Medicaid Transformation Project

Caring for the nation’s most vulnerable is an essential endeavor. It also presents distressing challenges, including
complex medical needs, complicated incentives, as well as operational and cost constraints.

Inspired to act, 30+ health systems have dedicated themselves to transformational change -- digital deployed at scale to
improve the health needs of 75 million Americans, while reducing overall cost of care.

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“Our health system has experienced pockets of success in addressing this challenge, as have our peers across the country. The value of being in the Medicaid Transformation Project is that we break down information barriers and learn from each other’s successes – and failures – together.”
Dr. Janice Nevin, President & CEO, ChristianaCare
“The collaborative model of the Medicaid Transformation Project is providing us with a new and necessary lens to view a long-standing challenge, which is improving access and coordination to community care. Our team is excited to share what we’ve learned working with our community partners, and to scale new digital solutions that lower long-standing barriers to care.”
Thomas M. Priselac, President & CEO, Cedars-Sinai
“The current healthcare delivery system needs to be disrupted to dismantle health inequities. We [joined] the Medicaid Transformation Project to learn from others across the country and to find the best innovations that improve care and outcomes for the most vulnerable among us.”
Stephen Klasko, President and CEO of Jefferson Health
“As the largest not-for-profit healthcare system in Texas – a state which did not expand Medicaid – we remain committed to meeting the needs of the communities we serve, including providing access to care for those who cannot afford it. We are energized to be part of leading this national initiative and advancing sustainable solutions to meet the growing needs of our most vulnerable populations."
Jim Hinton, CEO, Baylor Scott & White Health
“We’ve seen exciting and positive momentum with digitally enabled solutions that engage our physicians, caregivers, patients, and consumers. Through the Medicaid Transformation Project, we know we can share what we’ve learned with other systems and amplify our ability to help patients through what we learn from these impressive partners,”
Dr. Rod Hochman, President & CEO, Providence St. Joseph Health
“Healthcare today must be consumer-centric, and engage patients with personalized experiences. Together, we must bring down healthcare costs in order to provide access for the most vulnerable communities. It is my hope that our collaboration will unleash new avenues that bring down barriers to care and improve the overall health of our communities.”
Lloyd Dean, President & CEO, Dignity Health

The Case for Transformation

Caring for Medicaid and other vulnerable populations has long been a core mission for many health systems. Now, the business case for better care has never been stronger. New payment models will incentivize integrated and coordinated care, as well as focus on addressing social needs. Rapid and scalable innovation has emerged from companies focused on the needs of the vulnerable.

From behavioral health to maternal health to substance use disorder, health systems can scale care models and digital innovations that deliver sustainable, quality care for all people in their communities.

Medicaid Transformation Podcast: Trailer

The Medicaid Transformation Podcast examines the vision and work required to transform the health and care of vulnerable populations, featuring in-depth interviews with health system CEOs and Medicaid leaders.

Campaigns Structured for Impact

Digital creates possibilities for greater impact; it can enable new care models or scale existing approaches. We’re helping
participants set a strategy, find the right technology partner, and prepare for successful implementations. In 2020, Project
participants will take action to address:

Healthy Communities
Addressing social determinants of health like transportation, housing, nutrition, and violence prevention.
Clinical Community Network
Improving the spectrum of community care through enhanced primary care access, specialty care access, and community paramedicine.
Maternal & Infant Health
Closing gaps in care through solutions like remote monitoring, virtual clinicians, coordinated care networks, and flexible scheduling.

Transformation in Action

After launching in 2019, Project participants are already creating meaningful change in their communities through collaborative care models and digital solutions.

22% – Initial decrease in ED visits seen in one large Texas county when first responders used a digital solution to intercept people in mental health crises before they were taken to facilities that were not prepared to meet their needs.

500+ – case workers and social workers at a Midwest health system using an EMR-integrated digital solution to identify patient social needs and share referrals with patients, while closing the loop with community-based partners.

 

Our Advisors

Leading national policy experts are advising this initiative and guiding its efforts, including Andy Slavitt, Chair for the Medicaid Transformation Project and former Acting Administrator of CMS; Vikki Wachino, former head of the Center for Medicaid and CHIP Services at CMS; and Molly Coye, former Commissioner of Health for the State of New Jersey and Director of the California Department of Health Services.

Andy Slavitt Senior Advisor

Andy Slavitt
Senior Advisor

Andy Slavitt has decades of private and public sector leadership in health care. Over his career, Andy has shaped some of the most significant and successful initiatives in health care impacting millions of Americans and the shape of the health care system.

For the last two years, he served as the Acting Administrator for the Centers for Medicare & Medicaid Services (CMS) under President Obama, overseeing the Medicaid, Medicare, the Children’s Health Insurance Program, and the Health Insurance Marketplace, where he also oversaw the healthcare.gov turnaround in 2013. Under his leadership, the U.S. health care system saw record reductions in the uninsured rate, nationwide improvements in quality, record low cost growth, and a major resurgence in value-based payment models.

Molly Coye Executive-In-Residence

Molly Coye
Executive-In-Residence

Dr. Molly Joel Coye is an Executive-in-Residence at AVIA and a member of the board of directors of Aetna, Inc. From 2010-2015, Dr. Coye served as Chief Innovation Officer for UCLA Health and head of the Institute for Innovation at UCLA, where she led the health system in identifying new strategies, technologies, products and services to support the large-scale transformation of healthcare. Dr. Coye also advises technology developers, investors, national health systems, and policy makers about disruptive technologies and business models that accelerate transformation.

From 1999-2010 Dr. Coye was Founder and CEO of the Health Technology Center, the premier forecasting organization for emerging technologies in healthcare. She has also served as Commissioner of Health for the State of New Jersey, Director of the California Department of Health Services, and Head of the Division of Public Health Practice at the Johns Hopkins School of Hygiene.

An elected member of the National Academy of Medicine, Dr. Coye has been a board member of the American Hospital Association and the American Telemedicine Association, and chaired the board of the American Public Health Association and of PATH, one of the largest nonprofit organizations in global health.

Perspectives from Our Leaders

“Disparities in health and healthcare disproportionately affect vulnerable populations. The Medicaid Transformation Project’s commitment is to close the gap in care and outcomes in communities in need through a renewed focus on innovation and investment.”

Jill Seidman, Vice President, Provider Solutions & David Smith, Medicaid Transformation Project Executive are the leaders of AVIA’s Medicaid Transformation Project Initiative. Read more insights from Jill here.