2017 network highlights
As we close out the year, we can all feel good about what we collectively achieved and apply those experiences and learnings to 2018.
* LHP recently created a three-year strategic plan that will focus LHP’s efforts and resources on four goals: growing covered lives, demonstrating improved health, maximizing financial performance, and enhancing membership value.
* Close to 100 providers serve or have served on the LHP board or one of four committees, dedicating hundreds of hours of their time in support of Legacy Health Partners.
* Nick Kashey, M.D., joined LHP as medical director mid-year, bringing experience in quality improvement and population health to the LHP network.
* Through surveys and suggestion forms, LHP members offered suggestions for: new clinical integration quality measures, what they are looking for in a health plan for themselves and their families, the effectiveness of Care Support Resources; and ways to improve the annual clinical integration education and learning modules.
* 10 new practices and 265 providers satisfied membership requirements and became members of the LHP network.
* To encourage active engagement and participation in the Clinical Integration (CI) Program, the LHP Board approved a minimum CI score of 50% to maintain membership in LHP and be eligible for any CI incentive fund distribution.
* 95% of providers and 92% of practice administrators completed the 2017 Clinical Integration Education by the Sept. 29 deadline, earning points toward their CI scores and ensuring their eligibility in the financial incentive program.
* The LHP Network contributed to patient safety in 2017 and is currently meeting all patient safety measures, including VTE Prophylaxis, Perioperative Pulmonary Embolism or DVT Rate, Surgical Site Infections and Elective Delivery.
* By supplementing claims information with clinical data, LHP members helped the network meet two of our three cancer screening measures last year and are continuing to do so this year. Last year the supplemental data helped improve breast cancer screenings by 4%, cervical cancer screenings by 11% and colorectal cancer screenings by 19%.
Data and reporting
* Improvements to the LHP Dashboard this year included the ability for practice administrators to attest on behalf of multiple providers at one time. Other enhancements included links to helpful videos and guides and changes that emphasize network-level reporting.
* Providers and designated practice administrators generated care gap reports from their LHP Dashboard for eight wellness and chronic condition measures, resulting in many LHP-attributed patients receiving appropriate and timely care and screenings.
* 15 practices signed up for Carequality, a national Health Information Exchange (HIE) that is helping providers connect and send patient care information electronically between EHR vendors, other HIEs, payors and other organizations.
* LHP’s presence in the health care marketplace and our impacts on quality and efficiency have attracted positive attention from payors and brokers. Local and national payors sought out LHP as a preferred provider network for new commercial and Medicare products, and we held a dozen lunch-and-learn meetings with brokers. The Care Transformation Value Report has proven an effective tool in these discussions.
* We now have 64,000 covered lives under management through the Legacy Employee Health Plan (LEHP), Aetna, United and PacificSource commercial contracts. Several payors are proposing new and exciting arrangements for 2019.
* LHP hired HealthScape Advisors to help guide Legacy’s value-based contracting strategy. They completed their market assessment and organizational readiness review and are now working through models and key targets for each line of business.
* Based on 2016 performance on the LEHP contract, $1.2 million in incentive funding was distributed to 156 LHP practices this year.
* The incentive distribution model for 2017 has been adjusted to more equitably allocate incentive opportunity based on provider effort (number of patients and number of applicable performance measures) and performance.
• LHP primary care practices are now receiving care coordination per-member-per-month (PMPM) payments from LHP as a part of the contracts negotiated by LHP on behalf of the practices.
Population health services
* Care Support Resources continued to see a high level of engagement from patients with complex and chronic conditions. Based on last year’s performance, we expect to see a continued decrease in costs and utilization.
* LHP produced a Network Directory and Quick-Look Practice Directory to help providers get connected.
* Hundreds of LHP practice administrators and providers took advantage of the member-exclusive LHP team site for access to information and tools.
* Practice administrators attended informational sessions to learn about LHP’s contracting strategy, MACRA, and to provide input about ways LHP could improve its support of the network.
* The first Legacy Partner Solutions offerings were well received. Three practices have engaged in MACRA support and eight signed up for Medical Home certification support.
* Based on member feedback, we’re developing a new offering for 2018: on-demand telephonic support for pharmacy consultations and referrals to other patient-support professionals and services.
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