The State of Vaya Health Brian Ingraham, President & CEO
So, how are we doing? Fantastic! Incredible! Grateful!
Why? • Our investments in organizational health have paid off- our employee engagement scores have gone through the ceiling, we have built a great culture • We are growing—the consolidation with Cardinal will result in Vaya being a bigger, better, stronger organization
• We will be serving many more counties and be able to expand our workforce • We will have access to several new platforms and business solutions that Cardinal already has in use or will be developing jointly with us • As a stronger organization, our transformation to operating as a tailored plan will be enhanced
How much bigger will we be?
Current Status as We Know
Based on an increase of 11 counties, Vaya will see a 75% increase in our current Tailored Plan projected membership
What kind of timeline will there be for the consolidation? June 1, 2021
July 31, 2021
Sept 1, 2021
Cardinal / Vaya Announcement
Finalization of Consolidation Agreement Between Vaya & Cardinal
Disengagement of Stanley, Union, Cabarrus Counties from Cardinal
Dates To Be Determined
Spring/Summer 2022
Other County Disengagements (Approximately 6)
Operational Consolidation of Remaining Counties with Vaya Remaining Wind Down of Cardinal Entity
Communication, Communication, Communication
DHHS and Legislative Update
NC State FY22 Budget • 1,000 Additional Innovation Waiver Slots, p.119 • Postpartum Medicaid Coverage, p.120 • Continuation of Coverage for Parents While Child is Temporarily in Foster Care, p.121 • Increase Rates to ICFs for Direct Care Workers, p.122 • One-time Bonus Payments for Direct Care Workers, p.346 To view the Bill: https://webservices.ncleg.gov/ViewNewsFile/46/S105-CSMLxfra-6%20v1
Financially, this means… • Vaya has a positive pick-up of $705K in Intergovernmental Transfers • Single Stream Funding has an overall additional statewide “cut” of ($5.4M) in each of the next two years • Minimum services level targets to be reset • $30M of statewide “restoration” funds (combined into CARES funds in current year)
FY22 Budget The Cardinal consolidation planning and execution will require additional strategic expenditures. Due to the uncertainty of many critical driving factors, Vaya recommended adoption of the original $461.6M proposed budget followed by interim budget amendments, as necessary.
Standard Plan Go-Live Update Standard Plans went live on July 1
13
BH I/DD Tailored Plan Readiness
BH I/DD Tailored Plan Awards
• RFA states that awards will be made June 11, 2021 • No awards were made, but now anticipating end of July • DHHS making awards based on merits, independent of county alignment and LME/MCO consolidation activity – firewall in place
BH I/DD Tailored Plan Update Readiness work has not stopped! A. Administration and Management
28%
B. Members and Receipients
35%
C. Benefits and Services
27%
D. Care Management
28%
E. Providers
36%
F. Quality and Value
6%
G. Stakeholder Engagement and Community Partnerships
42%
H. Program Operations
30%
I. Claims and Encounter Management
24%
J. Financial Management
31%
K. Compliance
43%
L. Technical Specifications
20% 0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Questions?