File #: 14-4311    Version: 1 Name: MONTHLY UPDATE ON THE COOK COUNTY MANAGED CARE COMMUNITY NETWORK
Type: Resolution Status: Approved
File created: 7/14/2014 In control: Board of Commissioners
On agenda: 7/23/2014 Final action: 7/23/2014
Title: PROPOSED RESOLUTION REQUIRING A MONTHLY UPDATE ON THE COOK COUNTY MANAGED CARE COMMUNITY NETWORK WHEREAS, in October 2012, the federal government approved the Medicaid Expansion Program (CountyCare) through the CMS waiver under Section 1115 of the Social Security Act (1115 waiver) for Cook County, and WHEREAS, on July 1, 2014, CountyCare members will be transitioned into a Managed Care Community Network (MCCN); and WHEREAS, MCCN builds on the new expansion of the System's historical role as a provider of health care to one of the health risk management; and WHEREAS, Under MCCN, the Cook County Health and Hospital System (CCHHS) accepts full financial risk for the provision of health care services to CountyCare enrollees in return for a fixed monthly payment for each enrollee; and WHEREAS, Administration and effective management of a program like CountyCare and now Cook County's MCCN is extraordinary complex and requires processes and information that are fundamental...
Sponsors: BRIDGET GAINER, JOHN P. DALEY, TIMOTHY O. SCHNEIDER, TONI PRECKWINKLE (President)
title
PROPOSED RESOLUTION

REQUIRING A MONTHLY UPDATE ON THE COOK COUNTY MANAGED CARE COMMUNITY NETWORK

WHEREAS, in October 2012, the federal government approved the Medicaid Expansion Program (CountyCare) through the CMS waiver under Section 1115 of the Social Security Act (1115 waiver) for Cook County, and

WHEREAS, on July 1, 2014, CountyCare members will be transitioned into a Managed Care Community Network (MCCN); and

WHEREAS, MCCN builds on the new expansion of the System's historical role as a provider of health care to one of the health risk management; and

WHEREAS, Under MCCN, the Cook County Health and Hospital System (CCHHS) accepts full financial risk for the provision of health care services to CountyCare enrollees in return for a fixed monthly payment for each enrollee; and

WHEREAS, Administration and effective management of a program like CountyCare and now Cook County's MCCN is extraordinary complex and requires processes and information that are fundamentally different than those required for the System's historical focus on patient care; and

WHEREAS, CCHHS has already created a senior management level committee with representatives from Finance, Budget, Administration, Medical Staff, Ambulatory and Community Health Network, and CountyCare staff; and

WHEREAS, this committee meets at least monthly and is coordinating its activities with the Cook County Chief Financial Officer, Comptroller and Budget Director; and

WHEREAS, it is the shared goal of the Cook County Board of Commissioners and the independent Cook County Health and Hospital Board that the CountyCare managed care community network program is successful; and

WHEREAS, it is vital that the Cook County Health and Hospital Systems Board and CountyCare staff frequently communicate with the Cook County Board of Commissioners on all matters related to the implementation and administration of the Cook County Managed Care Community Network.

NOW, THEREFO...

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