Transparency and accountability neutered in Health Exchange bill

The Minnesota Health Exchange (House File 5 1st Engrossment/Senate File 1 2nd Engrossment) scheme which the Legislature is now debating is a controversial part of the health care reform movement. On top of that here have been stories recently in the local news about conflicts of interest with a legislator, now former legislator in the health care business, and a strong concern by the public of what government does with data about them illustrated by the DVS scandal and license plate scanners. There is a wary public out there wondering if the Legislature is going to allay concerns and fears that they have of this new creature called the Minnesota Insurance Marketplace. The public has a right to have concerns and fears and this is why. Continue Reading

New approach to health care uses holistic model, focusing on wellness and prevention

NorthPoint Health and Wellness, Hennepin County Human Services and Public Health, Hennepin County Medical Center and Metropolitan Health Plan are partners in Hennepin Health, a local accountable care organization (ACO) pilot program that began last January. ACOs are alternate healthcare models, where groups of partners such as hospitals, clinics and physicians voluntary join together to serve a specific population. Its ultimate goal is to improve health care and reduce costs.The Hennepin Health model serves low-income single adults ages 21-64 without dependents living with them, with incomes at or below 75 percent of poverty. It started with 4,884 enrollees: Nearly 70 percent are people of color, and 60 percent either have some level of chemical dependency, mental health needs, chronic pain or unstable housing.Minnesota Human Services Commissioner Lucinda Jesson told the MSR during a healthcare forum in St. Paul in December that ACOs are “a shared-saving clause [of the Affordable Care Act], and basically an incentive to providers to do better and do it more efficiently…a new way that the federal government can work directly with…a group of providers.”NorthPoint CEO Stella Whitney-West in an interview with the MSR last week said that to effectively serve the target population it must be done comprehensively. Continue Reading