The Michigan Primary Care Transformation (MiPCT) Project WELCOME TO THE 2015 MiPCT SUMMIT!
The Michigan Primary Care Transformation (MiPCT) Project
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Transcript of The Michigan Primary Care Transformation (MiPCT) Project
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The Michigan Primary Care Transformation (MiPCT) Project
Succeeding in 2014: What it Will Take
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MiPCT Team-Based Care Recap
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MiPCT Team-Based Care Evergreen” Themes•Care managers work in close proximity to PCP team
▫In PCP office as much as possible▫Work with PCP team to meet their needs▫Regular communication via huddles, medical meetings,
etc.•Ensure Care Management coverage
▫Focus on MiPCT patients (across participating payers)▫Manage high-complexity, high-cost patients▫Patients selected based on risk score plus PCP input
•Focus on evidence-based interventions▫Medication reconciliation▫Care transitions▫In-person contact with patients whenever possible▫Comprehensive care plan for complex patients
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Success = Improvements in Population Health + Cost + Patient Experience
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Reduction in Unnecessary and Non-Value-Added Costs
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How do we make a dent in cost?
-Preventing unnecessary ED and inpatient visits by providing care upstream before a crisis - Making sure your patients know about your extended access and how to reach you after hours - Using resources more wisely
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2014 Priorities•Target the Right Patients
▫ Combine data with clinical judgment
• Introduce palliative care opportunities when appropriate
•Diabetes Management
•Expanded Access▫Make sure patients know how to contact the practice’s
24/7 access
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MiPCT: Beyond 2014…
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Preparing for Sustainability
•Physician Organizations have made a significant investment in care management
•Working hard for payers to support the model financially
•We need your help!
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CMS – Looking for Solutions(desperately)•Areas of promise – what we’re doing!•Good directional signs
▫CMS Quarterly Payment Proposal (for 2015)▫Commercial Payer Sustainability Statement▫Potential for Demo Extension
•Question on the table - Can primary care redefine care delivery?▫This is our best (last?) chance to provide the
answer▫If successful, can lead to new funding models
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How can YOU help shape the future?
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It’s Time to Put on Your Cape!
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Thank You!