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Bailit Health Purchasing has assisted over 50 clients since 1997 to improve methods for purchasing or regulating
health and human services. A partial listing of these clients can be found below, as well as examples
of the types of work that we have conducted for our clients.
Vermont Division of Health Care Administration
California Department of Health Services
Virginia Department of Health
California HealthCare Foundation
Client:
Vermont Division of Health Care Administration
Challenge:
Foster quality improvement in managed care plans in Vermont through oversight activities.
Response:
Bailit developed a regulatory oversight model to incent managed care plans to meet and
exceed regulatory requirements for consumer protection and quality assurance, and to
achieve measurable improvements in quality of care.
Client:
California Department of Health Services
Challenge:
Assist the state to improve the effectiveness of its Medicaid HMO performance
management process.
Response:
Bailit evaluated current performance reporting for Medi-Cal´s managed care program,
comparing it to the practices of other states, and making recommendations for a
comprehensive program of plan monitoring and management. Work included a review of
current reports, interviews with state and health plan personnel, and a review of
practices in a sample of comparable states.
Client:
Virginia Department of Health
Challenge:
Develop interpretive guidelines for the implementation of managed care quality assurance regulations.
Response:
Bailit assisted the Department with the development of interpretive guidelines to be used by agency staff and managed care organizations in the implementation of the Department's managed care quality assurance regulations.
Client:
California HealthCare Foundation
Challenge:
The California Medicaid (Medi-Cal) program had no regular reporting mechanism to support ongoing internal assessment of the overall
program and for external reporting to the legislature and stakeholders to track both successes and areas in need of improvement.
Response:
Bailit worked with Medi-Cal stakeholders, including the Department of Health Care Services, legislative staff, providers, health plans, and consumer advocates to assess the interest in a Medi-Cal performance dashboard and ultimately to develop a proposed Medi-Cal performance dashboard. The proposed dashboard called for measurement of the Medi-Cal program across a number of populations, domains and conditions.
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Reimbursement & Incentive Models
Performance Monitoring & Improvement
Market Assessment & Strategy Development
Patient-Centered Medical Home
Behavioral Health & Development Disability Services
Long Term Care Services
Health Care Reform
Cost Containment
January 17, 2012 - Cranston, RI
"Medical Expense Trend Targets: Methodology Options"
Rhode Island Health Insurance Advisory Council
- Michael Bailit
December 14, 2011 - Melrose, MA
"Design Elements of Shared Savings Plans"
Hallmark Health System
- Michael Bailit
November 10, 2011 - Washington, DC
"Aligning Payment Reform Agendas and Perspectives Across the Payment Landscape"
Aligning Forces for Quality Annual Meeting
- Michael Bailit
September 15, 2011 - Plymouth, MA
"Understanding Savings Calculations under the New Municipal Health Insurance Reform Law and Regulations"
Massachusetts Municipal Personnel Association
- Marge Houy
May 25, 2011 - Kansas City, MO
"The Missouri Medical Home Collaborative"
Patient-Centered Medical Home Summit
- Marge Houy
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