January 2016

Happy New Year!

From Merrin Permut, LHP Executive Director

There’s no better time than the start of a new year to reflect on the past and anticipate the future. We are incredibly grateful for your continued partnership, support and effort. Together we accomplished a great deal in 2015, and 2016 promises to deliver even more growth and improvement.

A handful of highlights from 2015:

Our membership now stands at more than 2,300 providers from 190 different groups
88% of all eligible providers completed the orientation session and are now eligible for an incentive payment
2015 performance is looking strong for our 14 network quality measures; results will be finalized by the end of March as claims continue to be processed
Two key positions were filled: LHP’s first medical director, Dr. Riyad Fares, and our manager responsible for the field operations advisers, Heidi Mahoney. (More information on field operations and Heidi in the February newsletter).
We launched our newsletter and transitioned to mobile-friendly, digital format

What’s to come in 2016:

Hiring a complete field operations adviser team and beginning to outreach to and support our practices
Continuing to manage the Legacy employees and dependents and expanding to other payor populations… more to come soon!
Expanding our CI performance measure set (see related story)
Transitioning to a new, more robust clinical integration performance measure scorecard that will be accessed through Epic

I wish you a prosperous and fulfilling new year!

2016 clinical integration program

This year’s set of performance measures support the continued growth and development of LHP’s clinical integration program.

New this year: A colon cancer screening measure has been added; providers will have the option to select from several education modules based on their interest and relevance to their specialty/practice; and primary care practices can earn points if they have achieved medical home status.

Claims data, attestation and clinical data from the Epic inpatient record will continue to be the sources of performance tracking in 2016 while LHP begins to build connections with EMRs at independent LHP sites that are not already using Legacy-hosted Epic or LEAP (Legacy Epic for Affiliated Providers).

The 2016 Fast Facts lists this year’s measures. You’ll soon receive a handbook that provides complete information.

Your final scorecard will be released in early April. You will continue to see the network scorecard each month as values from claims will continue to populate and impact the data. You’ll soon get information about the appeals process, which will apply only to 2015 provider and practice measures you feel were not accurately reported.

Care support resources - Extra help for your sickest patients

Legacy Health Partners providers soon will be able to get added support caring for their sickest patients as a benefit of membership in LHP.

As part of its new population health management program, Legacy has launched “care support resources.” The goal of the program is to help providers improve the health of their patients, prevent and better manage chronic and costly diseases, and close gaps in care. A specialized clinical team that includes care managers, pharmacists, a health coach, a clinical social worker and a medical home program coordinator will work with LHP providers to care for their patients in a customized, coordinated, cost-effective manner.

Beginning in March, two to three LHP independent practices will be participating in a pilot project involving Legacy Employee Health Plan (LEHP) patients who have been identified—based on their health history and conditions—as needing extra help to reach their health goals.

In the coming months, Legacy will be talking with LHP independent providers about how best to shape the program so that it delivers optimum benefits for their practices and patients. The full program, including the option of an embedded care team, will be available starting the summer of 2016.

Read the rest of the story.