1. Symposium: Driving Toward IDS
Collaboration • Catalyst • Community
Symposium: Driving Toward IDS
PRESENTED BY:
D. Tucker Slingerland, MD Hudson Headwaters Health Network
Sept. 17, 2015

2. Clinton, Essex, Franklin, Fulton, Hamilton, Saratoga
AHI Timeline 9
Counties
Clinton, Essex, Franklin, Fulton, Hamilton, Saratoga
St. Lawrence, Warren,
Washington 9
Payors
Medicare (FSS), Medicaid, BSNENY, CDPHP, Empire BCBS, Empire UHC, Excellus, Fidelis, MVP
11,000
Square Miles
700,000
Total Population

3. Pay for Performance (P4P)
Transforming Care
Pay for Performance (P4P)
$0.50 PMPM
Utilization
Quality
Patient Experience
Engaging Stakeholders
Case in Brief – Adirondack Medical Home Pilot:
Five-year pilot to generate health care value. Key objective is to transform physician practices into NCQA-recognized medical homes
Launched in January, 2010; codified by New York State legislature in 2009
Supervised by both New York State Department of Health, Department of Insurance

4. AHI PPS Current Status AHI PPS Plan Valued at $187,000,000
Final Attribution (valuation) 143,640
Governance: to be finalized September 30, 2015.
PPS lead entity = AHI
Implementation Plan submitted 7/31/15
Contracting process is underway, including contracts for services & performance based agreements

5. Population and Network
Adirondacks ACO
25,000
Medical Home
100,000
PPS
144,000
(Medicaid: 94,000
Uninsured: 50,000)
NETWORK

6. Partnerships Members Corporate Membership Partners Adirondack Health
Glens Falls Hospital
Hudson Headwaters Health Network
UVHN Champlain Valley Physicians Hospital
UVHN Champlain Valley Physicians Hospital
Hudson Headwaters Health Network
Partners

7. Shared Vision: Regional Population Health
Efforts are underway to address the PPS Governance and Management needs, but needs to be done as part of an overall regional approach to Population Health Management. As you are aware, there are many initiatives with similar population health goals, including the Medical Home, ACO, and others.