Navigating Health Reform

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Navigating Health Reform
Innovative Teaching & Training Tools
Using Mediasite
Presented by Attys. Brynne McBride &
Bobby Peterson
ABC for Health, Inc.
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
About ABC for Health, Inc.
Wisconsin-based, Non-profit, public
interest law firm dedicated to linking
children and families, particularly those
with special needs, to health care
benefits and services
Since 1994, ABC for Health’s mission has been to
provide information, advocacy tools, legal services
and expert support needed to obtain, maintain, and
finance health care coverage and services.
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
About HealthWatch Wisconsin
• Membership Organization
• Trainings are a benefit of membership (free for
members)
• Strategy to develop a fee-for-service model for nonmembers
• Multiple training strategies
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
About HealthWatch Wisconsin
2006: Adopted Mediasite as a strategy to
address a variety of learners on access to
health care and coverage issues
2007: Moved into a building that included an
in-house studio
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
About HealthWatch Wisconsin
Developed Training Strategies:
• Policy Issues (“HealthWatch WatchDog”)
• Policy Updates
• Web-based “Case Tips”
• Substantive Trainings
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
Substantive Trainings
• Children and Youth with Special Health
Care Needs Network
• Pediatric Medical Residents
• CACs or Health Navigators
• Mental Health Professionals
• Other Professionals
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
Health Reform
• Developing Mediasite webcast trainings that address
service provider needs for health information
• Initial competency and capacity assessments
• Rapidly disseminate new law or policy to our
membership across Wisconsin
• Save on scarce travel dollars!
• Quickly push content statewide
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
Why Help is Needed
• Rules are complex and not readily available to
the consumer
• Medical care providers often do not have time
or knowledge of programs
• Families are already under stress
• Medicaid or Private Insurance staff may be
unresponsive to a family’s need
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
Why A Non Profit Law Firm
• All programs and insurance coverage
rules are based on law and regulations
• Legal Backup provides leverage and is
the key to effectiveness
• Case conference, training, and backup
support provided by supervising
attorneys
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
Why Health Benefits Training?
• Health Reform means CHANGE
• All health coverage programs are based on laws,
rules and regulations – many change constantly
• Computerized eligibility systems and human
eligibility workers make errors
• Notices are difficult to read or understand
• Eligibility for coverage changes frequently
• Access to legal assistance/consultation
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
Levels of Health Benefits Services
BASIC
Information &
Referral
INTERMEDIATE
ADVANCED
Knowledge Spectrum
Medical/ Legal
Advocacy
(Health Benefits Counseling)
Basic: Information & Referral
Intermediate: Problem Solving, Coordinated Navigation &
Referral, and System Knowledge
Advanced: Medical / Legal Advocacy
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
Reasons for Providers to Link to Health Benefits
Training Services
Improve:
• Continuity of care for children
• Quality of care
• Health outcomes
• Client service
• Systems issues
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
Reasons for Providers to Link to Health Benefits
Training Services
Strengthen:
• Existing networks of support
• Information and referral process
• Policy development
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
Future Trainings:
Further assess competency and capacity needs &
promote improved:
• Understanding of Health Reform issues
• Effective and efficient referrals to community-based
organizations
• Understanding of child disability programs and services
• Specialized training depending on end-user needs
• Monitor progressions
• Promote access to more in-depth trainings
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
Thank you for your participation!
If you have any questions on ABC for Health’s
teaching and training:
ABC for Health, Inc.
32 N. Bassett St.
Madison, WI 53703
info@safetyweb.org
© 2014 ABC For Health, Inc. No Reprint or use without express written permission of ABC for Health, Inc.
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