MX May Newsletter

A monthly roundup of news and updates from MX

May 2022 Edition

New MX Participant

MX is excited to welcome Stanford Healthcare Advantage plan/Essence Healthcare/Lumeris to the network. Lumeris’ industry-leading flagship Medicare Advantage plan, Essence Healthcare, acquire/ a majority stake in SHC Advantage in 2021. They deliver high-quality service, affordable care, and improved health outcomes to seniors throughout Northern California. Lumeris has powerful population health capabilities, and the MX data will help to achieve these important goals for the growing senior population.

Participant Bright Spot

Improving Care Transitions with Manifest MedEx

Community Medical Centers (CMC) is a Federally Qualified Health Center and certified Primary Care Medical Home (PCMH) with locations in San Joaquin, Solano, and Yolo counties. CMC clinics serve the safety net population, and most of CMC’s more than 100,000 patients are insured through Medicare, Medi-Cal, or the Health Plan of San Joaquin (HPSJ).

CMC is committed to serving its safety net population using the “whole person” model to provide the highest quality care for this vulnerable population. A key component of this model is improving care transitions and ensuring access to reliable patient information across care teams to enable timely, effective care.

To support their population health and whole person care goals, CMC collaborates with Manifest MedEx and its local affiliate San Joaquin Community Health Information Exchange (SJCHIE) to connect safety net providers like CMC to other healthcare organizations in the region, like San Joaquin General Hospital.

Visit our website to learn how CMC leverages MX tools to improve care transitions, especially post-discharge, and reduce the number of readmissions to inpatient facilities.

May Revision to State Budget

On May 13, Governor Newsom released the annual revision to his state budget proposal — highlighting an extraordinary $53 billion revenue surplus available for new spending. The Governor's May Revise includes $50 million to provide technical assistance grants to small or under-resourced providers that are new to health information exchange. This falls short of addressing urgent gaps in health data sharing. It neither invests in HIOs as critical infrastructure for data sharing in California, nor incents providers to share timely, complete data with HIOs. Over the next month, the Data Sharing EQUITY coalition, of which Manifest MedEx is a member, will continue to vigorously advocate for both these purposes and for generous federal matching funds. This EQUITY package is crucial for all of our partners’ most pressing health goals, including implementing CalAIM, reducing disparities, improving quality, and establishing the new Data Exchange Framework. We remain hopeful the Legislature will agree with us on this urgent need and pass a final Budget that contains our $95 million request for provider data sharing incentives and HIO infrastructure. Read the EQUITY coalition's response to the May Revise.

MX Access Audit Report

Coming soon! Manifest MedEx is excited to announce that a new MX Audit Report tool will be available for MX portal users.

The audit report will provide insight into your organization’s user activity within MX Access, including which patient records were viewed and the types of data viewed. Keep an eye out for more details coming soon!

News and Events

ICYMI: CareConnectMD Partners with Manifest MedEx to Deliver Value-based, Wrap-around Care to Medically Complex Patients

CareConnectMD is a value-based care provider for fragile and medically complex patients in skilled nursing facilities (SNFs), long-term care (LTC) facilities, and in the home, providing comprehensive primary care for this population that benefits, the body, mind, and overall quality of life since 1996.

CareConnectMD is a Centers for Medicare & Medicaid Services (CMS) High-Needs Population Direct Contracting Entity (DCE) and one of 53 participants included in the DCE 2021 performance year. As a High-Needs Population DCE, CareConnectMD bears the financial risk and provides care for Medicare patients with complex medical needs living in SNFs, LTC facilities, or at home. The medical group also contracts with Inland Empire Health Plan (IEHP) to manage in-home care for 300 patients in their palliative care program.

Read the full case study to learn how CareConnectMD relies on MX tools, including MX Notify and MX Access, to help them achieve the goals of these two programs.