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June 2016

The nagging issue of Clinical Integration Education

By Greg Saunders, M.D.

Chair, LHP Quality and Membership Committee

You may be asking yourself, “Why do they keep hounding me on this CI Education thing?” And, by the way, if you have not yet been hounded, please let us know so we can add you to our hounding schedule. Operators are standing by.
The most urgent reason for the Clinical Integration Education is that the deadline for receiving the maximum 2016 CI score points is rapidly approaching (June 30 to earn full points). You have until Sept. 30 to complete it and earn any points, but doing so after June 30 decreases the amount of incentive you can earn. We really do want you to get that money and so the bottom line is: Please do it now! We are pulling for you.
The more important reason to complete it, however, has to do with why we have a yearly Clinical Integration Education in the first place. The value of CI Education goes beyond points and incentives. These yearly sessions (in person or online) are the best and most concise way to learn important details about LHP’s programs, services and timely updates. These sessions keep you informed and educated about what is new and what to expect from LHP throughout the year. It is a great opportunity for you to learn efficiently, at one time and in one place.

Here’s what you can expect from LHP CI Education each year: 
  • Some performance measures will change: Be the first to get the details about those changes.
  • The dashboard will have new and improved functionality: Knowing about these improvements will help you maximize the benefit to your patients and practice.
  • LHP will have new contracts with payors, which is part of the energy of LHP. 
  • We will have additional support services and resources to help you be successful. More support is good, right?
  • Working toward common goals is crucial to the success of our shared partnership in LHP. It is what allows us to improve patient care and the health of our community.   

We know you have many, many other priorities and responsibilities as you take great care of your patients. Efficiently learning about the most important aspects of LHP through annual CI education will arm you with what you need to know to be a successful member of the network. 

Great! Sign me up!

Get your questions answered and meet LHP leaders at the in-person CI education sessions. LHP has added three new sessions in June:

6/14/16, 7 a.m., Good Samaritan Auditorium
6/22/16, 7 a.m., Meridian Park Community Health Education Center (CHEC 117 A/B/C)
6/29/16, noon, Salmon Creek 3rd Floor C/D

Online education more your style? Complete the 30-minute CI education module through E+.

MACRA: The implication of MIPS for your practice

In last month’s newsletter we provided an overview of MACRA and discussed the two payment methods for eligible providers – Merit-based Incentive Payment System (MIPS) track and Alternative Payment Model (APM) track. The Centers for Medicare and Medicaid Services (CMS) estimates that only 4.5% - 12% of clinicians are projected to qualify for the APM track in 2019.  Given this projection, it’s important to build your understanding of MIPS and the implications for your practice. This second article will go into more detail on the MIPS track. Read the whole story.

2015 pilot project wrap-up

Every provider and practice that participated in the 2015 clinical integration pilot project can take pride in the overall performance of the network, which met its goals on 10 out of 14 measures. Many practices also did an outstanding job fulfilling the provider and practice measures. The network has grown a lot in recent months, from 1,600 members last year to over 2,400 today. By now, many of the practices that participated in the pilot have received letters and reports showing how their practice and providers performed. Read the story summarizing the pilot results.

Care support resources and beyond

“This program is great. I feel better already and am confident that I’m going to have even more improvements. I feel like I’m actually having a conversation with somebody who cares.”

This patient is benefiting from care support resources (CSR), an extra layer of support that Legacy made available to LHP providers and their Legacy Employee Health Plan (LEHP) patients earlier this year. The first patients have graduated from the program and these graduates – as well as other LEHP patients who did not stratify into the program but who could still use some additional support – are being offered a service called Good Health Resources. Read the whole story

Legacy Health Partners Mission: Delivering value and improving health

Learn more at www.LegacyHealthPartners.org
Questions? Call 503-415-5109.