2. What is Merit Health?
Merit Health is the state’s largest health network by number of facilities across Mississippi.

3. Covering the State 120 Physician Practices
2,500 Physicians on the combined active Medical Staffs
7,000 Employees

4. Caring for Friends and Family
Each year Merit Health hospitals average:
53,000 admissions
300,000 emergency department visits
8,500 babies delivered

5. Statewide System Benefits
Shared Best Practices
Recruiting Physicians
Access to Healthcare Services
Operate More Efficiently

6. Covering the State
As part of a statewide network, Merit Health is able to use our size and shared resources to benefit our patients and communities.
Batesville - Merit Health Batesville
Amory - Merit Health Gilmore Memorial
Clarksdale - Merit Health Northwest Mississippi
Canton - Merit Health Madison
Flowood - Merit Health Woman’s Hospital
Brandon - Merit Health Rankin
Flowood - Merit Health River Oaks
Jackson - Merit Health Central
Vicksburg - Merit Health River Region
Natchez - Merit Health Natchez
Hattiesburg - Merit Health Wesley
Biloxi - Merit Health Biloxi
Merit Health Batesville and Merit Health Natchez – Community Campus are owned by partnerships that proudly include physician owners, including certain members of the respective hospital's medical staff.

7. Extending the Reach of Care
“There’s a way to do it better – find it.”
- Thomas Edison
“Our success has really been based on partnerships from the very beginning.”
- Bill Gates
“Competition makes us faster. Collaboration makes us better.”
- Anonymous

8. Extending the Reach of Care
Our statewide footprint allows us to opens access to care through our hospitals and clinics, as well as through strategic partnerships.
Integrated employer health management through a personalized system of care and shared financial risk.
Innovative telehealth solutions and strategies for employers, long-term care, hospitals and retail locations.

9. Integrated employer health management through
a personal system of care and shared financial risk
We transform local communities of care
for individuals, physicians, payers, and other providers.
September 29, 2016

10. “Pay no attention to that man behind the curtain.”
We are not another version of the latest fashionable theory of healthcare reform.
At around 300 employees, experts suggest self insuring.
In 2011, 58.5 percent of workers with health coverage were in self-insured plans, up from 40.9 percent in 1998.
“Pay no attention to that man behind the curtain.”

11. The Challenge for Employers and Physicians
The Health System’s Bureaucratic Solutions v Market Realities
Clinical Integration Is the Latest Solution from the Land of Oz
Expecting a system with a business model that does not work to buy market control and then become efficient is like putting a saddle on a cow and expecting a race horse.
At around 300 employees, experts suggest self insuring.
In 2011, 58.5 percent of workers with health coverage were in self-insured plans, up from 40.9 percent in 1998.

12. What should employers demand from their health care providers?
No less than what is required of them
by their customers!
Results not jargon
Reliable Information
Competition based on performance
Compensation based on results
At around 300 employees, experts suggest self insuring.
In 2011, 58.5 percent of workers with health coverage were in self-insured plans, up from 40.9 percent in 1998.

13. Health Plan Costs: An Iceberg
Not A Zero Sum Game.
Why does health care cost too much?
Overutilizers:
< 10% members
> 75% of total plan costs
This is who gets care
Overtreated
Mistreated
Treated too late
Underserved
Members
This is who does not get care
Undertreated
Not treated
Treated too late
We reduce an employer’s health plan costs by reaching all the members and effectively connecting them with local physicians and other providers.

14. Too Little Care => Future High Cost Members.
What We Do
Save health plans money by improving care and reaching everybody – a data-based plan of care for the entire health plan
Don’t disrupt the existing provider network or require plan changes
Improve care by expanding, empowering, and harmonizing the roles of community physicians and other providers
Hands-on plans of care for high cost members
We reach members who get too little care
We are paid based on results in year one – shared savings measured in hard dollars and objective data
Too Little Care => Future High Cost Members.

15. Our Tools Employer Health Management Population Health Management
Onsite and Near Site clinics
Employee Data Registry – claims and clinical
Local Physician Collaboration
Health and Well-Being Education
Chronic Disease Management
Individualized Care management
Population Health Management
“We do population health, one person at a time.”
Condition Management

16. The Southern Farm Bureau Success Story – Phase I
Reduced its health plan costs from a deficit to a $3.0 million surplus with a six-year plan.
Achieved this through employee health programs and onsite clinic. But approach was not deep enough and had plateaued.
SHN enhanced these results by integrating plan data, clinical management and employee education to improve upon this well-established program.

17. We Get Immediate Results
The Southern Farm Bureau Success Story
12% reduction in 2015 health plan costs after only 8 months of operations.
Comprehensive improvement across all groups and key categories.
Results were achieved in a plan that had already reduced total costs by >$3.0 million over six years (see above).
Detailed analysis by subgroup shows that these savings were the result of the Southern Health Network interventions.
2015 SFBLI Plan Cost Reductions
First 8 Months of SHN Program
At around 300 employees, experts suggest self insuring.
In 2011, 58.5 percent of workers with health coverage were in self-insured plans, up from 40.9 percent in 1998.

18. Based On A Proven Model
Our clinical model is based on the successful Diabetes Care Group program for managing diabetes and metabolic disease.
DCG is a proven model that controls diabetes and avoids its preventable costs. 9 in 10 DCG patients achieve and maintain control.
The adjacent chart shows actual and typical year 1 savings of 44% by a DCG client on its members with diabetes ($5,775 on $13,228 average claims/member).
Savings correspond with best-in-class clinical improvements across all key measures of metabolic health.
At around 300 employees, experts suggest self insuring.
In 2011, 58.5 percent of workers with health coverage were in self-insured plans, up from 40.9 percent in 1998.

19. Performance-Based Risk
We are paid through shared savings and are at risk for results in year one.
Savings are measured using discrete, objective, and complete claims data for each employer.
We measure results against actual, historic claims of the health plan.
We receive one-half of the savings we generate each year for a three-year period.
We share one-half of our own savings with primary care physicians in appropriate markets.
At around 300 employees, experts suggest self insuring.
In 2011, 58.5 percent of workers with health coverage were in self-insured plans, up from 40.9 percent in 1998.

20. How We Work with Employers
Southern Health Network, Inc. reduces the health plan costs of self-insured employers and improves the health and productivity of their employees.
At around 300 employees, experts suggest self insuring.
In 2011, 58.5 percent of workers with health coverage were in self-insured plans, up from 40.9 percent in 1998.

21. Telehealth Strategy

22. Dr. Chris Powe, COO

23. What is telehealth/telemedicine?
Telehealth encompasses a broad variety of technologies and tactics to deliver virtual medical, health, and education services. It is a collection of means to enhance care and education delivery.

24. About TelehealthOne
TelehealthOne delivers fully-integrated telemedicine solutions that vastly improve access to healthcare. With just the touch of a button, TelehealthOne providers can have virtual telemedicine visits with patients and remotely monitor, diagnose, and treat them for common conditions.
Convenience is often a barrier to seeking healthcare and TelehealthOne aims to close that gap through its services in communities, facilities and businesses that are in need of better healthcare options.

25. About TelehealthOne Four major markets: Retail clinics Long-term care
Nocturnist program
Employers

26. The Benefits of Telemedicine
The use of telemedicine has spread rapidly over the last several decades and is becoming integrated into healthcare delivery systems at an increasing rate. Telemedicine offers patients and providers benefits that include:
Reduced healthcare costs
Increased patient access to providers, especially in medically underserved areas
Improved quality and continuity of care
Faster and more convenient treatment resulting in reduction of lost work time and travel costs for patients

27. Telehealth Delivery Methods
Live video (synchronous)
Store-and-forward (asynchronous)
Remote patient monitoring (RPM)
Mobile health (mHealth)

28. Telehealth in Mississippi
Mississippi has the worst doctor shortage in the country. Massachusetts has about 2½ times more doctors per capita. That ratio jumps to about 3-to-1 for specialists.
The Magnolia State ranks at or near the bottom in most health rankings: worst infant mortality and most kids born with low birth weight; second-to- highest rate of obesity and cancer deaths; second from the last in diabetes outcomes.
Because of these unmet needs, Mississippi is utilizing telehealth to improve healthcare availability, access and convenience

29. TelehealthOne
TelehealthOne and Merit Health pioneered a telenocturnist program at four Merit Health hospitals in the Jackson market.
The telenocturnist:
Eases the burden for the hospitalist
Treats and admits patients
Improves speed and efficiency of overnight care
HIPAA Compliant

30. Telehealth for Employers
Mississippi is highly progressive in telemedicine
Self insurers can join the evolution
Affordable
Increases productivity
Improves performance
Continuum of care – employees more likely to seek primary care and specialists for further treatment

31. Employees Receive… Onsite healthcare access - convenience
Affordable copays
Easy-to-use technology
No waits or appointments needed

32. Caring for the State of Mississippi
Through our strategic partnerships, We are able to provide additional resources to benefit our patients and communities.

33. Merit Health Batesville Merit Health Gilmore Memorial
Merit Health Northwest
Merit Health Madison
Merit Health Woman’s Hospital
Merit Health Rankin
Merit Health River Oaks
Merit Health Central
Merit Health River Region
Merit Health Natchez
Merit Health Wesley
Merit Health Biloxi
Ridgeland
Greenwood
Flowood
Vicksburg
State Health Plan – Diabetes Care Group
Merit Health Central
Merit Health Rankin
Merit Health River Oaks
Merit Health Madison
Canton
Flora
Morton
Pelahatchie
Jackson
Clinton
Union
Lexington
Pearl
Carthage
Merit Health Batesville and Merit Health Natchez – Community Campus are owned by partnerships that proudly include physician owners, including certain members of the respective hospital's medical staff.

34. Questions?