Inland Northwest in Charge (INIC) -- Policy Strategy Summary |
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Legislature |
Healthcare Authority |
DSHS/MAA |
OIC |
Governor's Office |
WSHIP |
Triaging Access |
Authorize locality to participate in activities that ensure seamless
enrollment in state programs |
Authorize locality to participate in activities that ensure seamless
enrollment in state and other healthcare programs (such as determination
of eligibility, processing applications and enrollments, access to
eligibility systems, etc.) |
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Coverage for the Employed Uninsured |
Mandate pilot blending Basic Health, Medicaid and Expanded Choice |
Flexibility with Basic Health dollars, benefits and enrollment processes
for individuals whose employer participates in Exp. Choice;
Technical assistance and advice to planners; Participate in shared
tracking of health outcomes and cost savings |
Flexibility with Medicaid dollars, benefits and enrollment processes for
individuals whose employer participates in Exp. Choice;
Technical assistance and advice to planners; Participate in shared
tracking of health outcomes and cost savings |
Waivers to carriers participating in Expanded Choice (e.g., adjust
mandated benefits); Provide technical assistance
and advice to planners |
Provide technical assistance and advice to planners |
Create incentives for Exp. Choice participants to engage in disease
management programs |
New Services for Chronically Ill |
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Restructure reimbursement to cover strategies that emphasize education
and prevention and reduce need for/costs of acute services; Provide use
of information system to track clients with chronic conditions |
Restructure reimbursement to cover strategies that emphasize education
and prevention and reduce need for/costs of acute services; Support
locality in expanded No Wrong Door efforts; Provide use of information
system to track clients with chronic conditions |
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Local Subsidies |
Allow plans and providers to collaborate among themselves and with each
other; Allow entities to donate savings to INIC (based on revenues
generated as a result of INIC) |
Facilitate tracking of individuals enrolled via Health for All |
Facilitate tracking of individuals enrolled via Health for All |
Allow plans and providers to collaborate among themselves and with each
other |
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Cooperative Purchasing |
Authorize state agencies to participate in a regional purchasing
collaborative or to delegate purchasing decisions to local health
planning authority for Eastern Washington |
Participate in Eastern Washington purchasing collaborative |
Participate in Eastern Washington purchasing collaborative |
Allow carriers to work collaboratively in benefit package distillation
process |
Partner in strategies for start up foundation funding |
Participate in Eastern Washington purchasing collaborative |
Information Technologies |
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Participate in tracking INIC enrollee activity (utilization and costs);
Allow access to Basic Health eligibility system |
Participate in tracking INIC enrollee activity (utilization and costs);
Allow access to MAA/DSHS eligibility system |
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Provide technical assistance/advice on patient privacy regulations to
facilitate implementation of tech. strategies |
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Regional Planning Capacity |
Authorize "Fast Track" for regional planning entities that meet
readiness criteria |
Creative planning and implementation of pilots with "Fast Track"
communities |
Creative planning and implementation of pilots with "Fast Track"
communities |
Creative planning and implementation of pilots with "Fast Track"
communities |
Creative planning and implementation of pilots with "Fast Track"
communities |
Creative planning and implementation of pilots with "Fast Track"
communities |