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Presentation transcript:

©AAHCM

 No Conflicts

©AAHCM

Privileged and Confidential: Prepared in accordance with New York State Public Health Law 2805 j through m; New York State Education Law 6527; & Federal Law ©AAHCM

Privileged and Confidential: Prepared in accordance with New York State Public Health Law 2805 j through m; New York State Education Law 6527; & Federal Law ©AAHCM

FEE-FOR-SERVICE PAYMENT FOR VALUE ELIMINATE WASTE IMPROVE QUALITY MANAGE POPULATIONS FROMTO

Integrated Delivery Systems Clinically Integrated Networks Care Management Systems Novel Provider Payer Relationships Centers of Excellence

9 PAY FOR PERFORMANCE BUNDLED PAYMENTS SHARED SAVINGS PARTIAL RISK FULL RISK PENALTY AVOIDANCE

10 TRANSITIONAL CARE COMMUNITY BASED EPISODIC CARE COMMUNITY BASED PRIMARY CARE SPECIALIZED CONDITIONS GENERAL POPULATIONS

11 HOUSE CALLS HOME CARE PROVIDERS HOME BASED PRIMARY CARE HOUSE CALL DOCTORS HOME CARE PHYSICIANS REDUCING READMISSIONS MAINTAINING PATIENTS IN THE LOWEST COST SETTING MOVING PALLIATIVE CARE UPSTREAM MITIGATING OVERTREATMENT MANAGING THE COSTLIEST MEMBERS FROMTO

 QUESTIONS

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