Implementation of Patient Activation Activities to Engage, Educate and Integrate the Uninsured and Low/Non-Utilizing Medicaid Populations into Community-Based Care (2.d.i)

 Project Objective

This project focuses on increasing patient activation related to health care paired with increased resources that help the uninsured (UI), as well as non-utilizing (NU) and low-utilizing (LU) Medicaid beneficiaries, gain access to and utilize the benefits associated with Delivery System Reform Incentive Payment (DSRIP) Program PPS (Performing Provider System) projects, particularly primary and preventative services.

Project Details

This project is comprised of 17 prescribed milestones created by the New York State Department of Health (NYSDOH) to guide PPS project development, implementation, monitoring, and evaluation efforts. Increasing patient activation, improving access to health care resources, and building partnerships between providers and community-based organizations, are core project components. Patient activation refers to an individual’s knowledge, skills, ability, and willingness to manage his or her own health and health care.

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Insignia Health’s Patient Activation Measure (PAM®) survey is being used to assess project beneficiaries’ levels of activation, by assigning an activation score and level derived from survey results. Knowing a person’s PAM® activation level allows providers to tailor their interactions and interventions to meet the patient’s individual needs, increasing the probability of positive health and wellness outcomes. PAM® scores are also predictive of relevant health care outcomes, such as costs, hospital readmissions, and utilization of primary and preventative care services.

The PAM® survey serves as a point of intake for project beneficiaries and the AHI PPS is committed to engaging more than 200,000 eligible individuals by March 31, 2019 through survey administration. Provider engagement is essential to reaching patient engagement goals, and will include training provider organization staff members on PAM® administration, Coaching for Activation® (Insignia Health’s wellness coaching platform to be used in conjunction with PAM® survey results), and other patient activation and engagement methods. The AHI PPS has committed to engaging 75 providers by March 31, 2017.

Patient Population

The uninsured, and non- and low-utilizing Medicaid beneficiaries.


New York State Department of Health Resources

Meeting Materials

Meeting Date Meeting Overview