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.