Minnesota Disability Health Options
3 boxes linked one to another.
First Box: Medicaid and Medicare
Primary Functions: Purchasing, standards, oversight, consumer protection
Second Box: UCare Minnesota
(receives Medicaid and/or Medicare risk-adjusted Capitation)
Primary Functions: Claims processing, reinsurance, quality assurance, provider
contracting
Third Box: AXIS Healthcare
(receives Health Coordination fee; shares financial risk)
(Medical Direction through Partnering Primary Care Clinics)
Primary Functions: Specialized health coordination across the entire continuum
of services; ensures consumer/support person direction in all health care decisions,
coordinates involved providers for services continuity, quality assurance and
cost containment.
Continuum of Services (hospital and specialty physicians/therapists; home and
community-based services/supports) coordination with social services (non-medical
dollars).