2023年3月3日

馬裏蘭州哥倫比亞市——(商業新聞)——CRISP，馬裏蘭州指定的健康信息交換(HIE)，今天宣布計劃將其醫療補助重新確定通知項目擴展到所有感興趣的提供者和管理醫療組織(MCOs)。該計劃旨在為馬裏蘭州近160萬名醫療補助計劃成員爭取支持，這些成員將麵臨重新決定，並可能失去覆蓋，這將是自《平價醫療法案》(Affordable Care Act)以來最大的一次醫療覆蓋過渡。該項目與馬裏蘭州醫療補助計劃(MDH)合作，為醫療保健服務機構提供了一份安全報告，其中包括所有將在未來90天內麵臨重新診斷的患者。該項目打破了數據孤島，確保醫療保健中心能夠獲得及時和準確的患者信息，因此護理團隊可以執行外展服務，並通過重新確定過程引導患者。該通知項目目前適用於聯邦合格的醫療保健中心(fqhc)，並將在2023年5月前擴展到所有參與crisp的組織。隨著項目的擴大，CRISP將向所有符合條件的組織提供更多信息。CRISP總裁兼首席執行官Craig Behm說:“在馬裏蘭州，醫療補助是每5個人中就有一個人的生命線，每3個孩子中就有一個人的生命線。”“所有護理團隊成員都必須知道他們的患者何時需要重新確定，以及誰有失去保險的風險。這個項目簡化了流程，對依賴醫療補助的患者來說是一種安全機製。”《家庭優先冠狀病毒應對法案》(FFCRA)包括一項規定，要求醫療補助計劃成員在公共衛生緊急事件(PHE)結束前繼續注冊。 That requirement expires on April 1, 2023, and states will have 12 months to redetermine enrollee eligibility. Maryland Medicaid will conduct redetermination of members in stages. The project initially launched as a pilot in February 2023 to help FQHCs navigate redetermination for their patients who account for an estimated 10 – 15 percent of Maryland’s Medicaid population. The PHE has lasted for more than three years, leaving experts concerned about the serious impact the expiration will have on patients, providers and care centers across the state. Many clinics reported not having recent contact information for their patients to conduct outreach. The Medicaid Check-In Campaign , a statewide joint effort by CRISP, MDH, MCOs, Maryland Health Connection (MHC) and the Maryland Department of Human Services (DHS), launched Tuesday to generate awareness of upcoming redeterminations and encourage Medicaid members to update their contact information to avoid disruptions in health insurance coverage. “I worry about the parents of a child with an asthma exacerbation who may have to make a difficult choice between the best clinical care for their child and avoiding a bill they cannot afford,” said Marc Rabner, MD, MPH, Chief Medical Officer at CRISP. “Many of my patients and their families have never needed to go through redetermination and are likely unaware they’ll need to. There’s a real chance this could push families deeper into poverty simply because they missed a deadline.” Medicaid Redetermination is a nationwide concern as all states will enter redetermination for 91.3 million people across the country. Behm emphasized the critical role HIEs can provide during redetermination: “By leveraging the infrastructure and technology already in place, HIEs can modernize the process and significantly reduce the burden on providers, clinics and state Medicaid agencies so they can instead focus on supporting patients.” “The healthcare system as a whole must do everything we can to ensure these patients don’t fall through the cracks, » Behm added. About CRISP CRISP is a regional health information exchange (HIE) serving Maryland and five other states through shared services partnerships. A non-profit organization advised by a wide range of stakeholders who are responsible for healthcare throughout the region, CRISP has been formally designated as Maryland’s statewide health information exchange by the Maryland Health Care Commission. Additionally, CRISP serves as the Health Data Utility (HDU) in Maryland. As an HDU, CRISP is committed to advancing technical capabilities to support electronic exchange of a variety of clinical and non-clinical data sets to strengthen population health and expand public health reporting. For more information, visit https://www.crisphealth.org . Contacts