www.mozilla.com Weather Central
Voices
Headlines

Coming home in an unexpected manner -2/1/2015, 2:17 PM

The myth of the monolith -2/1/2015, 2:17 PM

Gifted students -2/1/2015, 2:17 PM

Defense against demagogues -1/30/2015, 9:44 AM

Kansas is at risk -1/30/2015, 9:44 AM

Football injuries -1/30/2015, 9:44 AM

A note on primitivism -1/29/2015, 9:55 AM

Owning ideas -1/29/2015, 9:55 AM

There's more -1/29/2015, 9:55 AM

Kansas' birthday -1/29/2015, 9:55 AM

Back to the future, locked and loaded -1/28/2015, 9:29 AM

Compromise -- make it happen -1/28/2015, 9:29 AM

Faith v. facts -1/28/2015, 9:29 AM

Counting on Les -1/27/2015, 9:22 AM

Building bills in the Legislature -1/27/2015, 9:22 AM

Tale of the tree -1/27/2015, 9:22 AM

Seismic activity -1/27/2015, 9:22 AM

Where are the good guys? -1/27/2015, 9:21 AM

Brownback's budget -1/26/2015, 9:59 AM

Committee meetings begin -1/26/2015, 9:50 AM

Excitement starts at Capitol -1/26/2015, 9:50 AM

What's happening with oil prices? -1/26/2015, 9:50 AM

Synthetic biology, brave new world -1/26/2015, 9:50 AM

Today's fierce urgency is voter mobilization -1/25/2015, 5:02 PM

Duke, Muslims and politics of intimidation -1/25/2015, 5:02 PM

Right to hunt -1/25/2015, 5:02 PM

Pipeline: Foreign profits, American risk -1/23/2015, 7:47 AM

Social Darwinist 'Christianity' -- Chapter 3 -1/23/2015, 7:47 AM

Kiwanis generosity -1/23/2015, 7:47 AM

The state economy -1/22/2015, 10:23 AM

Restate of the union -1/22/2015, 10:23 AM

France needs our First Amendment -1/22/2015, 10:23 AM

Repurposing Washington -1/20/2015, 9:31 AM

March for Life -1/20/2015, 9:31 AM

Brownback, the budget and schools -1/20/2015, 9:31 AM

Sensible checks are no assault on gun rights -1/19/2015, 9:50 AM

Jeb Bush chooses expedience on marriage issue -1/19/2015, 9:50 AM

The State of the State Address and the legislative session -1/19/2015, 8:47 AM

Spending's not the culprit in budget woes -1/18/2015, 3:32 PM

Pilgrim's paradise -1/18/2015, 3:32 PM

Spring elections -1/18/2015, 3:23 PM

Kobach is back -1/16/2015, 3:04 PM

More with Les -1/16/2015, 10:03 AM

Understanding Hooper -1/16/2015, 10:02 AM

Basic economics -1/16/2015, 10:01 AM

Female governance -1/15/2015, 9:37 AM

2015 energy policy -- a unique opportunity -1/15/2015, 9:37 AM

The better option -1/15/2015, 9:36 AM

'Wall Street' a waste -1/14/2015, 2:50 PM

Trade already -1/14/2015, 2:49 PM

No media bias? -1/14/2015, 2:48 PM

Retirement funds -1/14/2015, 2:47 PM

Redefining public education in Kansas -1/13/2015, 10:06 AM

What the future holds -1/13/2015, 10:06 AM

Efficient education -1/13/2015, 10:06 AM

Terrorists usher in the 'End of Satire' -1/12/2015, 9:14 AM

Sexuality, lame logic, substandard science -1/12/2015, 9:14 AM

A tragic family story -1/11/2015, 12:11 PM

For freedom, LGBT rights, a year of decision -1/11/2015, 12:11 PM

Roberts' promotion -1/11/2015, 12:11 PM

FHSU campaign -1/11/2015, 12:11 PM

Fairness in U.S. -1/9/2015, 3:05 PM

Liberals' use of black people -- Part II -1/9/2015, 9:09 AM

Social Darwinist 'Christians' -- Chapter 2 -1/9/2015, 9:09 AM

Taxing situation -1/9/2015, 9:09 AM

Trust: Society depends on it -1/8/2015, 9:55 AM

Education schools lack a paradigm -1/8/2015, 9:55 AM

Congress convenes -1/7/2015, 10:07 AM

Simple way to fix gridlock: change committees -1/7/2015, 10:06 AM

Kansas is your customer -1/7/2015, 10:06 AM

Large budget shortfalls await solution -1/6/2015, 10:06 AM

The state and funding K-12 education -1/6/2015, 10:06 AM

Tree removal -1/6/2015, 10:06 AM

Republicans won -- now what? -1/5/2015, 9:13 AM

Social Darwinist religion, Chapter 1 -1/5/2015, 9:13 AM

Liberals' use of black people -1/2/2015, 9:53 AM

Ignorance abounds -1/2/2015, 9:53 AM

Superbug dilemma -1/2/2015, 9:53 AM

Thanks North Korea -12/31/2014, 1:26 PM

Sony gets the last laugh -12/31/2014, 1:26 PM

Free speech -12/31/2014, 1:16 PM

New Year's resolutions -- sort of -12/31/2014, 9:22 AM

A flat-footed backflip for Wall Street -12/31/2014, 9:22 AM

Dim the lights -12/31/2014, 9:22 AM

Some near-sure bets for the new year -12/31/2014, 9:21 AM

Adios, Rick Perry -12/30/2014, 8:20 AM

Budget strife means high-anxiety session -12/30/2014, 8:20 AM

Time for caution -12/30/2014, 8:20 AM

-12/29/2014, 10:01 AM

Court's raw deal -12/29/2014, 10:01 AM

Chris Christie's pork barrel politics -12/29/2014, 10:00 AM

A Festivus Miracle -12/27/2014, 4:18 PM

Faith, not politics, keeps Christ in Christmas -12/27/2014, 4:18 PM

EPA rule falls short -12/27/2014, 4:18 PM

2014: The year in Kansas higher education -12/26/2014, 9:39 AM

Methane from cattle -12/26/2014, 9:39 AM

Black progression and retrogression -12/26/2014, 9:38 AM

Up-Lyft-ing Christmas tale -12/25/2014, 1:22 PM

Terrorism on soft targets -12/25/2014, 1:22 PM

Story of Christmas -12/25/2014, 1:22 PM

myTown Calendar

SPOTLIGHT
[var top_story_head]

Healthier model

Published on -2/14/2012, 9:37 AM

Printer-friendly version
E-Mail This Story

Healthier model

On Nov. 8, I joined Gov. Sam Brownback and Lt. Gov. Jeff Colyer in announcing reforms that will sustain Medicaid in Kansas and facilitate integrated, whole-person care for the state's most vulnerable populations. The catalyst for achieving these positive results is KanCare -- a plan that demonstrates the administration's commitment to improving outcomes for Medicaid consumers and curbing the cost of the program, all without scaling back eligibility or cutting rates for health care providers.

To better serve Kansans, we are seeking a waiver from the Centers for Medicare and Medicaid Services. The concept paper for that waiver was sent to CMS on Jan. 26, and my agency is receiving public comments now through the end of February. The waiver will enable Kansas to implement four major initiatives to improve Medicaid: 1) move all Medicaid populations into an integrated, person-centered care model; 2) cover all Medicaid services, including long term support services, through that model; 3) establish safety net care pools to ensure access to essential hospital services; and 4) create and support alternatives to Medicaid.

In my meetings with health care providers, advocacy groups and consumers, there is a shared sentiment that the current system is not sustainable and that care for Medicaid beneficiaries is fragmented. The public input forums held last year throughout the state were well-attended, and I appreciate everyone who took time to participate in person and those who wrote to us their suggestions for remaking Medicaid. Tackling the structural deficit facing Medicaid cannot be accomplished by excluding or focusing solely on one population or service. Also, no short-term solutions -- provider rate cuts, tweaks of eligibility requirements or reducing services -- will address the scale of the issue over time.

The state is focused on an integrated, whole-person care system and creating health homes for those with diabetes, chronic mental health conditions or both. KanCare will preserve or create a path off Medicaid to independence and help develop alternative access models, care coordination and an emphasis on home- and community-based services. Kansas provides Medicaid services to more than 380,000 Kansans. HealthWave (serving women and children) is a managed care program that already provides services for nearly two-thirds of the Medicaid and Children's Health Insurance Program population. Under KanCare, the state will expand care management to all Medicaid populations, including the aged and disabled, by Jan. 1.

Services for Kansans with developmental disabilities will continue to be provided under the auspices of Community Developmental Disability Organizations, but their inclusion in KanCare means the benefits of care coordination will be available to them. KanCare companies will be accountable for functional as well as physical and behavioral health outcomes. By bringing in additional resources, the KanCare health plans will help provide enhanced care coordination for Kansans with developmental disabilities. Our goal is to improve access to health services and continue to reduce disparities in life expectancy while preserving services that improve quality of life.

Because these reforms were driven by Kansans, the state will form an advisory group of persons with disabilities, seniors, advocates, providers and other interested Kansans to provide ongoing counsel on implementation of KanCare. Additionally, KanCare companies will be required to create member advisory committees to receive regular feedback and have member advocates to assist other members who have complaints or grievances.

The waiver concept paper submitted on January 26 begins discussions with the federal government about the policies needed to implement KanCare, but in it Kansas also requests a second track of discussions, with the long-range goal of fundamentally reshaping Medicaid. That future global waiver would, as we propose it, redefine the federal-state relationship in Medicaid and focus even more on outcomes and healthier Kansans.

Robert Moser, secretary and state health officer, Kansas Department of Health and Environment

digg delicious facebook stumbleupon google Newsvine
More News and Photos

Associated Press Videos

AP Breaking News
AP Nation-World News

View this site in another language.

Kansas News