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Leading the Transformation of Healthcare

Letter from CEO/CMO

Dear Colleagues,

As you read through this final 2017 edition of the SPN Newsletter, I’d like to call your attention to two key areas where Signature Partners has been working diligently to help support your efforts to manage patients – the high risk care management program led by Tonya Kirchmyer, and the tremendous efforts to produce and distribute accurate quality measure reports led by Susan Peldo-Metzler, Susie Smith and Dr. Neeta Goel. We recognize that both of these initiatives are critical to our success, yet have faced numerous challenges to fully implement. As with most worthy causes, however, persistence is the key, and both of these programs are now nearly fully developed. While Tonya continues to recruit nurse care managers, she has developed work flows and assigned care managers to each of our practices. The care management team has reviewed hundreds of high risk patients and has impacted the care of several of those in a positive way. I trust you will begin receiving more communication from the team as they strive to support you. In regards to quality reports, after struggling through three changes in ownership of our data warehouse vendor (now Koan Health), our Quality and IT Analytics team are finally ready to begin distributing quality measure gap reports on a routine, quarterly basis. I can’t emphasize enough how much time and effort has been dedicated by the Signature Partners team to get you accurate and meaningful reports. Several of you have provided feedback along the way which has been tremendously helpful as well.

Lastly, I’d like to reassure you that all of this effort is not without reward. As you are aware, we received and distributed a sizeable gain-share payment to our providers from Innovation Health earlier this year, and hope to have a similar or better payout in 2018. In addition, we have several other value-based contracts either in place or being negotiated, including our contract with Johns Hopkins Health Care for USFHP (TriCare Prime) which is exceeding growth targets, a new Innovation Health Medicare Advantage program which will launch in January 2018, and ACO contracts with three other commercial insurance carriers. All combined, these programs will offer significant value-based incentives for our providers as we all work together to improve the cost and quality of health care for these patients. As we finalize these new payor agreements, your quality consultants will be reaching out to you to educate you on the programs.

Thank you for your commitment to Signature Partners, and I look forward to a very successful 2018.

Sincerely,

Matthew Poffenroth, MD, MBA

CEO/CMO, Signature Partners

Letter from CEO/CMO

Dear Colleagues,

It gives me great pleasure to announce that Signature Partners earned a shared savings payment of $931,291 for 2016. This payment is based on a total cost of care for our attributed patient population that increased at a trend of 2.1% for 2016, compared to the “market trend” (non-Signature Partners) of 8.9%. In a nutshell, this means that PCPs in Signature Partners controlled cost significantly better than non-Signature Partners. Thanks to all of you for your hard work!

Based on our board-approved shared savings allocation model for 2016, gain share payments are being made to practices with 20 or more attributed Innovation Health members, and are based entirely on attribution, with no variance based on quality. In 2017 and beyond, quality performance will be factored in as well.

For 2017, we will have 3 “must pass” quality measures to access any shared savings, which you should be aware of. These include: 1) Hemoglobin A1c testing completed in 89% or more of our diabetic patients, 2) 300 or more “high risk” patients enrolled in care plans, and 3) completing a coding audit of 3 charts per provider. If we don’t pass all three of these, then we will not earn any shared savings bonus. In addition, because of the criteria for clinical integration and the need to collect quality metrics, gain share payments will be limited to those practices which are either on an EMR, or will be on an EMR by the end of 2017.

What can you do to maximize your bonus in 2017?

  1. Make sure you review your quality, utilization and “gap reports” with your assigned quality improvement coordinator on a quarterly basis.
  2. Outreach your diabetic patients and make sure they have an A1c test complete during the year.
  3. Refer any high risk patients for care management to your assigned Signature Partners care manager.
  4. Allow our coding team to access your records to complete the coding audit.
  5. If not on an EMR, or unhappy with you current EMR, contact Signature Partners to discuss implementing AthenaOne.
  6. Most importantly – maximize our gain share amount by keeping total cost of care down:
    1. Educate your patients to avoid the ER except for true emergencies
    2. Provide same-day access for patients with urgent matters
    3. For any patient that is hospitalized, follow-up with them in your office within 2 – 5 days of discharge
    4. Prescribe lower cost generic medications when possible
    5. Avoid unnecessary testing, imaging and specialty referrals

It is important to realize that although we kept cost down in 2016, we have significant opportunities to keep them down even further in 2017 and 2018. We must all do our part to practice high quality, cost efficient medicine, which will be rewarded by additional value-based payments. This payment for 2016 should be considered only a small taste of what is possible.

Thank you again for your participation in Signature Partners, and congratulations for earning this payment for 2016. The entire team looks forward to working even harder with you to achieve the triple aim for our patients.

Sincerely,

Matthew Poffenroth, MD, MBA

CEO/CMO, Signature Partners

Signature Partners