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August 2016

2016 CI incentive fund design

The LHP Board has approved the 2016 clinical integration incentive fund design, which has many of the same features as last year’s incentive methodology. As it did last year, the board made completing the current year’s CI education module a requirement for any incentive payout (see next story). The Finance and Contracting Committee recommended the fund design to the LHP Board, seeking to keep the methodology as simple as possible while equitably incentivizing all providers based on performance and effort. The new methodology combines all the performance measures into a single payout. Last year LHP scored provider and practice measures together and separately scored and paid out an incentive for each network measure. 

Next month LHP members will receive the 2016 Pay for Value guide that will go into detail on the incentive fund design.

CI education required for any incentive payout in 2016

In recognition of the importance of helping LHP members understand the components of LHP’s clinical integration program, completing the 2016 CI education module is a requirement for any incentive fund payout. Three-quarters of providers have already completed the education, either in person or online. September 30 is the deadline to earn points and be eligible for any earned incentive payout. The CI education module currently posted to E+ includes a new LHP dashboard demonstration. In-person CI education sessions (schedule) are scheduled in August and September.

One is enough - A word about the 5 education modules

LHP has posted five education modules in E+ (read the descriptions). It appears that many providers are viewing them – that’s great! But remember, you need complete ONLY ONE to earn a point on your CI performance score. You are welcome to view all that interest you, but only one is required for the point..

MACRA information sessions for practice administrators

MACRA is coming. Sounds like sci-fi movie sequel, doesn’t it? It may feel a bit scary, but LHP is here to support members through the transition.

In September LHP will kick off a series of meetings for LHP practice administrators about MACRA, the Medicare Access and CHIP Reauthorization Act of 2015. Administrators can attend them in person or online. Watch for more details later this month. If you missed our May article on MACRA, you can read it here. See related story in The Portland Physician Scribe.

First Provider Advisory Forum focuses on diabetic eye screening 

“I think the energy and insight in the room was excellent. The number of people that attended really demonstrates a huge commitment from LHP providers to work together to address common concerns.”
 
In her reflection following LHP’s Advisory Forum on diabetic eye screening, DeOna Bridgeman, M.D. affirmed the purpose and value of this first-in-a-series of opportunities for providers to share workflows and brainstorm solutions to common problems. The forum – hosted by EyeHealth NW at its Tigard clinic in mid-June – drew 22 providers and administrators representing primary care and ophthalmology. Diabetic eye screen was selected as the topic because last year the LHP network did not meet the target for this performance measure, and the trend appears to be continuing this year. Read the whole story.
 

In the news

Legacy Health and Legacy Health Partners are well-situated for the coming changes in how physicians will be paid under Medicare. A story in the June issue of The Portland Physician Scribe describes how health care providers are responding to recent federal legislation that is transitioning health care reimbursement from volume to value. 

 


Legacy Health Partners Mission: Delivering value and improving health

Learn more at www.LegacyHealthPartners.org

Questions? Call 503-415-5109.