Summary report submitted on Medicaid makeover ideas

Brownback officials receive report from Deloitte consultants

0 | Medicaid-CHIP

— The consulting firm Deloitte LLP has submitted its summary of suggestions collected by the administration of Gov. Sam Brownback from interest groups and members of the public after the administration announced it intended to remake the state's Medicaid program.

The firm was hired for $250,000 to help stage a series of forums held over the summer in Topeka, Wichita, Dodge City and Overland Park. The events were attended by hundreds of people. Suggestions also were collected via the Internet.

As part of its contract terms, Deloitte was to prepare a summary report of the suggestions and outline options the administration could pursue.

A sub-cabinet working group led by Lt. Gov. Jeff Colyer has been developing the administration's reform plan with the stated goal of cutting program costs while improving care provided Medicaid beneficiaries.

Colyer gave a general description of the administration's leanings on Monday during a presentation to the Legislature's Joint Committee on Health Policy Oversight.

Administration officials have said they will make their plan public sometime next month.

“We heard repeatedly from stakeholders about the need to integrate care around the whole person, and this (Deloitte) report brings that into sharp focus,” said Dr. Robert Moser, secretary of the Kansas Department of Health and Environment and a member of the administration's working group.

Among the few recommendations outlined in the report with potential to produce signficant, short-term, Medicaid cost savings was one that called for decreased reliance on nursing homes through expanded use of alternatives such as home- or community-based services.

The report also recommends implementing medical homes and better integrated care, including perhaps using a single managed care company to provide services for those with physical disabilities who also suffer mental illness.

Five Kansas health foundations provided the money that paid for the Deloitte contract: The Kansas Health Foundation, The Sunflower Foundation, The Health Care Foundation of Greater Kansas City, the REACH Healthcare Foundation and the United Methodist Health Ministry Fund.