National Stage for IHS Innovation
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Transcript of National Stage for IHS Innovation
National Stage forIHS Innovation
Aligning IHS Strategic Initiatives withFederal Payment Reform Opportunities
Payment Reform Mechanisms
Federal Overview
Sabra Rosener, Vice President, Government RelationsIowa Health System
HEALTH REFORM - PASSAGE
Patient Protection and Accountable Care Act Passed in 2010 with a
Democratic majority
Contains many topics, including payment reform and insurance mandates
Many provisions had delayed effective dates
Not all provisions were funded
HEALTH REFORM - NOTABLE PROVISIONS
HEALTH REFORM
CMMI
CMMI
IHS LONG-TERM STRATEGIC PLAN
IHS ROADMAP TO INTEGRATIONPhysician Alignment•Clinical integration•Employed physician integration•Physician Leadership Academy
Create Value•Advanced Medical Team•HealthNet connect•Standardization
Demonstrate Value•IHS Employee Health Plan•Measure outcomes•Development of Attribution Model
Value-Based Contracting•ACO Readiness•Bend the cost curve•Tiered contracting
IHS INITIATIVES MIRROR NATIONAL IDEAL
IHS STRATEGIC INITIATIVES
Partial CapitationFORT DODGE PAYMENT REFORM PROJECT
Sue Thompson, President / CEOTrinity Health Systems
FORT DODGE - PARTIAL CAPITATION
FORT DODGE – ACO SERVICE AREA
FORT DODGE - PARTNERS
FORT DODGE – STRATEGIC PARTNERS
FORT DODGE – PAYER ENGAGEMENT
FORT DODGE – CLINICAL INNOVATION
FORT DODGE – QUALITY INITIATIVES
FORT DODGE – QUALITY INITIATIVES
DES MOINES - BUNDLED PAYMENTS
DES MOINES – RATIONALE FOR FOCUS
DES MOINES – PROJECT SERVICE AREA
DES MOINES - PARTNERS
DES MOINES – PAYER ENGAGEMENT
DES MOINES – PROJECT INNOVATION
DES MOINES – QUALITY INITIATIVES