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March 13, 2013

CareFirst - Making a Difference CareFirst Commitment Making a Difference in our Communities City. March 13, 2013. Julie Wagner Grants Program Manager. The CareFirst Organization….

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March 13, 2013

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  1. CareFirst - Making a Difference CareFirst Commitment Making a Difference in our Communities City March 13, 2013 Julie Wagner Grants Program Manager

  2. The CareFirst Organization… • The largest insurer in the Mid-Atlantic region, serving 3.4 million members • Employs about 5,000 associates and contractors in Maryland, Washington, D.C., Northern Virginia, West Virginia and North Carolina • Has the largest provider network in the region, with more than 80 percent of the region’s health care providers participating in one or more networks • Launched the nation’s largest Patient-Centered Medical Home (PCMH) program of its kind • Since 2008, through our CareFirst Commitment program, we’ve contributed more than $340 million to community programs designed to increase health care access, affordability, safety and quality throughout Maryland and the National Capital Area

  3. A Strategic Giving… • Our community giving program is strategic and carefully guided by an overarching goal of dedicating resources to initiatives that catalyze change and create systemic efficiencies in the health care delivery system. • In priority order, our giving is focused on: • Subsidies to enhance health care access • Catalytic giving to improve the health system • Targeted giving to organizations that seek to improve health, and • Community sponsorships and memberships Corporate Memberships Community Sponsorships Programmatic Initiatives Targeted Health Giving Through Others Catalytic Giving Subsidies and Enhanced Access Programs

  4. Catalytic Funding… CareFirst funds innovative community initiatives and programs throughout our service area: • to improve the region’s health care delivery systems, • identify and seek to promote change on broader health initiatives, and ultimately, • to affect the long-term health of our community. More specifically, we’ve focused our efforts on five key areas to address these objectives: • Improving Maternal and Child Health; • Battling the Obesity Epidemic; • Empowering the Region’s Safety Net Clinics; • Addressing the Region’s Shortage of Nurses; and • Expanding CareFirst’s Patient-Centered Medical Home Concept • Improving Maternal and Child Health

  5. Supporting the Community… Corporate Memberships & Sponsorships Associate Volunteerism • American Heart Association Internal Fundraising • United Way Campaign • Volunteerism We sponsor over 344 events, region-wide, with nonprofit partners per year, throughout our entire region. These events support the operating budgets of nonprofit organizations and provide CareFirst well over 150,000 direct impressions and countless others through the media. • -Promote participation using • the latest tools and technology • - Incentives such as matching • funds and recognition

  6. Grant Funding… Grant Applications • Review applications in 3 grant cycles • Special RFP Issued • Awards & Reporting

  7. Case Study… Safety Net Health Centers (SNHC) Patient-Centered Medical Homes (PCMH) Initiative

  8. SNCH PCMH RFP Process… 2011 July Guidelines for Grant Applications CEO Information Sessions August Grant Submissions Sept Evaluation Teams Oct Recommendations Nov Final Awards Dec MOU Development

  9. Populations Targeted by SNHC PCMH Projects… • Behavioral Health Issues • Chronically Ill • HIV+ • Homeless Individuals • Diverse Communities • Low Income Patients • Underserved Populations • Uninsured Patients

  10. SNHC PCMH Grantees…

  11. Regions Serviced by SNHC PCMH Projects… 4 4 3 * Figures represents number of projects servicing that area.

  12. PCMH Measurements Key: Black – Organization Defined Goals Blue – CareFirst Goal Additions Project Metrics…

  13. Project Metrics…

  14. Project Metrics…

  15. Promoting Project Success… Grant Project Performance Quality Health Outcomes Utilization Emergency Dept. Diversion Hospitalizations Cost Per Patient Cost Savings CareFirst Support Offering of Quality Technical Assistance Offering of Relevant, Quality Training Grantee Engagement Timely Submission of Reports Participation in Collaborative Meetings Participation in Care Coordination Meetings Participation in Trainings & Utilization of Technical Assistance

  16. Successes and Challenges…

  17. 2013… Monitoring & Evaluation Technical Support February 27 Creating a PCMH Culture (in-person) 27 Recruiting and Retaining PCMH Participants (in-person) March 13 PCMH Program Monitoring and Evaluation (webinar) 20 Measuring Patients’ Perceived Health Status (webinar) 26 Health Literacy/Plain Language – Part I (webinar) April 10 Integrating Data Integrity Into the PCMH Clinic Culture (webinar) 16 Considerations for Integrating Care Plans With Information Systems (webinar) May 21 Health Literacy/Plain Language – Part II (in-person)

  18. Questions… Contact: Julie Wagner 410-528-7111 julie.wagner@carefirst.com

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