"Gateway to Better Health" Demonstration Project
Approved on July 28, 2010, the “Gateway to Better Health” Demonstration Project includes the following main objectives:
- Preserve the St. Louis City and St. Louis County safety net of health care services available to the uninsured until a transition to health care coverage is available under the Affordable Care Act;
- Transition the “St. Louis model” to a coverage model as opposed to a direct payment model by July 1, 2012;
- Connect the uninsured and Medicaid populations to a primary care home which will enhance coordination, quality, and efficiency of health care through patient and provider involvement;
- Maintain and enhance quality service delivery strategies to reduce health disparities; and
- For the first two years of the Demonstration, ensure that there is a 2 percent increase in the number of uninsured persons receiving services at St. Louis ConnectCare, Grace Hill Neighborhood Health Centers, and Myrtle Hilliard Davis Comprehensive Health Centers.
As mentioned above, by July 1, 2012, the State must implement a pilot program, subject to review and approval by CMS, whereby it will provide a defined health coverage benefit to some uninsured individuals residing in St. Louis City and St. Louis County. Only persons who do not meet the eligibility requirements of the Medicaid State plan are eligible for the Demonstration. The goal of the pilot program is to bridge to the implementation of health care reform by preparing the safety net providers and uninsured individuals served by the safety net providers in St. Louis City and St. Louis County for the coverage options available under health reform by January 1, 2014.
Project Reports
Approved on July 28, 2010, the “Gateway to Better Health” Demonstration Project includes the following main objectives:
- Preserve the St. Louis City and St. Louis County safety net of health care services available to the uninsured until a transition to health care coverage is available under the Affordable Care Act;
- Transition the “St. Louis model” to a coverage model as opposed to a direct payment model by July 1, 2012;
- Connect the uninsured and Medicaid populations to a primary care home which will enhance coordination, quality, and efficiency of health care through patient and provider involvement;
- Maintain and enhance quality service delivery strategies to reduce health disparities; and
- For the first two years of the Demonstration, ensure that there is a 2 percent increase in the number of uninsured persons receiving services at St. Louis ConnectCare, Grace Hill Neighborhood Health Centers, and Myrtle Hilliard Davis Comprehensive Health Centers.
As mentioned above, by July 1, 2012, the State must implement a pilot program, subject to review and approval by CMS, whereby it will provide a defined health coverage benefit to some uninsured individuals residing in St. Louis City and St. Louis County. Only persons who do not meet the eligibility requirements of the Medicaid State plan are eligible for the Demonstration. The goal of the pilot program is to bridge to the implementation of health care reform by preparing the safety net providers and uninsured individuals served by the safety net providers in St. Louis City and St. Louis County for the coverage options available under health reform by January 1, 2014.
Project Reports
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