1. New Doctor Office Incentives

2. Doctors Incentives details
Higher Capitation (with minimum 20 patient transfers/new enrollments)
$150 Medi/Medi
$120 Medicare Only
Transfer Bonus (for transfers with effective dates of September 1st - January 1st 2016)
$200 For Medi/Medi /Medicare

3. Doctors Incentives details continued
Customer Service
800 number available for members for help with transferring IPAs & Health Insurance / Eligibility/ Medi-cal/ LIS questions
Increase patient retention/Satisfaction
Reduce doctor office customer service calls
Marketing
In office poster/blue cards
Patient welcome letter/customer service introduction
Marketing pieces around community introducing doctor with Picture/CV (Curriculum Vitae)

4. Office Managers Are Rewarded too
Office Managers Are Rewarded too!!! Contest dates September 1st-January 1st
Win a Kindle Fire with 20 new patient transfers/enrollments
Win a 28 Inch Flat Screen TV with 30 new patient transfers/enrollments
Win an Ipad Mini with 50 new patient transfers/enrollments

5. Medicare Utilization *The Average Medicare Member
sees a Primary Care 6.85
sees a Specialist
10.0 times a year 
The Average Medicare Payment = $65 per visit
65 x 6.85 = $445.25
/12 (months) = ** $37.09 pm/pm
* Utilization per / 1000
** Without a copay

6. Competitive Compensation
Payment for all covered services for which Primary Care Physician is the responsible party, under each participating Health Plan, shall be made at a fixed capitation rate according to the following schedule:
Medicare Advantage Enrollees
$ pm/pm
Medi-Medi Enrollees
- When Enrollee is assigned to the same PCP & IPA for both product lines
$ pm/pm
-When Enrollee is NOT assigned to the same PCP & IPA for both product lines
Will revert to appropriate Medicare Advantage or Medi-Cal Only Compensation
* PCP must transfer 20 new Medicare or Medi/Medi patients to Doctors Choice Medical group in order to qualify for new higher capitation rate

7. PRO FORMA SHEET Based on Medicare & Medi-Medi Conversion Enrollment
IPA Conversion
Medicare
 50 x $120 pm pm = $6, x 12 (months) = $72,000.00
 Medi-Medi
50 x $150 pm pm = $7, x 12 (months) = $90,000.00
+ 200 per member transfer/New Enrollee bonus= $10,000 bonus with 50 new members!
Fee for Service (Medicare)
50 x $ 37.09pmpm = $ 1, x 12 (months) = $22,254.00

8. Medicare/Medi-Cal: They can select a new plan every month.
Enrollment Periods
Medicare: Open Enrollment October 15th to December the 7th; every year.
Medicare/Medi-Cal: They can select a new plan every month.

9. Time to Get started…
Here are some ideas of ways we can help you reach your goals and improve revenue
- How Many Medicare Aged Patients does your practice currently have?
-Do you have any clients that are aging into Medicare ? We can help them enroll in Medicare and assign them to Doctors Choice… each enrollment=1 transfer…
-Do you have any clients with other IPAs that we can move over to Doctors Choice? Doctors Choice Customer Service can take care of everything for you.
- Do you want your patients to sign up for Doctors Choice here in your office? We can send an agent out on a specific day each week to help them enroll in Medicare or simply to transfer IPAs here in your office. We would need a common area that is not a waiting room or treatment room such as an office or break room to get started.
-Would you like Doctors Choice to help market in the area? Let’s get started… Who would you like to target? Medi/Medi, Medicare, Turning 65s? What radius around your office? Do you have a 2nd location?
-Addendum/Agreement and time for action !