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Care support resources - Extra help for your sickest patients

January 2016

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.

Which patients can receive these services?

When the full program rolls out this summer, providers who belong to LHP—including Legacy Medical Group—will have access to care support resources for a variety of patients on their panel. In addition to patients enrolled in the Legacy Employee Health Plan, patients attributed to an LHP physician that fall under one of Legacy’s six contracts will have access to care support resources. (More information next month on our contracting strategy.)

In December, Legacy sent letters to eligible individuals covered by the Legacy Employee Health Plan and their providers introducing them to the benefits of the program and telling them what they can expect. The letters also provided information on impacts to these patients’ health benefits: If they choose to participate in care support resources, their benefits will be increased to 90% of qualifying health care costs. If they decline to participate, their benefits are reduced to 30%.

LHP leaders help shape program

The provider-led Joint Operating Committee (JOC), which includes physician representation from LHP membership as well as Legacy Health staff, has been integral in shaping the clinical and business operations for care support resources. The group has been advising on current workflows, evaluating the performance of the program based on the Legacy Medical Group pilots that are currently in progress, and guiding us as we prepare to bring these services to the rest of LHP membership.

The Committee’s responsibilities include:
  • Developing primary care and clinical programs to improve population health
  • Reviewing and recommending value-based contracts
  • Recommending and managing financial and contract performance
  • Overseeing pricing for population health management services

Joint Operating Committee Members

Voting members:
Mal McAninch, M.D., Co-Chair, Greenfield Health
Melinda Muller, M.D., Co-Chair, Legacy Medical Group
Colene Andersen, M.D., Legacy Medical Group
Tom Dyehouse, M.D., Family Wellness Center
Riyad Fares, M.D., LHP Medical Director, Cascade Physicians
Hoa Ly, M.D., Legacy Medical Group
Lewis Low, M.D., Chief Medical Officer, Legacy Health
Michael Moore, M.D., Westside Internal Medicine
Erika Meyer, M.D., Metropolitan Pediatrics
Laurel Simon, M.D., Broadway Medical Clinic
Chris Thoming, M.D., Northwest Acute Care Specialists
Carol Bradley, R.N., Chief Nursing Officer, Legacy Health
Amy Chaumeton, M.D., Chief Medical Informatics Officer, Legacy Health
Jon Hersen, Vice-President Care Transformation, Legacy Health
Merrin Permut, Executive Director, Legacy Health Partners

Learn more
Read the care support resources overview and meet the care support resources care team.

Return to the current issue of LHP News.

Legacy Health Partners Mission: Delivering value and improving health

Learn more at www.legacyhealth/LHP

Questions? Call 503-415-5109.