WISCONSIN - Wisconsin is a Federally-Assisted Exchange state due to a by-design scheme that was centered around the expected Republican win of the presidency of the United States. Just as that thought failed so miserably, Wisconsinites/Milwaukeeans are now left with some consequences that lack benchmark basics mandated by the Affordable Health Care law. They were intentionally left-out by Governor Scott Walker, Insurance Commissioner Ted Nickle, and Health and Human Secretary Dennis Smith.
Wisconsinites must remember how these three (3) elected and appointed individuals for the state government failed to provide due process, honor Oath of Office for political reasons; and, have not addressed the health care variables and how it will short- and long-term create barriers.
URBAN Health Care
Reform that include "patient-centered" health care that improves health require all to be communicating and strategic planning on the same ideas and agreeing on the same policies. That includes customer/patient, health providers, health practitioners, insurance carriers, pharmaceutical companies, others supporters for service delivery and Medicare/Medicaid.
An innovative and value-way to help ensure long-term cost-containment through IMPROVED HEALTH CARE is a major key.
Chronic Population health care must look first-continuum-last, what is best for the customer-beneficiaries with cost-cutting but not simply financial versus clinical (do not shift cost to the federal budgeting to avoid due diligence to work through the process with the entire population with education, technology and patient-behavior involvement at the census tract-neighborhood level).
One of the opportunities is in the Virtual PACE (Program of All-Inclusive Care for the Elderly) Memorandum of Understanding project in Wisconsin.
Milwaukee Professionals Association LLC is looking at Wisconsin state government - legislators, Joint Committee on Finance and WI Health and Human Services Department - Memorandum of Understanding (MOU) regarding A Federal-State Partnership to Test a Capitated Integration Model for Medicare-Medicaid Enrollees (Demonstration to Integrate Care for Dual Eligible Beneficiaries).
Briefings at the 2013 Affordable Health Care Extravaganza, August 2-4, 2013 in Milwaukee will include Dual Eligible beneficiaries and the MOU/Memorandum of Understanding with CMS/Center of Medicare and Medicaid Services.
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