Oregon Health Authority Selects Acentra Health to Implement Division of the State’s Health-Related Social Needs Benefits for 1115 Medicaid Waiver Demonstration
June 13 2024 - 10:15AM
Acentra Health, a technology solutions and clinical services
company dedicated to helping government healthcare agencies
accelerate better health outcomes, today announced it was awarded a
contract from the Oregon Health Authority (OHA) to implement a
division of the state’s 1115 Health Related Social Needs (HRSN)
waiver demonstration for its Medicaid fee-for-service (FFS)
members. Oregon’s multi-phase HRSN demonstration, which began on
March 1, is the first in the nation to introduce Medicaid funding
for interventions that address social needs related to housing,
nutrition, and climate change to improve health outcomes and lower
program costs.
Under the terms of the contract, Acentra Health oversees the
care coordination of qualifying HRSN-related interventions for up
to 120,000 Medicaid FFS members annually. Its care coordinators and
social workers conduct outreach and engagement to assess members’
eligibility for participation. In addition, Acentra Health oversees
the purchase and distribution of HRSN equipment covered by the
waiver and conducts member follow-up assessments. The company will
collect and analyze longitudinal data to help OHA evaluate the
demonstration’s impact on health outcomes and program costs.
“The Oregon Health Authority has long been a strong advocate for
seeking new approaches to support the health and well-being of its
most vulnerable residents,” said Todd Stottlemyer, Acentra Health
CEO. “Their groundbreaking HRSN waiver demonstration aims to go
beyond traditional social determinants of health (SDOH) factors to
address individualized health needs. We are grateful to continue
our 14-year partnership with OHA and help them lead the way in
finding new opportunities to improve health outcomes.”
In March, Acentra Health and OHA implemented the first phase of
the program, which addresses social needs related to climate
change. Qualifying members may receive devices intended to keep
them safe during a climate-related emergency. Available devices
include air conditioners, heaters, air filtration devices,
miniature refrigerators to hold insulin or other medications, and
back-up generators. To be eligible, Oregon residents must be part
of an HRSN-covered population as defined in the current 1115
waiver, have both a clinical risk factor and social needs risk
factor, and be covered under Medicaid FFS.
“Health-related social needs services provide Oregon Health Plan
members foundational support during a time of transition,” said
Holly Heiberg, Medicaid Policy Director at OHA. “Acentra Health
will be integral in helping Oregon build these new benefits for our
fee-for-service members.”
Acentra Health and OHA will implement two additional phases of
the HRSN Medicaid waiver. Phase two is scheduled for November 2024
and will address housing support services for members at risk of
becoming homeless. Phase three is scheduled for January 2025 and
will address diet and nutrition support services. The five-year
demonstration runs through September 2027.
The new contract builds on Acentra Health’s existing body of
work in the state supporting care coordination, high-risk case
management, and utilization management services. As part of that
work, Acentra Health has routinely screened members for SDOH
factors to help link them with supportive resources.
About Acentra Health
Acentra Health combines public sector knowledge, clinical
expertise, and technological ingenuity to modernize the healthcare
experience for state and federal partners and their priority
populations. From designing and developing advanced claims,
encounter, and provider solutions that drive efficiency and cost
savings to delivering clinically focused service models for care
management and quality oversight, Acentra Health is accelerating
better health outcomes. Acentra Health is backed by Carlyle
(NASDAQ: CG), a global investment firm. Learn more at
acentra.com.
Media Contact:Janice MooreVice President, Corporate
Communications703-214-3552
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