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SHARE and ForeverCare PASSE Collaborating to Serve Medicaid Members in Arkansas!

Wed, 09/05/2018 - 10:42 -- Whitney Mayo

 

SHARE is assisting Forevercare PASSE (Provider-owned Arkansas Shared Saving Entity) in providing access to daily reports for Medicaid eligible residents of Arkansas when those patients are admitted and discharged from the Emergency Room and Inpatient Encounter Discharges in the last 24 hours. ForeverCare along with three other provider-led health plans, delivers access to healthcare through the PASSE model of care, which is unique to Arkansas and provides coordination of physical health, behavioral health and home and community services to vulnerable Arkansans who qualify for these services due to specific health conditions. Care coordination is increasingly important to Medicaid programs and has shown success in improving health outcomes of individuals while reducing costs and SHARE is assisting in allowing the PASSE to know when their patients are admitted, discharged and transferred to their local hospitals. ForeverCare is comprised of six partner organizations that represent over 300 years of combined experience and success in delivering high quality healthcare to deserving Arkansans.

What is a PASSE?

A PASSE is a Provider-led Arkansas Shared Savings Entity that will be certified to perform the administrative services of care coordination and claims management to support direct service providers throughout Arkansas as they care for individuals served under this program. A PASSE is owned by a group of providers that unite around a common set of principles to enhance the delivery system throughout Arkansas. This group of providers will partner with an insurance company or administrative services organization to fulfill requirements set forth by the State:

  • Ensuring every member has a medical home
  • Ensuring each member’s plan of care is being met
  • Organizing a formal network of providers
  • Ensuring every member receives the medically necessary services in his/her plan of care
  • Providing care coordination for every member
  • Sharing information and data with affiliated providers, members and family members, as appropriate
  • Reporting necessary data to ensure accountability and measure performance

ForeverCare Changing the Face of Healthcare

ForeverCare's goal is to nurture relationships where they are trusted by members and their families, caregivers, peers, providers, stakeholders, advocates, the community, and the State as a leader in administering innovative quality services while paying close attention to the responsibility of being good stewards of taxpayer dollars. The ultimate outcome of this it to improve the health and quality of life of our community and its residents.

How ForeverCare Came to Be

In an effort to improve the quality of care and spend tax dollars appropriately, Arkansas explored multiple alternatives to the current Medicaid Fee for Service model. Under Act 775, Risk Based Provider Organizations will become responsible for integrating the physical healthcare services, behavioral health services, and specialized home and community based services for a group of Medicaid recipients. This lead to the creation of PASSE (Provider-led Arkansas Shared Savings Entity) and ForeverCare.

See more about ForeverCare at: http://www.forevercare.com/About-Us