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FOR IMMEDIATE RELEASE
December 18, 2017
Julie Naughton, Public Information Officer, Communications and Legislative Services, (office) 402-471-1695 or (cell) 402-405-7202, email@example.com
Nebraska Heritage Health Highlights Successful First Year With HHS Committee
Lincoln – In a presentation to the Nebraska Legislature’s Health and Human Services Committee today [EDS: Monday, Dec.18], Thomas “Rocky” Thompson, interim director of Medicaid and Long-Term Care for the Nebraska Department of Health and Human Services, shared highlights from Heritage Health’s successful first year in Nebraska.
Heritage Health, Nebraska’s Medicaid managed care system, combines physical health, behavioral health and pharmacy programs into a single coordinated system for Medicaid and Children’s Health Insurance Program (CHIP) clients, comprising about 230,000 of Nebraska’s most vulnerable individuals. Heritage Health’s provider partners are United Healthcare Community Plan of Nebraska, Nebraska Total Care and WellCare of Nebraska.
“In Heritage Health’s first year of operation, Medicaid members have had more opportunities for preventive care, and more consistent, all-inclusive coverage through the integration of services and better communication among primary care and behavioral health providers,” Thompson said. "We look forward to building on the progress made in 2017 next year as we continue to focus on improving the quality of services provided to Heritage Health members."
Among the program’s accomplishments:
- 5,868,353 total claims paid January 1 through October 31.
- $743,546,345.11 in claims paid January 1 through October 31.
- Care management for 13,433 Medicaid members with the most challenging and potentially very costly cases.
- Community connections via stakeholder meetings, member outreach/events and/or provider orientations in 89 of Nebraska’s 93 counties in 2017.
- All three member plans accredited or in the process of being accredited by the National Committee for Quality Assurance (NCQA), the industry-recognized gold standard for health plans that encompasses quality, network, utilization management, credentialing, rights and responsibilities and member connections.
- Continued engagement with providers and members through specifically formed stakeholder committees, including ones dedicated to administrative simplification, behavioral health integration and quality. Work with these committees has led to common authorization forms for behavioral health providers, improvement of processes related to billing forms, billing instructions, physical therapy authorizations, home health services and crossover claims, as well as improved relationships with providers.
Additional information about Heritage Health, including frequently asked questions, fact sheets, public events and additional resources are available on the Heritage Health webpage at www.dhhs.ne.gov/HeritageHealth.