| Inland Northwest in Charge (INIC) -- Policy Strategy Summary | ||||||
| Legislature | Healthcare Authority | DSHS/MAA | OIC | Governor's Office | WSHIP | |
| Triaging Access | Authorize locality to participate in activities that ensure seamless enrollment in state programs | Authorize locality to participate in activities that ensure seamless enrollment in state and other healthcare programs (such as determination of eligibility, processing applications and enrollments, access to eligibility systems, etc.) | ||||
| Coverage for the Employed Uninsured | Mandate pilot blending Basic Health, Medicaid and Expanded Choice | Flexibility with Basic Health dollars, benefits and enrollment processes for individuals whose employer participates in Exp. Choice; Technical assistance and advice to planners; Participate in shared tracking of health outcomes and cost savings | Flexibility with Medicaid dollars, benefits and enrollment processes for individuals whose employer participates in Exp. Choice; Technical assistance and advice to planners; Participate in shared tracking of health outcomes and cost savings | Waivers to carriers participating in Expanded Choice (e.g., adjust mandated benefits); Provide technical assistance and advice to planners | Provide technical assistance and advice to planners | Create incentives for Exp. Choice participants to engage in disease management programs |
| New Services for Chronically Ill | Restructure reimbursement to cover strategies that emphasize education and prevention and reduce need for/costs of acute services; Provide use of information system to track clients with chronic conditions | Restructure reimbursement to cover strategies that emphasize education and prevention and reduce need for/costs of acute services; Support locality in expanded No Wrong Door efforts; Provide use of information system to track clients with chronic conditions | ||||
| Local Subsidies | Allow plans and providers to collaborate among themselves and with each other; Allow entities to donate savings to INIC (based on revenues generated as a result of INIC) | Facilitate tracking of individuals enrolled via Health for All | Facilitate tracking of individuals enrolled via Health for All | Allow plans and providers to collaborate among themselves and with each other | ||
| Cooperative Purchasing | Authorize state agencies to participate in a regional purchasing collaborative or to delegate purchasing decisions to local health planning authority for Eastern Washington | Participate in Eastern Washington purchasing collaborative | Participate in Eastern Washington purchasing collaborative | Allow carriers to work collaboratively in benefit package distillation process | Partner in strategies for start up foundation funding | Participate in Eastern Washington purchasing collaborative |
| Information Technologies | Participate in tracking INIC enrollee activity (utilization and costs); Allow access to Basic Health eligibility system | Participate in tracking INIC enrollee activity (utilization and costs); Allow access to MAA/DSHS eligibility system | Provide technical assistance/advice on patient privacy regulations to facilitate implementation of tech. strategies | |||
| Regional Planning Capacity | Authorize "Fast Track" for regional planning entities that meet readiness criteria | Creative planning and implementation of pilots with "Fast Track" communities | Creative planning and implementation of pilots with "Fast Track" communities | Creative planning and implementation of pilots with "Fast Track" communities | Creative planning and implementation of pilots with "Fast Track" communities | Creative planning and implementation of pilots with "Fast Track" communities |