Practice Transformation Initiative AlignmentCCPNHHNPTN Practice Transformation Network is a 4-year CMS sponsored program that prepares NC and SC providers.

Slides:



Advertisements
Similar presentations
Measuring Progress Toward Accountable Care Aurora Health Care Readiness to Implementation Patrick Falvey, PhD Executive Vice President/ Chief Integration.
Advertisements

Health Care Reform and Its Impact on EMS: Volume to Value, Improving Population Health and Other Paradigm Shifts.
MEDICAL HOME 1/2009 Mary Goldman, D.O., President of MAOFP.
SIM- Data Infrastructure Subcommittee January 8, 2014.
Care Coordination in the Patient-Centered Medical Home New York Academy of Medicine May 24, 2011.
Tad P. Fisher Executive Vice President Florida Academy of Family Physicians Patient Centered Medical Home A Medicaid Managed Care Alternative.
By James Phelps Actuarial Specialist Reimbursement Unit Utah Medicaid and Health Financing.
Maine PCMH Pilot & Community Care Teams: A Targeted Strategy to Improve Care & Control Costs for High-Needs Patients Lisa M. Letourneau MD, MPH MeHAF Legislative.
1 Wisconsin Partnership Program Steven J. Landkamer Program Manager Wisconsin Dept. of Health & Family Services July 14, 2004.
Transforming Clinical Practices Grant Opportunity Sponsored by CMS.
The EMR Puzzle – Putting the Pieces Together March 10, 2015.
Key Physicians Value Driven Health Care Conrad L. Flick MD John Meier MD, MBA.
Exhibit 1. Medicare Shared Savings Program: Year 1 Performance of Participating Accountable Care Organizations (2013) Source: Centers for Medicare and.
Tracey Moorhead President and CEO May 15, 2015 No Disclosures ©AAHCM.
Aligning Incentives: Anthem’s Accountable Care Model  Anthem Quality In-sights ®  Patient Centered Primary Care John Syer RVP Provider Engagement and.
MaineHealth ACO in Context W 5 Who? What? Why? When? HoW? 1.
Missouri’s Primary Care and CMHC Health Home Initiative
MaineCare Behavioral Health Homes January,
Patient Centered Medical Homes Marcia Hamilton SW722 Fall, 2014.
1 Emerging Provider Payment Models Medical Homes and ACOs.
Memorial Hermann Healthcare System Clinical Integration & Disease Management Dan Wolterman April 15, 2010.
American Association of Colleges of Pharmacy
Maine Association of Area Agencies on Aging: Aging Advocacy Summit November 14, 2012 Bill Wypyski, LCSW, MPA, MS Chief Executive Officer Harrington Family.
Overview Community Care of North Carolina. Our Vision and Key Principles  Develop a better healthcare system for NC starting with public payers  Strong.
Foundations for a Successful Patient-Centered ACO: First Steps Frank E. Belsito, DO, MMM and James J. Dearing, DO, FAAFP, FACOFP.
Health Care Reform: Where are the Pharmacists? Opportunities and Challenges for Pharmacists in Health Care Reform Anthony D. Rodgers CMS Deputy Administrator.
Primary Care and Behavioral Health 2/4/2011 CIBHA.
An Integrated Healthcare System’s Approach to ACOs Chuck Baumgart, M.D., Chief Medical Officer Presbyterian Health Plan David Arredondo, M.D., Executive.
Innovation and Health System Transformation Chisara N. Asomugha, MD, MSPH, FAAP (Acting) Director, Division of Population Health Incentives & Infrastructure,
1 Sustaining a financially vibrant Healthcare Organization By: Chandler Ewing, CPA, FACHE Date: June 5, 2013.
Practice Management: Tips for a Successful GI Practice James J. Weber, MD President & CEO of Texas Digestive Disease Consultants.
1 South Carolina Medicaid Coordinated Care and Enrollment Counselors Programs.
Integrating Behavioral Health and Medical Health Care.
Alliance for Better Health Care Alliance for Better Health Care, LLC 1.
Virginia Chamber of Commerce Health Care Conference Steve Arner SVP / Chief Operating Officer June 6, 2013.
Population Health The Road to 2020 & The Path to Value Dr. Matthew Wayne Chief Medical Officer, New Health Collaborative & Summa Physicians September 16,
National Rural Health Resource Center Keeping Rural Health Afloat in a Sea of Change 600 East Superior Street, Suite 404 I Duluth, MN I Ph
11 Creating Value from EMR Investment Kevin Maben, MD, FAAP Associate Medical Information Officer Presbyterian Healthcare Services.
Discussion with BEACON Council ODJFS/OHP Medicaid Provider Incentive Program.
Payment and Delivery Reform Steve Arner Senior Vice President / Chief Operating Officer June 6, 2013.
Maine State Innovation Model (SIM) August 2, 2013.
Better, Smarter, Healthier: Delivery System Reform U.S. Department of Health and Human Services 1.
Accountable Care Organizations: Health Care Delivery Redesign Thomas J. Biuso MD, MBA UnitedHealthcare Medical Director Clinical Assistant Professor of.
Improving Patient-Centered Care in Maryland—Hospital Global Budgets
Component 1: Introduction to Health Care and Public Health in the U.S. 1.9: Unit 9: The evolution and reform of healthcare in the US 1.9d: The Patient.
Case Studies – Medical Home A 360 Degree View of the Medical Home in Action.
Transforming Clinical Practice Initiative (TCPI) An Overview Connie K
Add Support: Technical Medication Behavioral Dental Office Rural Health & Community Care Recruit Providers Build Rural Clinics Medicaid CCNC Networks Focused.
A True Partnership Patient –Primary Care Provider -CHNCT.
A NEW REIMBURSEMENT STRUCTURE FOR AMERICA ADVANCED DISEASE CONCEPTS.
Safiah Mamoon HTM 520. INTRODUCTION U.S. healthcare sector– very large with fragmented care High spending for poor outcomes Care not coordinated Providers.
Maine State Innovation Model (SIM) October, 2013.
HOUSTON METHODIST POPULATION HEALTH MANAGEMENT
WCHN PHO/ACO Annual Meeting
Transforming Care in Patient Centered Medical Home and Accountable Care Organization Hae Mi Choe, PharmD Director, Pharmacy Innovations & Partnerships.
PRACTICE TRANSFORMATION NETWORK 2/24/ Transforming Clinical Practice Initiative (TCPI) Practice Transformation Network (PTN)  $18.6 million –
PAYMENT REFORM: THE QUALITY INCENTIVE PAYMENT SYSTEM Kenneth Goldblum, M.D.
All-Payer Model Update
The Rhode Island Care Transformation Collaborative (CTC-RI)Meeting
Care Transformation Collaborative of Rhode Island Supporting the Implementation of Comprehensive Primary Care Plus (CPC+) Advancing Primary Care in.
ARKANSAS COMMUNITY PHARMACY ENHANCED SERVICES NETWORK
Prospects for New Delivery Systems and Reimbursement Models
How To Be An Effective Patient & Family Advisor Guide to Partnering with [insert name of clinic or clinician] June, 2017 [Replace this Logo with Yours]
Strategies for Staying Independent in Primary Care Practice
Synopsis of CCNC Initiatives
Care Transformation Collaborative of Rhode Island Supporting the Implementation of Comprehensive Primary Care Plus (CPC+) Advancing Primary Care in.
All-Payer Model Update
Optum’s Role in Mycare Ohio
Value-Based Healthcare: The Evolving Model
Transforming Perspectives
Presentation transcript:

Practice Transformation Initiative AlignmentCCPNHHNPTN Practice Transformation Network is a 4-year CMS sponsored program that prepares NC and SC providers for success in a value-based environment. Clinicians will achieve sustained improvement in practice efficiency and quality of care, demonstrate cost savings and reductions in avoidable hospital use. Patients will use more preventive services, engage in better management of chronic conditions, have better health outcomes, and report greater satisfaction with care received The Community Care Physician Network is a collaborative, non- exclusive Clinically Integrated Network of independent healthcare providers. The CCPN will enhance the clinical quality and efficiencies of its participating providers, broaden primary care access for our Medicaid patients, and help participating clinicians to succeed in a value-based healthcare system Rev

Program Comparison PTNCCPNHHN Preparation for Value-Based Care Reimbursement Population Health Management Infrastructure Provided by CCNC Care and Disease Management Comprehensive Medication Management TBD/ CCNC Contract N/A

Program Comparison PTNCCPNHHN Behavioral Health Integration Support in Quality Improvement Work within the Practice Connect you with the Tools to Enhance Practice Transformation Quality Data Collection & Reporting through EMR Connection to CCNC’s Informatics Center N/A TBD/ CCNC Contract Preferred but not required initially N/A

Program Comparison PTNCCPNHHN Core Measure Sets CMEs (at no cost) Providers who are Eligible to Enroll: Pediatricians, Family Physicians, Internists, Physician’s Assistants, Nurse Practitioners, Specialists Practices Not Eligible to Enroll N/A Practice Enrollment (Family & Internal Medicine) N/A Agreed Upon by Members CVD Measure Set Aligned with National Standards Participation in MSSP ACO; Bundled Payment Program Non-CAII; Not serving adults; >10 providers per site

Program Comparison Independent, initially Waived until June 30 th, 2016 CMS 2015 to Year Term Agreement AHRQ 2015 to 2018 >50% of 2,000 Primary Care Clinicians Independent Independent, Health System, Hospital, ≤10 providers per site N/A