Generative Resources

Session Descriptions are now available:
For those attending I am participating in the following presentations:

AF-301
Title Show Me the Program Income?
Workshop Block Workshop A
Track Administration/Fiscal
Date Monday, August 25
Time 11:00am-12:30pm
Location Wilson B
Level Basic

This session is for those grantees with little or no experience in billing third-party payors and for those that are experienced and looking for enhancements. The session will focus on starting or contracting for a
third-party billing system, the importance of the fee schedule and eligibility verification. The discussion will also include how program income is restricted and how it may be expended. Cost-based reimbursement will be discussed including negotiating with third-party insurers and federally qualified health centers (FQHC).

Moderator Sylvia Trent-Adams
Presenters Thomas Hickey
Julia (Lolita) Cervera
Eli Camhi

AF-341
Title Developing and Implementing a User-Friendly Priority Setting Tool
Workshop Block Workshop F
Track Administration/Fiscal
Date Tuesday, August 26
Time 3:30pm-5:00pm
Location Delaware B
Level Intermediate

In 2005, the NYC EMA Planning Council created a task force to develop a priority setting tool. After a thorough review of the published literature, the task force chose to use the grid analysis to assess the service portfolio. This workshop will discuss how the task force was able to provide specific recommendations on funding, service elements, and guidance within service categories based on the results of this analysis.

Moderator Songhai Barclift

Presenters Eli Camhi
Anthony Santella
JoAnn Hilger

See you in Washington!

Eli Camhi
ecamhi@generes.com

There are currently three delivery system options that New York City Medicaid beneficiaries with HIV may choose: the fee-for-service system, mainstream managed care plans or HIV SNPs. The Department of Health designed a study to determine how the three delivery systems compared on a variety of quality of care and service utilization measures. Preliminary results follow. more…

The Choices in Care Study was conducted by the New York State Department of Health’s AIDS Institute with research staff from the Memorial Sloan-Kettering Cancer Center. The study began in 2003 with the inception of HIV Special Needs Plans (SNPs), a managed care model designed to address the care needs of people living with HIV/AIDS (PLWHAs). The purpose of the study was to evaluate the effectiveness of the HIV SNP in comparison with services received under the Medicaid fee-for-service (FFS) system by examining respondents’ self-reported perceptions of care. As of July 2008, 3,255 individuals (both HIV-infected persons and their uninfected children) were enrolled in the three operating HIV SNPs. more…