State of Minnesota Department of Human Services Disability Services Division Development of a Paymen - PowerPoint PPT Presentation

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State of Minnesota Department of Human Services Disability Services Division Development of a Paymen

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(Seattle, WA) *Dependent on the skill set most needed for ... Bi-Weekly. Status Update Meetings / Calls. DSD Payment Structure Project Staff. All team members ... – PowerPoint PPT presentation

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Title: State of Minnesota Department of Human Services Disability Services Division Development of a Paymen


1
State of MinnesotaDepartment of Human
ServicesDisability Services DivisionDevelopment
of a Payment Structure for Day Supports
  • Project Kickoff Meeting
  • February 21, 2008

2
Table of Contents
I Overview of Navigant Consulting,
Inc. II Team Structure and Background III
Examples of Similar Work IV
Project Approach V Communication Plan
3
I.
Overview of Navigant Consulting, Inc.

4
I. Overview of Navigant Consulting, Inc.
  • Navigant Consulting (NYSE NCI) is an
    international consulting firm providing dispute,
    investigative, operational, risk management and
    financial advisory solutions to legal counsel,
    government agencies and companies experiencing
    regulatory or structural challenges
  • Nearly 2,000 consultants and a total of
    approximately 2,500 employees
  • Core U.S. locations in New York, Chicago,
    Washington DC, Atlanta, Los Angeles and San
    Francisco
  • Core international locations in London, Toronto,
    Hong Kong and Shanghai
  • Our mission is to provide advice, information and
    solutions that make a positive difference for our
    clients.

5
I. Overview of Navigant Consulting, Inc.
NCIs consulting professionals are skilled in a
variety of services and work within a wide range
of sectors
SECTORS
Discovery Services
Litigation Investigations
Claims Management Analysis
Healthcare
Financial Services
Public Sector
Energy
Construction
Product Liability / Asbestos
SERVICES
Corporate Restructuring
Operations Advisory Management
Financial Transaction Advisory
Government Contracting
6
I. Overview of Navigant Consulting, Inc.
  • NCIs Government Payer Group has experience
    working with government health and
  • human services agencies in 45 states and a number
    of counties and localities within the
  • following areas
  • provider cost funding analysis
  • managed care program design, implementation and
    monitoring
  • policy analysis
  • reimbursement and delivery system design,
    development and implementation
  • program evaluation
  • fraud and abuse and potential overpayment
    determination
  • Medicaid Management Information System and fiscal
    agent review
  • medical and healthcare claims review and

7
II.
Team Structure and Background

8
II. Team Structure and Background
Dependent on the skill set most needed for the
tasks at hand
9
II. Team Structure and Background
  • Jim Pettersson, Project Director
  • Director at NCI
  • Over 25 years of experience with healthcare
    clients, including State Medicaid agencies,
    commercial payers and providers
  • Specializes in the design, implementation and
    evaluation of reimbursement systems for all types
    of provider services
  • Extensive experience in the development of
    provider cost analysis, including the development
    of approaches and tools for identifying and
    quantifying provider costs
  • Cathy Anderson, Project Manager
  • Director at NCI
  • Over 25 years of experience in state government
    working in human services
  • Past President of NASDDDS
  • Specializes in strategic planning and system
    design and analysis for human service systems,
    specifically services which support people with
    disabilities
  • Significant experience in the utilization of
    Medicaid funding, including Home and
    Community-Based Services (HCBS) waivers
  • Trained facilitator

10
II. Team Structure and Background
  • Benjamin Mori, Managing Consultant
  • Experienced in the evaluation and design of
    long-term care reimbursement systems
  • Experienced in the development of cost reports
    and cost accounting guidelines for home-and
    community based service providers
  • Practiced knowledge in the rebasing of rates for
    human services providers
  • Katie Hayman, Senior Consultant
  • Experience in more than 14 states working on
    consulting engagements with state mental health,
    developmental disabilities, and long-term care
    agencies
  • Work focuses on strategic planning and health
    system design and analysis, with specific
    emphasis on health systems that support people
    with disabilities
  • Specialized experience in producing comparative
    studies among states, local governments, funding
    sources and programs/services for individuals
    with disabilities
  • MBA in healthcare administration

11
III.
Examples of Similar Work
12
III. Examples of Similar Work
13
III. Examples of Similar Work
14
III. Examples of Similar Work
15
IV.
Project Approach

16
IV. Project Approach
  • Overview of Our Approach
  • We will complete 7 defined project tasks over the
    span of 19 months
  • Finalize the projects written communication and
    work plan
  • Develop an inventory of Minnesotas day services
    and supports
  • Understand Minnesota's waiver aggregate
    management and budget methodologies
  • Conduct interviews, a survey and comparative
    research to develop payment structure model
  • Complete field testing of new payment structure
  • Draft a report that contains findings from the
    field testing
  • Present findings to stakeholders and develop a
    statewide implementation plan
  • Input from a variety of stakeholders is the
    foundation of our approach.
  • We will use a comprehensive Communication Plan
    throughout the project. The focus of the
    Communication Plan is scheduling and completing
    regular status updates with the MN team,
    including bi-weekly conference calls and
    quarterly status update memos.
  • The projects Core Team (Jim, Cathy and Katie)
    will take on the majority of project activities
    and will be responsible for all deliverables.

17
IV. Project Approach
18
IV. Project Approach
19
IV. Project Approach
20
IV. Project Approach
21
V.
Communication Plan

22
V. Communication Plan
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