Behavioral Health Reform in New Hampshire: Implications for NJ
November 16, 2016
The Good Care Collaborative hosted a webinar featuring New Hampshire’s Medicaid Director Deborah Fournier, highlighting that state’s recent behavioral health care system reform. Relying on their 1115 Transformation Waiver, New Hampshire has been able to prioritize collaboration and a cultural shift in dialogue around care. Notably, New Hampshire’s Waiver process has allowed for the development of regional Integrated Delivery Networks (IDNs) that aim to strengthen community-based mental health services, combat the opiate crisis, and drive delivery system reform towards integrated care.
Similar to New Jersey Medicaid Accountable Care Organizations (ACOs), IDNs work to improve care transitions and relationships between providers. By organizing IDNs across 7 separate regions of care, New Hampshire has been able to address unique care needs at the community level while also allotting sufficient funding to each IDN to pursue their care goals. As Deb said, “it’s all about the data.” Data analysis has been key in this process from development of the IDN regions to assessment of community needs. The innovative tactics employed in this reform and the new system of care point to a future of better, more intentional care for the Medicaid population. The details of this reform process and the IDN structure are outlined in the slides below.
The webinar, moderated by Jocelyn Guyer of Manatt, Phelps & Phillips, LLP., was grounded by Julie Cannariato, Policy Director for the New Jersey Medicaid office, who provided an update on New Jersey’s current 1115 Waiver Renewal Application.