Health Plan Performance Improvement Projects (PIPs)
Resources for care coordinators and providers
Minnesota health plans that offer publicly subsidized health care programs implement performance improvement projects (PIP) to help improve the health of public program members and to reduce disparities for low-income Minnesotans. The projects have covered a wide range of health topics identified as priorities for improvement, including preventive care, chronic illnesses management, and transitions in care. Each project typically runs two to four years and helps meet Minnesota Department of Human Services and Centers for Medicare & Medicaid (CMS) requirements.
The health plans in Minnesota have a long history of collaboration that supports health care improvement for low-income members. The original three Minnesota Senior Health Options demonstration plans—Medica, Metropolitan Health Plan, and UCare—have collaborated since 2000 on joint performance improvement projects. Since 2006, all health plans offering public program products have worked together to develop and implement (PIPs). Past projects include efforts around heart failure, diabetes, depression, pneumococcal vaccination, and optimal medication management.
Stratis Health provides facilitation and consultation to the health plans in developing, implementing, and evaluating each of the improvement initiatives and access to online resources created through the PIP projects.
To be successful in improving care for members, health plans engage member-care coordinators and providers as appropriate to the PIP to help ensure that members receive preventive services and support in managing chronic conditions. Resources that are available include recorded webinar educational sessions, provider/care coordinator toolkit, and member education materials.
Projects with resources currently available:
Antidepressant Medication Management & Depression Management
Chlamydia Screening in Women
Reducing Chronic Opioid Use
Medicaid Dental Services Grid
Map of health plan service areas by county. Minnesota Department of Human Services.
For more information on how your organization and Stratis Health can work together, please contact Karla Weng, program manager, 952-853-8570.