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URBAN Health
WELLNESS Model – Census Tract & Neighborhood
July 12, 2013
Creating the Quilt of Continuity
MILWAUKEE – (MPA-PPR) – Creating the “QUILT of Continuity” requires communication practices that
are regular, respectful, engaging, recruiting, decision making, educational,
innovative, hands-on, principle-centered, transparent and accountable for compliance
at the census tract and neighborhood level.
It is part of the All Hands on Deck, WE CAN initiative that demands re-defining,
re-branding and un-trapping hidden talent and vetted businesses in
the city for improved quality of life and economic development.
MPA LLC’s best practices compliance include
being Culturally-Sensitive. No one is Exempt.
Our metric system for vetting
progress, insurance plans, public policies, health practitioners, health
providers, health suppliers, pharmaceuticals, schools and government services in
the marketplace is determined by neighborhood peer-to-peer evaluation over
coffee-tea-beverages, shooting pool, bowling, sport events, family dinners, fundraisers,
church meetings, trustee meetings, fraternal and sorority gatherings, block
club-neighborhood strategic planning-bid district meetings, fitness centers,
barber and cosmetology salons, grocery stores, funerals, fairs, bus stops,
transit rides, neighborhood meetings, small business agendas, and conferences. Since a measuring system is required to validate
improvement as well as measure progress; Milwaukee Professionals Association LLC
will look at baseline and start-up measures for Preparedness implementation of
the Affordable Health Care system.
Tier
Planning
The Health Insurance Portability and Accountability
Act (HIPAA) of 1996 (P.L.104-191) [HIPAA] was enacted by the U.S. Congress in
1996. Wellness requirements were issued
December, 2006 as a non-discrimination rule.
The rule prohibits group health plans from discriminating against individuals
based on their health status.
Since the “start-up” of implementing
the Affordable Health Care includes so many individuals who heretofore have not
had a primary care or prescribed health practitioner, preventive health care plan,
access to electronic health records, personal coaching monitoring, and an insurance
plan w/co-pay; we must integrate our NEW
beneficiaries with those who have and have had private insurance plans with
health options – employer-based, self-pay or otherwise. Additionally, review of beneficiaries who
have had an insurance plan but have NEW options for WELLNESS need to also be surveyed. This would include incentivizing and rewards
for all beneficiaries. This would
indicate a “difference” in overall knowledge of insurance carriers and
insurance benefits. Therefore, a “One-size”
fit all model is not acceptable.
GROUND
ZERO
MPA LLC is looking at “Ground Zero” models in
and out of the health care industry with mixed service delivery customers of
implementation for metric review and unit of analysis in other fields to help
ensure a positive launching for preparedness of the People Protection and Affordable
Care Act (PPACA), October 1, 2013 and January 1, 2014.
Wellness programs recognized by the
PPACA are:
- Participatory Programs
- Health-Contingent Programs
DEMONSTRATION
MPA LLC Demonstration period is June 1,
2013 – March 31, 2014 (305 days). The target
groups are in the 7 neighborhoods (Amani, Halyard, Harambee, Hillside,
Midtown, Riverwest, WAICO/YMCA), approximately 44,000 residential and commercial beneficiaries in
Milwaukee. It also includes:
- practices of health care providers
- hospitals-clinics-home care and health practitioners
- doctors-nurses-specialists
- suppliers
- pharmaceutical organizations and insurance payers (private and public).
July 12, 2013
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