NJ-ACEP News

UPDATE TO New Jersey’s Emergency Department Directors, NJ-ACEP Board of Directors & Leadership

  • 14 January 2013
  • Author: Mike Cooke
  • Number of views: 1524
  • 0 Comments

Mark your calendars for the annual NJ-ACEP Emergency Department Directors Meeting on Thursday, January 24, 2013, at The Heldrich Hotel, New Brunswick, beginning with dinner at 6 pm. New Jersey’s health care leaders will be in attendance; guest speakers to be determined. Great networking and information exchange – complimentary to ED Directors, Assistant Directors, NJ-ACEP Board and leadership.

Registration information to follow.

Medicaid Update:
Earlier this month, NJ-ACEP met with the new Medical Director of the State’s Medicaid Program, Thomas Lind, MD, FAAP. I was joined by Drs. Robert Sweeney and William Felegi. The purpose of the meeting was to introduce Dr. Lind to NJ-ACEP, and discuss concerns and issues with the Medicaid program. Dr. Lind was eager to hear reports regarding inappropriate referrals (from FQHCs, etc.), lack of networks for Medicaid enrollees, and other problems with carrier plans.

We discussed the recent ED Diversion pilot program (conducted at Newark Beth Israel and Monmouth Medical Center); a report on that pilot is attached. (Warning: it’s 171 pages long) Additionally, The NJ Hospital Association has developed a tool kit (also attached) to assist other EDs to duplicate some of the pilot project initiatives. It’s my understanding that this tool kit was mailed to the NJ hospital CEOs as well.

Dr. Lind asked NJ-ACEP to invite all the ED Directors to submit Medicaid issues/problems/trends to him. He needs to hear what’s happening in the field. Please forward them to me (Bev@amg101.com) so I can compile and forward (confidentially, if desired).

Dr. Lind also committed to providing ED Directors with a list of plan contact information – so problems can be reported directly to those handling the NJ program. See below.

Amerigroup
Lori Jackson, Manager 
Phone: 732-452-6032
Fax: 732-906-2037
Lori.Jackson@amerigroup.com

Healthfirst NJ
Jessica Gamzon
Director, Network Management
Phone: 973-497-2365
Fax: 866-697-2378
Jgamzon@healthfirst.org

Horizon
George Ingram
Director, Network Contracting and Strategy
Phone: 609-718-9001
Fax: 609-538-0862
george_ingram@horizonnjhealth.com

UnitedHealthcare Community Plan
Abeer Jaber
Director of Provider Network
Phone: 973-565-5521
abeer_jaber@uhc.com

We would like to be your vocal connection to the Medicaid program – but we need your input and comments. Email me your issues – Bev@Amg101.com

And we look forward to seeing you on January 24.

Beverly Lynch
NJ-ACEP Executive Director & Lobbyist

 

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