MiPCT Webinar 04/17/2013
-
Upload
mednetone -
Category
Economy & Finance
-
view
694 -
download
4
Transcript of MiPCT Webinar 04/17/2013
![Page 1: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/1.jpg)
Michigan Primary Care Transformation
Demonstration Project
April 17, 2013 Webinar
![Page 2: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/2.jpg)
Congratulations!
Anchor Bay Clinic
• Karl Emerick, DO
• Kevin Klein, DO
• Raquela LePera, DO
• Thomas Mianecki, DO
• Debra Moses, DO
• Irene Scott, Office Manager
• Angie Siegmon, RN, Care Manager
2
![Page 3: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/3.jpg)
Upcoming URAC Audits
Hampton Medical
• Bruce Johnson, DO
• Susan Tam, DO
Country Creek Family Physicians
• Al Juocys, DO
• Shailaja Rastogi, MD
Douglas Hames, MD
3
![Page 4: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/4.jpg)
Upcoming URAC Audits
Rosa Parks Geriatrics
Ron Williamson, MD
4
![Page 5: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/5.jpg)
URAC Deadline Extended
URAC has given a green light for deadline
extension
5
![Page 6: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/6.jpg)
Care Manager Training
Moderate Care Manager Training
Complex Care Manager Training
6
![Page 7: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/7.jpg)
Liability Insurance
All MNO care managers carry full liability coverage
$1,000,000/$3,000,000
7
![Page 8: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/8.jpg)
Liability Coverage
Letter from carrier
Letter from MNO endorsing malpractice carrier
Average annual premium $7,000
Approximate 20-30% savings
Dinner meeting on Wednesday, May 22, 2013
from 6:00-7:30pm ay APCC
8
![Page 9: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/9.jpg)
Liability Coverage
“Reserve” Plan only available to MNO primary
care physicians in wave one
URAC PCMH accreditation
Annual team training including risk training
Quality scores at 70%
9
![Page 10: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/10.jpg)
iExaminer
Project lead
One iExaminer/MiPCT office
Training tool
Appropriate ophthalmoscope
10
![Page 11: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/11.jpg)
Diabetes Pilot Project
Project lead
Poor enrollment
Outreach
Assistance
11
![Page 12: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/12.jpg)
Shared Visits
Hampton Medical
Anchor Bay Clinic
12
![Page 13: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/13.jpg)
Financial Incentives
Year one distribution
Care manager funding
1st Quarter 2013 report
13
![Page 14: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/14.jpg)
Billing and Coding Seminars
Throughout May, regional meetings will be held
throughout the state, facilitated by BCBSM, BCN,
and Medicare Advantage
G and CPT care management codes
14
![Page 15: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/15.jpg)
Billing and Coding Seminars
Sessions will be approximately three hours long
(morning or afternoon)
Billers, coders, care managers, PO representatives,
and others involved in the coding and billing
process should attend
15
![Page 16: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/16.jpg)
Sequestration
President Obama signed an order that imposes
across-the-board Federal spending reductions (also
known as sequestration) for Federal payments
effective as of April 2013.
If Congress does not take action to avert this,
monthly payments to practices and POs will be
reduced by 2% beginning April 1, 2013 and this will
continue until there is resolution about the Federal
budget and Federal deficit.
16
![Page 17: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/17.jpg)
Metrics Year Three
You’ve referred patient out…what next?
Behavioral health metrics supplied by Dr. Zeman
Committee meets to review all process and clinical
outcome proposed metrics
17
![Page 18: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/18.jpg)
Physician Engagament
Highly engaged
Moderately engaged
Minimally engaged
Totally disengagement
18
![Page 19: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/19.jpg)
Open Discussion
19
![Page 20: MiPCT Webinar 04/17/2013](https://reader034.fdocuments.net/reader034/viewer/2022042815/556596e5d8b42a0a768b46b1/html5/thumbnails/20.jpg)
QUESTIONS?
20