Meridian - IPHA
Meridian
2017 Network Regional Meetings
Agenda
? Introductions
? Cultural Competency
? Illinois RFP
? Care Coordination
? About Meridian Health ? Critical Incident
Plan ? Member Services ? Provider Resources
? HEDIS ? Long Term Services and
Supports/
? Pharmacy Benefit
? Behavioral Health
Manager ? Claims and Billing ? Non-Emergent
? Contact Information ? Questions
Transportation
HFS Announcement
More information can be found at:
Illinois Regions
RFP Timeline
? 08/11/17 ? 09/25/17 ? 10/30/17
? 11/30/17 ? 01/01/18 ? 01/08/18 ? 04/01/18 ? 07/01/18
Contracts Awarded Protest Period ends Member Letters Mailed ? Existing Service areas Final HFS Approval New Contract/New Membership begins Member Letters Mailed ? New Service areas New Service Areas Members effective New Populations effective
MeridianHealth
OOuurrMMiissssiioonn
To continuously improve the quality of care in a low resource environment
OOuurrVViissiioonn
To be the premier service organization in government healthcare To be the #1 health organization based on quality, innovative technology
and service to our Meridian Family
2000
Health Plan of Michigan becomes an HMO
Meridian History
2006
Caidan Management Company is established
2011
MeridianRx launches
Medicare launches
2013
MeridianHealth New Hampshire Opens (closes in 2014)
MeridianComplete (MMAI) launches operations in IL
2015
MeridianComplete (MI Health Link) launches operations in MI
Detroit HQ moves to 1 Campus Martius
1997
Dr. Cotton obtains Central Michigan Health Plan
2004
Managed Care System (MCS) is created
2007
HQ moves to downtown Detroit
2008
MeridianHealth launches in Illinois
2012
MeridianHealth opens in Iowa (closes in 2015)
2014
MeridianChoice launches
Healthy Michigan Plan (Expansion) launches
Chicago office moves
2016
SentinelRx launches
Meridian launches new logo and brand identity
Meridian Programs
MeridianHealth: Meridian has an executed contract with the Illinois Department of Healthcare and Family Services (HFS) to provide Medicaid covered benefits to the beneficiaries of FHP, ACA, ICP and MLTSS
MeridianComplete: (MMAI) integrates managed care for individuals who are eligible for both Medicaid and Medicare Parts A&B into Managed Care Organizations that are responsible for all services covered by both Medicare and Medicaid. This initiative is designed to provide better care coordination and improve health outcomes for individuals who have historically been left on their own to navigate two separate health care systems.
MeridianCare (HMO): A Medicare Advantage and Prescription Drug Plan (MAPD) in Michigan and Illinois. MAPDs are a type of Medicare health plan that provide Part A, Part B and Part D prescription drug benefits and include additional benefits that are not covered by Original Medicare.
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