming communications.
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