Murphy Transition Teams Elevate Complex Care

Last November Governor Phil Murphy and Lt. Governor Sheila Oliver assembled 14 Gubernatorial Transition Teams tasked with identifying the policy priorities and opportunities for the new administration. The final reports, released by Governor’s Office on January 26, set a powerful foundation for the new Governor’s next steps.

We are thrilled to see GCC policy recommendations reflected in both the Healthcare and the Housing Transition Reports and a commitment to complex care initiatives and health equity.

GCC recommendations included:

  • Develop next-generation Medicaid Accountable Care Organizations
  • Accelerate the implementation of the Integrated Population Health Data (iPHD) Project with an emphasis on the social determinants of health
  • End homelessness in NJ by setting a progressive Housing First policy

Complex care recommendations included:

  • Establish an Office of Health Transformation
  • Introduce a comprehensive plan to improve maternal health and birth outcomes
  • Develop a pilot to provide legal representation for low-income NJ residents facing eviction or foreclosure
  • Endorse legislation to allow counties to increase Homeless Trust Funds

Review all reports

Published on February 13th, 2018

GCC 2017: A year in review

Dear Friends and Colleagues,

As this year comes to a close, I would like to extend my gratitude to this community for your powerful contributions to improving care for patients across New Jersey. I am inspired and motivated by your commitment to collaboration and your resilience in the drive towards advancing complex care in our state. We look forward to continuing this work in the new year!

Highlights of 2017:
The transformative impact of Medicaid ACOs in NJ
The 3rd annual GCC Conference
Policy Position Papers

Natassia Rozario
Camden Coalition of Healthcare Providers

Published on December 21st, 2017

Opinion: How to reduce Medicaid spending in NJ

Care team member visits patient in Camden

In an opinion piece published by both the Cherry Hill Courier Post and, Natassia Rozario, Senior Director of External Affairs for the Camden Coalition of Healthcare Providers, outlines the need for intelligent spending of Medicaid dollars in New Jersey. Read the op-ed below.

Courier Post online

Healthcare Recommendations for Phil Murphy

New Jersey spends about $14.5 billion a year on Medicaid, more than anything else in the budget except education. Given that expense and the uncertainty in Washington around healthcare, it’s crucial that Governor-elect Phil Murphy spend those dollars intelligently and efficiently.

The Good Care Collaborative met last month in Trenton to discuss recommendations for the next governor about how to deliver the right care in the right place at the right time to reduce waste and achieve better health outcomes. We represent a diverse set of stakeholders in the health care system from across New Jersey, including hospitals, providers, patients and faith leaders.

Our focus is on people with complex health and social needs, the five percent who represent 50 percent of health care costs nationwide. In New Jersey, 10 percent of individuals on Medicaid account for about 75 percent of state expenditures.

New Jersey’s healthcare system, like the rest of the American healthcare system, has evolved to serve the typical person with typical health needs. It’s not built to serve people with multiple chronic illnesses, usually exacerbated by social stresses like housing or food instability. Individuals with complex needs often have struggled with addiction, have had contact with the criminal justice system, or have a history of childhood trauma.

There is no one type of person who has complex health and social needs. They might look like Robert, who was experiencing homelessness on the streets in Camden and struggling to manage his substance use disorder and COPD. Or Shirley, who is a middle-income woman with a graduate degree, severe anxiety, and is living with uncontrolled diabetes.

For healthcare consumers like Robert and Shirley, care is fragmented, uncoordinated and sometimes duplicative. Their care is marked by repeated emergency room visits, over-testing, hospital readmissions and other unnecessary or inefficient uses of Medicaid.

It’s well known that the United States spends far more on healthcare than other developed countries without achieving better health outcomes. It’s less commonly known that we spend far less than other developed countries on social services. Research shows that the conditions in which people live, work and play have an enormous impact on health.

The Good Care Collaborative held a robust policy discussion to envision an improved Medicaid system that would help those most in need and shift costs to ensure that taxpayer money is being spent on care that is appropriate. When people with complex needs get the right care in the right place at the right time, we all win.

We congratulate the governor-elect and offer a few recommendations that would prioritize smart Medicaid reform.

  • Integrate healthcare with social services. We have found that social barriers such as homelessness or the lack of access to reliable transportation have huge impacts on patients’ health.
  • Innovate locally. Strengthen and develop our Accountable Care Organizations, which are finding ways to design and scale community-based, data-driven models in Newark, Trenton and Camden.
  • Use data to build a smarter healthcare system. New Jersey is already a national leader in the use of data to determine what’s working and what’s not. The administration should support successful initiatives like the Integrated Population Health Data Project at Rutgers that use data to strengthen accountability.
  • Focus on mental health, addiction and pain. These are foundational conditions that cost lives and strain the system. We must get rid of barriers to the use of evidence-based treatments like buprenorphine for opioid addiction.
  • Ensure access to healthcare for all New Jerseyans. An efficient system that provides coordinated care to individuals in their community and before they’re in a crisis is the way to provide the right care in the right place at the right time. The next administration should fight threats to the Affordable Care Act that would shrink Medicaid and deny care for the most vulnerable.

Without access to community-based treatment, people delay care and end up in the most inefficient and expensive care settings, including emergency rooms, inpatient care, long-term care, or worse, the criminal justice systems.

Medicaid is our second biggest expenditure. We’re making great strides toward reducing the inefficiencies in the system, and given the lack of clarity at the federal level, now is the time to double down on evidence-based, data-driven solutions here in New Jersey.

We can reduce avoidable hospital stays, emergency room visits and lost lives. Better care at lower cost is possible, but only if we transform our systems so that they work for us when we need them most.

Published on December 13th, 2017

Policy Recommendations for the New Administration

As the federal and state government look to reform the Medicaid system, the next gubernatorial administration has the opportunity to set a national example for the Medicaid program. In collaboration with partners across the state we have developed strategic policy recommendations to improve quality, outcomes, and efficiencies in New Jersey’s Medicaid program. Although the recommendations detailed in the below policy position papers are focused on individuals with the most complexity, the lessons from this work may be applied to the broader Medicaid population, as well as beneficiaries across payor types. It is our hope that the incoming administration is able to use these recommendations to guide their strategies for advancing complex care in New Jersey.

The Policy Position Papers

Recommendations Overview

Housing First

Non-Emergency Medical Transportation

Integrated Data

Community-Based Medicaid Accountable Care Organizations

Introduction to the Camden Coalition


National Center for Complex Health and Social Needs: 

Community-Based Care Management

Published on October 30th, 2017

Complex Care in New Jersey Medicaid: Setting a Vision

3rd Annual GCC Conference

Josh Bamberger asks a question for Keynote, Frederick Isasi

September 19th, 2017  |  Trenton, NJ

With health care reform in and out of the national spotlight and a governor’s race approaching in November, national and state Medicaid experts, policymakers, and community members gathered in Trenton for the third annual Good Care Collaborative conference, Complex Care in New Jersey Medicaid: Setting a Vision. After hearing from panelists about bright spots of innovation across the country and state, the 130 attendees had the chance to write suggestions to the new state administration to advance complex care in New Jersey.

Keynote Speakers

Toyin Ajayi, MD, MPhil
Chief Health Officer of Care Lab at Sidewalk Labs, where she is building personalized social care models for patients and communities with complex health and social needs. She is a true leader in designing, implementing, and evaluating clinical interventions to improve the quality, patient-centeredness, and cost of health care delivery in complex and multi-morbid patient populations. Previously, as the Chief Medical Officer at the Commonwealth Care Alliance (CCA) in Boston, MA, Toyin oversaw clinical delivery and clinical operations.


Frederick Isasi, JD, MPH
As Executive Director of Families USA, a leading national health care advocacy organization, Frederick pursues the goal of high-quality, affordable health care for all. In his previous roles, as Health Division Director for the National Governor’s Association Center for Best Practices and as Vice President for Health Policy at the Advisory Board Company, Frederick fought for health care service delivery and payment reform, state employee and retiree health benefits, maternal and child health, prescription drug abuse prevention, and health insurance exchange implementation.

Published on June 13th, 2017