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Leading the Transformation of Healthcare

Annual Dinner Held On May 8th

This year’s Signature Partners Annual Dinner was held on May 8th at the Fairview Park Marriott and was attended by 200 guests.  Dr. Amy Nguyen Howell, CMO for America’s Physician Groups, gave a riveting presentation on alternative payment models and the shift toward value-based incentives with a specific focus on the value of Medicare Advantage plans. The evening included presentations by Dr. J. Stephen Jones, CEO of Inova, in one of his first public appearances, and Dr. Sunil Budhrani, CMO, CMIO for Innovation Health. Continue reading “Annual Dinner Held On May 8th”

Signature Partners Annual Dinner

Please mark your calendar for Signature Partners Annual Dinner on May 8th from 6 p.m. to 9 p.m. at Fairview Park Marriott. We are excited to have Dr. Amy Nguyen Howell, Chief Medical Officer, America’s Physicians Group (formerly CAPG) as the Guest Speaker for the event. Dr. Amy Nguyen Howell is a board-certified family practice physician. She currently oversees all clinical programs at America’s Physician Groups and supports advocacy work in Sacramento, CA and Washington, DC.

Dr. Nguyen serves on several national committees that provide structure for an innovative coordinated delivery model focused on payment reform and integrated, high-quality, patient-centric care. Some of these include Measures Application Partnership (MAP) Clinician Workgroup, that provides input to the Coordinating Committee at the National Quality Forum (NQF) on matters related to the selection and coordination of measures for clinicians; Technical Expert Panel on MACRA Measurement Development; Steering Committee on the Core Quality Measurement Collaborative; Healthcare Payment and Learning Action Network (LAN) Population-Based Payment Work Group; Clinical Programs and Patient-Centered Specialty Practice Advisory Committees at NCQA.

Dr. Nguyen is a faculty member at USC Sol Price School of Public Policy and continues to serve as a family physician at Playa Vista Medical Center. An invite and agenda will be coming out very soon!

Payor Plans Update

Innovation Health Medicare Advantage Plan: By now you may have begun seeing members of the Innovation Health Medicare Advantage Plan which became effective on January 1, 2018.  Below are a few details about the plan including sample ID cards.

Important things to know

Examples of Innovation Health Medicare Advantage Member ID Cards

Providers can call Innovation Health Medicare Advantage plan at 1-855-249-1282 Monday-Friday from 8 a.m. to 8 p.m. for any questions about the plan. Also, an Innovation Health Medicare Advantage member advocate is available Monday-Friday from 10 a.m. to 2 p.m. (703-635-7143) to assist patients with questions.

 

Innovation Health Medicare Advantage Member Onboarding:

A list of Innovation Health (IH) Medicare Advantage (MA) patients is being distributed to their primary care providers and can be used for outreaching and onboarding of patients. Innovation Health and Aetna MA program cover Routine physical exam (CPT codes 9938X and 9939X) in addition to Annual Wellness Visits (G0438 for Initial Annual Wellness Visit & G0439 for Subsequent Annual Wellness Visit) during each calendar year. This provides the providers an opportunity to engage their IH and Aetna MA patients at least two times a year in the clinic to help facilitate education regarding quality improvement and utilization reduction. Additionally, since IH MA plan is new this year, an Annual Wellness Visit (AWV) is covered any time regardless of the date of the last AWV in 2017 (all other payors including CMS cover AWV every 334 days or every 11 calendar months).

 

Outpatient Clinic Flyer Download

Reducing Inappropriate ED Visits

In an effort to improve access and reduce unnecessary ED utilization, Signature Partners would like you to utilize a new telemedicine initiative for your patients who may need to access care after hours. Earlier this year, Inova partnered with American Well to launch a 24 hour, 7 days a week telemedicine service, white labeled as “Inova OnDemand.” Patients with acute, minor conditions are able to access a board-certified physician for a real-time video visit. These physicians are contracted and credentialed through American Well, one of the largest and most successful national telemedicine provider groups. The charge to the patient is $49. When setting up the appointment, patients are asked who their primary care provider (PCP) is, and are directed to follow-up with their PCP after completing the video visit. We encourage you to market Inova OnDemand to your patients as a means to access care for minor symptoms after hours as opposed to going to the ED or urgent care which costs much more. Decreasing ED utilization is one of the key areas where we can reduce total cost of care.

 

Payor Plans Update

Innovation Health Medicare Advantage Plan: Innovation Health will be offering a Medicare Advantage HMO and PPO plan effective January 1, 2018. The HMO plan will be a $0 premium plan. Both plans will be utilizing the Signature Partners network of providers. Innovation Health is organizing several meetings in the area to disseminate information to interested members and providers.

Meetings locations:

  1. Fairfax, Hilton Garden Inn, 3950 Fair Ridge Dr. on November 7th at 2pm; November 14th at 10am
  2. Vienna, Courtyard by Marriott Dunn, 2722 Gallows Road, on November 8th at 2pm; November 13th at 10am
  3. Arlington, Arlington Mill Senior Center, 909 S Dinwiddie Street – Rm 418 on November 15th at 11:30am and 2:30 pm
  4. Alexandria, Hampton Inn, 5821 Richmond Hwy, on November 2nd at 10am; November 8that 2pm; November 16th at 10am

For more information, call 1-855-609-1902 or visit www.IHMedicare.com

John Hopkins US Family Health Plan: Signature Partners is the only network in Northern Virginia for the Johns Hopkins US Family Health Plan, a TRICARE Prime plan for family members of active duty personnel.  This plan became effective in Northern Virginia on May 1, 2017 and is steadily growing, with the current enrollment at 1,400 members. Learn more by visiting www.hopkinsmedicine.org/usfhp or by calling 1-800-801-9322.

John Hopkins US Family Health Plan Update

Signature Partners is the only preferred network in Northern Virginia for the Johns Hopkins US Family Health Plan, a TRICARE Prime plan for family members of active duty personnel. This plan became effective in Northern Virginia on May 1, 2017 and already has 493 members enrolled.  Two member briefings have already been held to discuss the details of the plan with eligible military families.  Two future briefings are scheduled as follows:

Wednesday, July 26th – Inova Fair Oaks Hospital – 7 pm/refreshments start at 6:30 pm

Tuesday, August 29th – Inova Alexandria Hospital – 7 pm/refreshments start at 6:30 pm

These briefings provide great opportunity for Signature Partners PCPs, participating with this plan, to recruit new patients to their practice.

Learn more about the plan by visiting www.hopkinsmedicine.org/usfhp or by calling 1-800-801-9322.

Signature Partners Providers to see increase in Innovation Health members attribution

Starting July 17th, Signature Partners Primary Care Provider (PCP) may see an increase in new Innovation Health patients establishing care with their offices. Innovation Health has engaged with EMMI Solutions to call their members who have not selected a PCP, to discuss the importance of choosing a Signature Partners PCP. During this call, the members will be provided with three options of Signature Partners PCP closest to their address; EMMI Solutions will then connect the member directly to the PCP of their choice to schedule an initial visit.  In addition, brochures explaining this initiative will be mailed to Innovation Health members to encourage them to select a Signature PCP.

Signature Partners new membership in CAPG

Signature Partners and all its providers are now members of CAPG. CAPG offers educational opportunities, healthcare issue updates in addition to many other benefits as listed below. For more information about CAPG log onto www.capg.org/risk essentials to access the benefits they offer. .

CAPG is the leading association in the country representing physician organizations practicing capitated, coordinated care. Our membership currently comprises more than 250 multispecialty medical groups and independent practice associations (IPAs) across 40 states, the District of Columbia, and Puerto Rico.

CAPG members provide comprehensive healthcare through coordinated and accountable physician group practices. We strongly believe that patient-centered, coordinated, and accountable care offers the highest quality, most efficient delivery mechanism, and greatest value for patients. CAPG members have successfully operated under this budget-responsible model for more than two decades.

 


 

How CAPG Supports its Members

Advocacy
CAPG’s government affairs teams in Washington, DC, and Sacramento keep abreast of federal and state policy and legislation issues and ensure that physician organizations have a voice.

News and Information
We keep members informed on today’s healthcare issues via email updates, committee and regional meetings, CAPG Health magazine, special reports, and surveys.

Programs
We offer a variety of educational and enhancement programs designed to help physician organizations succeed in all aspects of capitated, coordinated care.

  • Committees and Regional Meetings: Topics range from healthcare financing, management, contracting and pharmacy to the organized delivery model, clinical integration, credentialing, and peer review.
  • CAPG Educational Series 2016:
  • National Standards of Excellence™:
  • Practice Transformation:
  • CAPG Consulting:

Conferences

  • The CAPG Annual Conference features industry leaders speaking on the latest issues concerning physician groups providing coordinated, capitated care.
  • The CAPG Colloquium, held in Washington, DC, convenes industry-wide stakeholders to focus more specifically on federal policy and alternative payment models in Traditional Medicare, Medicare Advantage, and other programs.

Access to industry leaders. Our membership and alliances allow our physician organizations the ability to discuss practice management issues with thought leaders from all sectors.

Networking. The ability to share and discuss information and relevant topics with influential professionals and peers provides invaluable support for physician organizations striving to improve healthcare delivery.

Signature Partners