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NAMI MI: Developing Policies for Dual Eligibles Integration

Learn about NAMI MI's process for developing complex policies to reform services for Dual Eligibles, focusing on people living with mental illness. Understand the challenges, stakeholders involved, and strategies for effective policy development.

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NAMI MI: Developing Policies for Dual Eligibles Integration

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  1. Developing complex policies at NAMI MI A small boat in a rough sea Mark Creekmore SAN@convention 2012

  2. Dual Eligibles (DE) • People living with mental illness • High needs • High cost

  3. Why reform services for Dual Eligibles? • Will care integration DEs • Save money? • Improve care? • Will it help people living with mental illness? • Most savings on inpatient care • Most mental health is outpatient

  4. Oz: Integrating care for people with dual eligibility • Complex subject • Impatient and determined to change • Complex, slippery process • High tension among stakeholders • Wariness among consumers re system changes • High stakes • Predictions: huge changes afoot • Advocates: Close ties – Low trust

  5. External and Internal Participants for NAMI Michigan External: • MDCH • CMS • Community Mental Health Agencies • Advocacy organizations. Community – Institutional Internal: • Policy Committee • NAMI MI Board • NAMI affiliates • People living with mental illness

  6. The Process for NAMI DE Policy Participate in MDCH process • Announcement at 5 community meetings • Four work groups • Presentation of pilot proposal to community • Comment to CMS Decide about DE and care integration: balance needed • Tactics: Combine long ball and small ball tactics • Strategy: Develop distinct NAMI policy from others • Tone: Keep the tone real and hopeful

  7. What’s next? • Distribute and refine policy • Educate members • Develop advocacy skills from members who are DE (via SMARTS training)

  8. Discussion Questions • How can we construct comprehensible policy statements about complex topics that engage and attract “mere mortals”? • What are the threats and opportunities for PWSMI (NAMI’s constituents) within the dual eligible demonstration proposals? Contact: Mark Creekmore pmcreek@gmail.com

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