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An Honest Look at the Sustainability of ACHs

• Mich’l Needham, Chief Policy Officer – WA State Health Care Authority

• Alison Poulsen, Executive Director – Better Health Together

• Barbe West, Executive Director – SWACH

A Refresher on Medicaid Transformation and ACHs

Medicaid Transformation Project

The Medicaid Transformation Project is a five-year agreement between Washington State and the Centers for

Medicare and Medicaid Services (CMS) that provides up to $1.5 billion of investments in local health systems, to benefit Apple Health (Medicaid) clients.

This work is led by nine Accountable Communities of Health (ACH) regions, each governed by a backbone organization responsible for convening local leaders from multiple sectors that impact health to collaborate on projects that are testing new and innovative approaches to transform how we deliver health care.

ACHs: About Us

Each ACH, and their community

partners are taking on a locally

established portfolio of projects,

(options listed on the back side)

ACHs draw down Medicaid Waiver

incentive funds as they achieve

milestones and show improvement

in key health outcomes related.

These projects require collaboration

across multiple sectors in order to

be successful.

Medicaid Transformation – Initiative 1

ACH Focus Areas

• Bi-Directional Integration (required)

• Addressing the Opioid Use Crisis (required)

• Community-Based Care Coordination

• Transitional Care

• Diversion Interventions

• Reproductive and Maternal/Child Health

• Oral Health

• Chronic Disease Prevention and Control

Supporting Strategies (Capacity Building)

• Workforce and Practice Transformation

• Value Based Payment

• Population Health Management / Health Information Exchange

Healthy Living Collaborative

Barbe West, Executive Director, SWACH

Past, Present, and Future

• Case Study

• Five Years

• Long term

SW Washington Case Study

• Community Choices

• Lessons Learned

Healthy Living Collaborative

• Purpose

• Four Counties – SW Washington

Healthy Living Collaborative

• Members

• Functions

• Funding

Healthy Living Collaborative SWACH

• 2017

• Complementary

• Sustainability

The Health Care Authority’s Partnership with ACHs

Mich’l Needham, Chief Policy Officer

Existing Healthier Washington Strategies

Because health is more than health care, we

know we need increased collaboration across

communities and partners

• Convening and connecting to identify shared

goals, alignment, roles, and resources.

• Engaging community members (beneficiaries) and

creating a feedback loop for continuous

improvement.

• Coordinating regional data analytics and

strategic planning across communities and

organizations.

• Creating braided funding models that support

collaborative efforts to improve population health

across communities and organizations.

Existing (and Potential) Long-Term ACH Roles

The Evolving Role of BHT’s ACH

Alison Poulsen, Executive Director

BHT’s Role

Outreach & Engagement

Advocacy & Leadership

Investments & Leveraged

Funds

Incentives

Leveraging Data

Technical Assistance

The Evolving Role of BHT’s ACH

ACH Contact Information

ACH Executive Director Email Website

Better Health Together Alison Poulsen alison@betterhealthtogether.org www.betterhealthtogether.org

Cascade Pacific Action Alliance Jean Clark ClarkJ@crhn.org www.cpaawa.org

Greater Columbia ACH Carol Moser cmoser@gcach.org www.gcach.org

HealthierHere Susan McLaughlin smclaughlin@healthierhere.org www.healthierhere.org

North Central ACH Linda Parlette linda.parlette@cdhd.wa.gov www. ncach.org

North Sound ACH Liz Baxter liz@northsoundach.org www.northsoundach.org

Olympic Community of Health Elya Prystowskyelya@olympicch.orgmargaret@olympicch.orgjoori@olympicch.org

www.olympicch.org

Pierce County ACH Alisha Fehrenbacher alisha@piercecountyach.org www.piercecountyach.org

SWACH Barbe West barbe.west@southwestach.org www.southwestach.org

Questions?