Annual Payor Conference Welcome! Lakeland Care Network Annual Payor Conference October 18, 2017

Lakeland Care Network - News Newsletter Monthly payor meetings Midlevel credentialing initiative – 108 completed Contracting update – Meridian, UHC, McLaren Affirmant update COMET

Lakeland Care Network - Quality Team

Programs We Offer – Elective Participation Quality Improvement training Care Management training and support High Risk Care Management – Dual Population Medical Home/Neighborhood transformation assistance Patient Satisfaction Payor incentive programs CMS program updates/participation assistance Coordination with the EPIC Connect IT and Integrated Analytics teams Coordination with Affirmant (CIN) and The Federation (ACO)

Team Successes NCQA Level 3 Recognition for 3 practices Edgewater Family Health, Stagg Medical Center, Lakeside Healthcare Specialists Currently awaiting results for: Coloma Medical Center Community Medical Center Southwestern Medical Clinic, Buchanan Completed Wave 1 of the Lean for Clinical Redesign Program Wave 2 is currently in progress PGIP PCMH Recognition for 8 practices 9 practices participating in the Comprehensive Primary Care Plus (CPC+) Program through CMS - CPC+, MIPS, the ACO/CIN

Affirmant – Our Clinically Integrated Network Lakeland Care Network Sparrow Care Network Bronson Henry Ford Allegiance Covenant CIN Mid Michigan Henry Ford Something about a CIN

Affirmant & The Federation ACO Lakeland Care Network Sparrow Care Network Bronson Henry Ford Allegiance Covenant CIN Mid Michigan Henry Ford

Quality Team - Network Updates Patient Satisfaction Collaboration Opportunity for Office Managers w/ Tom Jeffrey, Sullivan Luallin President November 21st at Hilton Garden Inn Invitations to follow Lean for Clinical Redesign Accepting interested practices for Wave 3 beginning January 2018, and Wave 4 beginning May 2018 Quarterly Outreach Reach out to connect with us for Quarter 4 outreach PGIP Capability Renewal Will be coming around to practices in December to update capabilities

Quality & Care Management Contacts The Team Emily Ulrath – Payer Programs & Lean Coach Jordan Zaluckyj – Medical Home, Patient Experience, & Lean Coach Rachel Sunday – CMS Programs & Lean Coach Karen Riley – Care Management Programs Beth Fiskars – High Risk Care Management Jill Frey – Data Coordinator Sam Fell – Manager General Email: lcquality@lakelandhealth.org General Phone: (269) 985-4414

Lakeland Benefits 2018 Co-pay remains $30 Deductible $750, $1,500, $2,250 HSA - $1,500, $3,000 Rx: 4 tier, copay based on % of cost Rx applies to out of pocket max Extended network – Complete Out of Network form Almost everything is the same: co-pay, deductible Rx – no maxi copay but applies to out of pocket max Out of pocket – stays the same -In-network: Individual: $4,000, Two persons: $8,000, Family: $8,500 HSA - Extended network - If you need to have medical services that cannot be done through the Lakeland Care Network, a referral is required. 

myHealth Chronic Disease: Public Health Challenge of the 21st Century Outcome based, health contingent wellness program Focus: Obesity, Diabetes, CV disease Biometrics due 5-31-18 We are committed to helping Lakeland associates achieve their best health possible identify those with modifiable risk factors, encourage effective medical interventions for those with risk factors for disease or already diagnosed with chronic disease and as well as provide worksite based health programs. We know that approximately 65% of disease is preventable, so we focus on interventional interactions that increase health awareness and motivate and support people to make healthy changes in their lives.

myWeigh to Health Holistic approach to weight management Nutrition Fitness & activity Self care & Mental health Weekly meetings

Melissa Hahn, RN, Director Leeanne Carlson, Supervisor Samantha Schultz, Coordinator Shelli Meulemans, RD Samantha Schewe, CSCS Whitney Schueneman, RD Email: employerservices@lakelandhealth.org Phone: 269-927-5154

Michigan Insurance Exchange Open Enrollment – Nov. 1 to Dec. 15, 2017 Website - www.healthcare.gov/get-coverage 3 Exchange Options: Meridian Choice, Priority, & BCBS Independent Agents Exchange navigators/patient financial advocates team:   269.408.4103  or toll-free  844.408.4103

Medicare – Patient Enrollment Info. Open enrollment for Advantage Plans: Oct. 15 to Dec. 7 Open enrollment for Traditional Medicare: 3 months before, the month of, and 3 months after your 65th b-day Medicare Supplement: Guaranteed issue with rate lock

Lakeland Care Operations List of contracted payors Window clings for your practice Notification of changes Update requests www.lakelandcare.com News Search for providers Print a directory Contracted payor list Provider portal links Team contacts