By: Marshall Bolyard, Executive Director, US Family Health Plan, CHRISTUS Health
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Transcript of By: Marshall Bolyard, Executive Director, US Family Health Plan, CHRISTUS Health
US Family Health Plan: Providing High Quality, Cost Effective
Healthcare to Military Beneficiaries
By: Marshall Bolyard, Executive Director, US Family
Health Plan, CHRISTUS Health
US Family Health PlanBackground & Historical
Perspective
Origins1981:• PL 97-34 transferred ten US Public Health
Service (PHS) hospitals and clinics to private, not-for-profit healthcare entities
• PL 97-99 designated these former PHS facilities as Uniformed Services Treatment Facilities (USTFs)
Origins1989:• Congress requests the development of a
managed care delivery system1993:• US Family Health Plan is born1997:• USTFs become designated providers and
made a permanent part of the MHS
Alliance of Designated Providers
Model, Measures & Reasons for Success
Model• Managed care / coordinated care• Capitation• Fully at risk• Commercial & Medicare population• Access to government prices for
pharmacy
MeasureThe best measure of our success is the
consistently high levels of patient satisfaction
Member Satisfaction87%85.5% 87.7% 86% 88.6% 86.1%
62%57% 56.7% 59.3% 61.8% 61.3%
0102030405060708090
100
2000 2001 2002 2003 2004 2005
USFHPHMOs
Comparison to national averages for member satisfaction with HMOs(all percentages = proportion highly satisfied, rating plan 8 through 10 on a scale from 0 to 10, where 10 is the best possible plan)
Reasons for Success
Prime contributors to high rate of acceptance:• Population based care• Provider based care• Full risk for care• Care Management & Disease Management• Primary Care Manager• Customer Focus
Why this Model is a Good Model for the American Healthcare
System
Summary
• Intimacy between patient and provider• Focus on population health, not
fragmented care• Patient centric• Members for life