October2024
Shift Towards Value Based Payments
The North Carolina Department of Health and Human Services (NCDHHS) is actively transitioning Medicaid providers to VBC models. This shift is part of the state’s broader effort to improve healthcare outcomes while managing costs effectively.
Value-Based Care (VBC) is a healthcare delivery model where providers, including behavioral health providers, are compensated based on patient health outcomes rather than the volume of services provided. To learn more about Valuebased care, click below.
VBC Payment Overview
Message from the Desk of SHAUN COX
Welcome to the inaugural issue of Element by Arkhe's newsletter! We are thrilled to connect with you and introduce you to our comprehensive suite of services, delivered through our innovative Clinically Integrated Network (CIN).
The CIN offers a unique ecosystem of expert-level support, leveraging technology to empower individuals and organizations to achieve their full potential. Here's what you can expect:
· Personalized Coaching: Connect with experienced and dedicated coaches who will create a customized roadmap for your success, addressing your specific needs and aspirations.
· Targeted Training Programs: Gain valuable knowledge and skills through our diverse training programs, equipping you to tackle challenges and achieve your objectives.
· Extensive Resources: Access a wealth of resources, including articles, templates, and tools, conveniently available through our secure online platform.
· Technology Advantages: Benefit from our user-friendly online platform, allowing you to schedule appointments, access documentation, and connect with your patients seamlessly.
Whether you're seeking individual growth, organizational development, or a combination of both, the CIN provides tailored solutions to help you thrive.
We invite you to explore the exciting possibilities within and embark on your journey towards success. Stay tuned for valuable insights, inspiring stories, and practical tips in future issues of our newsletter.
NCDHHS Health Equity
The NC Department of Health and Human Services (NCDHHS) Secretary Kody H. Kinsley announces the launch of the new 2024 Health Disparities Analysis Report. The report offers a comprehensive view of the effects of health disparities on health outcomes across North Carolina and highlights opportunities for improvement and action
This focus on health equity aligns perfectly with Element Health Consortium's core mission of ensuring access to high-quality healthcare, regardless of background or circumstance and improving health outcomes.
For more information, please use the link below: Community and Partner Engagement Initiative
2024 Health Disparities Analysis Report
The NC Department of Health and Human Services (NCDHHS) Secretary Kody H. Kinsley announces the launch of the new 2024 Health Disparities Analysis Report. The report offers a comprehensive view of the effects of health disparities on health outcomes across North Carolina and highlights opportunities for improvement and action.
Health Disparities Report
Tailored Care Management Toolkit
NEW! Bilingual tools to inform your communities of Tailored Care Management services. Tailored Care Managers help members connect with healthcare systems supports and with basic needs like food and transportation.
Bilingual and accessible resources to help communities get the answers they need. The Tailored Care Management toolkit is available in English and Spanish.
NEW! PowerPoint with essential details about Tailored Care Management
NEW! One-page flyers personalized for different audiences
NEW! Social media copy and graphics you can share on your profiles
NEW! Email templates and newsletter graphic to include on your newsletters
Who is eligible for Tailored Care Management services
Questions and answers about Tailored Care Management
Healthy Opportunity Pilot
NC Medicaid is authorized to implement HOP through Oct. 31, 2024. The state has submitted an application to renew the 1115 waiver, this application includes an additional five years and statewide expansion for HOP
Collaborative Care Model
Collaborative Care Model (CoCM) is an integrated modality that provides patients with medical and behavioral health care in a primary care setting. Benefits of CoCM include better patient outcomes, improved patient and provider satisfaction, and reduction in health care costs.
In addition, using CoCM may reduce health disparities in access to behavioral health. This can be an opportunity to partner with local provider to enhance outcomes!
Collaborative Care Info
Important Contacts
200 Ridgefield Court, Suite 218
Asheville, NC 28801
Phone: 828-225-2785
Fax: 828-225-2796
Crisis Line: 800-849-6127
901 South New Hope Road
Gastonia, NC 28054
Phone: 888-235-4673
Fax: 704-884-2713
Crisis Line: 833-353-2093
PARTNERS
Grant Funding Resources
HealthResourcesandServicesAdministration (HRSA):HRSAoffersavarietyofgrantprograms specificallydedicatedtosupportingprimarycare providersinunderservedcommunities.
https://www.hrsa.gov
SubstanceAbuseandMentalHealthServices Administration(SAMHSA):SAMHSAisaleading federalagencysupportingbehavioralhealth initiatives.
https://www.samhsa.gov/grants
TheDepartmentofHealthandHumanServices (HHS):TheHHSwebsiteoffersagrantsportal whereyoucansearchforvarioushealth-related grants,includingsomewithaprimarycarefocus: https://wwwgrantsgov/ RuralHealthResources:exploreresourcesfrom organizationsliketheNationalRuralHealth ResourceCenter: https://wwwruralhealthinfoorg/
5200 Paramount Parkway, Suite 200
Morrisville, NC 27560
Phone: 919-651-8401
Fax: 919-651-8672
Crisis Line: 877-2234617
201 W. First Street
Greenville, NC 278581132
Phone: 866-998-2597
Crisis Line: 888-302-0738
Factsheets,guidesandmaterialsto helpproviderstransitiontoNCMedicaid ManagedCare,StandardPlans,Tribal OptionandTailoredPlans.
VAYA HEALTH
TRILLIUM HEALTH
Member Benefits
Coaching
Level up your quality improvement journey with a dedicated coach in Element's CIN! Studies show coaching and accountability support can significantly improve outcomes –let's unlock your full potential for positive change together.
Your coach will meet with you and your team to assist with quality improvement, change management, software reporting guidance, and provide resources that align with your goals-ex; accreditation, PIPs, etc.
Stay Informed on NC Medicaid TransformationEnsure your practice is aligned with the latest NC Medicaid changes, including Managed Medicaid's rollout, the adoption of value-based care models, and the implementation of Advanced Medical Homes (AMH).
NC Resource:
The North Carolina Department of Health and Human Services (NCDHHS) provides extensive resources and updates on Medicaid transformation. Their website offers detailed fact sheets, provider guidance, and timelines for the transition to value-based care and the launch of Tailored Plans. Accessing these resources will help your practice stay compliant and informed on state healthcare policies and procedures
For more information on Medicaid transformation and resources for providers, visit the NC Medicaid website at https://medicaid ncdhhs gov Additionally, the North Carolina Healthcare Association (NCHA) offers tools, resources, and support for healthcare providers navigating these changes at http://www.ncha.org .
You can bill directly from our Care Management Platform?
Medisked has the following billing features:
Submit, Track, Manage, and Reconcile Claims
Manage Billing Exceptions
Track and Manage Current and Historical Billing Rates
Generate Service Documentation and Audit Review for Billable Activities
Help Desk / IT Support
Provider Resource Hub
Element University equips providers with the tools to deliver exceptional care and build successful practices. Through online education, coaching, and community, Element University equips providers to deliver exceptional care, navigate industry changes, and achieve their professional goals.
Browse through our courses and find out the ones that best apply to you.
UPCOMING COURSES (Available November 2024): Fraud, Waste and Abuse Compliance 101 HEDIS Measures for Behavioral Health Providers
Lookingformore?Tiredofnavigating multiplewebsitestofindthelatest information?CheckouttheProvider ResourceHub,whichwillhouseinformation likethisnewsletter,freeresources,andmore! ThisresourcewillbeliveNovember2024.
Element University (EU) Upcoming Events
October23,2024 at10AM
B & D Integrated Health Services
Durham, NC
Pivotal Health Solutions
Charlotte, NC
Primary Care Solutions
Charlotte, NC
Joseph’s Community Supports
Kinston, NC
Walkers Group Home
Concord, NC
Comprehensive Interventions, Inc.
Williamston, NC
Amani Residential Human Services
Williamston, NC
Steven’s Outreach Center
Lumberton, NC
Holt Assessments
Roanoke Rapids, NC
Caring Hands and Supplementary
Enrichment Education, LLC (NC) Durham, NC
New Beginning With Love, Inc.
Williamston, NC
Fernandez Community Center
Raleigh, NC
NC Innovations Waiver Services
Tailored Care Management Case Management
Healthy Opportunities Pilot Foster Care Services
North Carolina Problem
Gambling program
D.O.T. Drug and Alcohol program DWI services
Residential/Community Living Non-Emergency Medical
Transportation
Personal Care Services
Community Alternative Programs
Greenville, NC
www.reallygreatsite.co m
www.reallygreatsite.co m
Sure Foundation Behavioral Health Services
FastFacts:
Wehaveprovidersheadquarteredinallfour(4)TailoredPlanregions
Wehaveanine(9)TCMprovidersandthirteen(13)totalCINmembers
Ournetworkprovidesover30+distinctservicesinNC
Wehaveassistedfive(5)TCMagencieswithcertification
Roughly6,000livesservedbyourCINMembers
LookingAhead:WeplantoservePrimaryCarepracticesandsupportadditional servicestoensurethenetworkhasadequatesupport.
WeatElementbyArkheHealthConsortiumwantto expressoursinceregratitudetoourvalued membersandsupporters.Yourcommitmentto healthequityfuelsourmission!Together,we're makingarealdifferenceinNorthCarolina's healthcarelandscape.We'realwayslookingforways toimprove,sopleasedon'thesitatetoshareyour feedback.Staytunedforexcitingupdatesinournext newsletter!
