Your Doctor Program: Transition to Value Based Care

Slides:



Advertisements
Similar presentations
CURRENT SYSTEMS Patients Premium (100% health care dollar) 80% is Filtered Through the Following: Group A – 10%; Group B – 6%; Group C – 20%; Group D –
Advertisements

Health Care Reform and Its Impact on EMS: Volume to Value, Improving Population Health and Other Paradigm Shifts.
Behavioral Health Integration; Experiences of RIPCPC and RIBHN A bit on history and background Development of current model Demonstration of.
Tad P. Fisher Executive Vice President Florida Academy of Family Physicians Patient Centered Medical Home A Medicaid Managed Care Alternative.
Sentient Medical Systems Health Tech Net Meeting December 14,
Humboldt Del-Norte Primary Care Renewal “ A Regional Collaboration to Improve Population Health, Individual Patient Experience, and Lower the Total Cost.
Who’s Watching My Health Plan? How Good Is My Doctor? Robert E. Rzewnicki, MD Chief Medical Officer March 3, 2009.
KAREN POSTAL PH.D., ABPP-CN CHAIR OF PRACTICE, AMERICAN ACADEMY OF CLINICAL NEUROPSYCHOLOGY KATHERINE NORDAL, PH.D. EXECUTIVE DIRECTOR APA PRACTICE ORGANIZATION.
Key Physicians Value Driven Health Care Conrad L. Flick MD John Meier MD, MBA.
Tracey Moorhead President and CEO May 15, 2015 No Disclosures ©AAHCM.
Presentation by Bill Barcellona Sr. V. P
Deploying Care Coordination and Care Transitions - Illinois
Leadership and Management Training for physicians Maria V. Gibson, MD, PhD Trident / MUSC Family Medicine Residency Program Background Practice Problem.
Memorial Hermann Healthcare System Clinical Integration & Disease Management Dan Wolterman April 15, 2010.
American Association of Colleges of Pharmacy
Overview Community Care of North Carolina. Our Vision and Key Principles  Develop a better healthcare system for NC starting with public payers  Strong.
THE ROLE OF STAFF IN A PATIENT CENTERED MEDICAL HOME.
Restructured Primary Care in the IMWC Countries- United States of America IHWC 2011 Bob Phillips, MD MSPH Stephen Petterson, PhD Bridget Teevan, MS.
.…a health and consumer services company making people’s lives better From Infomediary to Market Maker... Sam Ho, M.D. Senior Vice President, Chief Medical.
The Center for Health Systems Transformation
11 Creating Value from EMR Investment Kevin Maben, MD, FAAP Associate Medical Information Officer Presbyterian Healthcare Services.
Practice Transformation: Using Technology to Improve Models of Care and Transitions in Care Mat Kendall, EVP Aledade DISCLAIMER: The views and opinions.
Applications of IndiGO to ACOs David M Eddy MD PhD Founder and Chief Medical Officer Emeritus Archimedes San Francisco, CA ... a KAISER PERMANENTE Innovation.
ACO’s Al Kurose, M.D. President & CEO Coastal Medical.
Payment and Delivery Reform Steve Arner Senior Vice President / Chief Operating Officer June 6, 2013.
Modernizing Clinical Communications, Analytics, and the Revenue Cycle Process in the Era of ACOs Jason Tipton, Director of Value Operations – Holston Medical.
Accountable Care Organizations (ACOs), Part 2 of 3 Migena Peno Pharm.D. Candidate LECOM School of Pharmacy.
Your hospital Private healthcare specialist Outpatient clinic Your home Commuting to work One Patient.
CMS National Conference on Care Transitions December 3,
The Patient-Centered Medical Home: A Work in Progress Alliance for Health Reform Briefing Washington D.C. September 22, 2008 Diane R. Rittenhouse, MD,
Accountable Care Organizations: Health Care Delivery Redesign Thomas J. Biuso MD, MBA UnitedHealthcare Medical Director Clinical Assistant Professor of.
1 Informing National Health Policy with Lessons from Geisinger Presentation to Alliance for Health Reform March 20, 2009 Bruce H. Hamory, MD, FACP Executive.
Transforming Care in Patient Centered Medical Home and Accountable Care Organization Hae Mi Choe, PharmD Director, Pharmacy Innovations & Partnerships.
THE HEALTHCARE ENVIRONMENT MERGERS AND CONSOLIDATION William S. Custer, Ph.D. April14, 2016.
Practice Transformation Initiative AlignmentCCPNHHNPTN Practice Transformation Network is a 4-year CMS sponsored program that prepares NC and SC providers.
The Roadmap for Successfully Developing a Physician Led ACO: The Journey from Volume to Value based healthcare Amit Rastogi, MD President/CEO PriMed.
Telemedicine: The Future of People Caring for People
The Rhode Island Care Transformation Collaborative (CTC-RI)Meeting
Models of Primary Care Primary Care – FAMED 530
A Foundation for Paul Grundy MD, MPH IBM Chief Medical Officer Director, Healthcare Transformation Healthcare Industry A Foundation.
HEALTHSPARQ A Cambia Health Solutions and a leading national provider of healthcare comparison shopping tools. Founded in 2008 as part of Regence BlueCross.
Hassan El Solh, MD CMO, AUBMC Director July 10, 2017
The strategic plan.
Household-Centered Care Coordination
Prospects for New Delivery Systems and Reimbursement Models
Baptist Health System & HealthTexas Medical Group commitment
“The Integrator” Optimal Care for All our Members and Patients
DISCUSS THE BASIC PRINCIPLES OF DIFFERENT INSURANCE PLANS
Nurse Care Manager Best Practice Sharing Day
Common Insurance Challenges & Access Strategies for people with CF
The Future of Collaborative Care in Mental Health
Paying for Serious Illness Care Under a Global Budget: Opportunities and Challenges Anna Gosline, Senior Director of Health Policy and Strategic Initiatives,
Value Based Contracting in Action
ACO Population Health: Raising the Bar Along the Journey
EDC ©2016. All rights reserved.
John Tooker MD,MBA,FACP Chief Executive Officer/EVP
Strategies for Staying Independent in Primary Care Practice
Synopsis of CCNC Initiatives
Electronic Health Record Update
Electronic Health Record Update
2019 Health Plan ASU is a self-insured health plan. Employees and ASU pay premiums into the plan, and those premiums are used to pay claims, administrative.
Share and learn Co-produce and co-design
Gail Bellamy Behavioral Sciences and Social Medicine
Effects on CFO of Health Systems By Karen Melton, RN,BSN
Policy Perspectives on GME Development in Arkansas
Concierge Medicine IN PRIMARY CARE CONSTANTINE GEORGE, M.D.
Innovations From Employers Driving System Reform Paige Rothermel, Vice President and General Manager Anthem CA Large Group April 6, 2016.
Value-Based Healthcare: The Evolving Model
Our Long Term Plan Emily Beardshall – Deputy ICS Programme Director
Presentation transcript:

Your Doctor Program: Transition to Value Based Care Kim Dunn, MD, Ph.D. Co-Founder, CEO, CMO drdunn@yourdoctorprogram.com 713-981-6125 (O) 832-752-1635 (M)

Need for Value Based Model Cover Texas Medicine Texas Medical Association September, 2012

Patient Centered Care / Quality

care plan management and telemedicine.” Your Doctor Program, L.P. Mission “Support the patient’s network to meet The Physician Quality Standard TM by continuously improving quality through care plan management and telemedicine.” Products “Medical Home in a BoxTM” is a 2 Day training and support program for a primary care practice to achieve NCQA Level 3 and continuously meet standards via Medical Home Portal “Accountable Care in a BoxTM” is a 2 Day training and support program for clinical integration that trains and supports a network of primary care practices, specialists, hospitals for patient centered care via the Medical Home Portal

KDunn and Associates, P.A. Our Value Summary Standards: NCQA (Med Home, ACO, HEDIS), Treatment Guidelines, PQRS, P4p, Regulatory and Reporting Requirements KDunn and Associates, P.A. Total Quality Management * Processes / Training Policies / Procedures Peer Comparison Reports Telemedicine / Specialists *Patent pending YDP Marketing Technology 1. MedHome Portal 2. Telemedicine 3. Smart Phone applications Accountable Communications Organization (ACO) Support and Training Financial: Save money Carriers/Employers Worker Compensation MedMal Benefits Physician Leadership development via PBCME/CNE for population health management Rapid medical home / ACO Paid faster and better via quality attestation model Save money via medmal reductions Patient Engagement for prevention and disease management Improved access via telemedicine Improved safety through care plan/Info mgt Patient centered quality Lower cost

Healthcare in Your Hand TM Care Access Card Mobile Communication