PROVIDERS INDEPENDENT Securing the Future of...Securing the Future of INDEPENDENT PROVIDERS 2 An...

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Securing the Future of INDEPENDENT PROVIDERS

Transcript of PROVIDERS INDEPENDENT Securing the Future of...Securing the Future of INDEPENDENT PROVIDERS 2 An...

Page 1: PROVIDERS INDEPENDENT Securing the Future of...Securing the Future of INDEPENDENT PROVIDERS 2 An independent provider typically controls their own fate, as much as fate can be controlled.

Securing the Future of

INDEPENDENTPROVIDERS

Page 2: PROVIDERS INDEPENDENT Securing the Future of...Securing the Future of INDEPENDENT PROVIDERS 2 An independent provider typically controls their own fate, as much as fate can be controlled.

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An independent provider typically controls their own fate, as much as fate can be controlled. ”FRED TAWEEL, MD

Internal Medicine Associates of Reston

Page 3: PROVIDERS INDEPENDENT Securing the Future of...Securing the Future of INDEPENDENT PROVIDERS 2 An independent provider typically controls their own fate, as much as fate can be controlled.

WHO WE ARE

Privia is a national physician organization meeting providers where they are to

transform the healthcare delivery experience

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TODAY’S HEALTHCARE PROBLEM

Provider ConsolidationEscalating

Healthcare Costs

Fee-for-Service Ineffective Technology

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SOLUTION

Protect PhysicianAutonomy

Accelerate Shift toValue-Based-Care

Align IncentivesTechnology Platform & Operational Efficiency

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Market Presence

Maryland

Virginia

District of Columbia

Georgia

Florida (Central)

North Texas (Dallas-Fort Worth)

South Texas (Houston, Austin)

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Primary Care OrientedMedical Group

(small to large practices)

Specialists HealthSystems

Direct to Employers

Virtual Health

Core Model

CU

STO

MER

SS

ERV

ICES

Extends into other verticals...

Physician Practice Management — Revenue Cycle, Performance Management, Support Services

Population Health & Risk Management — Medical Economics, Contracting, Medical Management, Network, Coding

Technology & Analytics — EMR, Reporting, Clinical Analytics, Health Event Engine, Data

Single Tax-ID Entity in Each MarketAligned incentives between Privia MSO and Privia Medical Group

Market specific ACO Entity, IPA and Ancillaries Economic Model based on % of Collections and Performance-based Earnings

BUSINESS MODEL

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REPLICABLE MODEL TO ENTER AND MOVE MARKETSTOWARD TRANSFORMATIONAL VALUE

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Market Entry

OrganizeProviders Perform

Increase to More Value & Risk

Identify partner in a new market that has a strong reputation, physician leadership, and positioned to move the market to value

Understand the market to identify, screen, and bring together physician partners; develop networks to bring together the right PCPs and specialists

Deliver on the basics of practice management, enhance the patient experience, and the fundamentals of value-based care

Use the early results to transition payer contracts to greater value or risk, and take on greater responsibility, such as care management

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● Single TIN Medical Group

● Governance Model

● Physician Leadership

● Supplemental Expertise & Resources

● Data Transparency

● Practice Reporting

● Applied Analytics

● Interfaces to the Ecosystem

● Proprietary Privia Technology (single technology platform)

● Delivery at the Point-of-Care

● Patient Engagement

● Communications Platform

TRANSFORMATIONAL PLATFORMAligns with the needs of providers, payers, and patients

TALENT TOOLS TECHNOLOGY

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Aligned vision and incentives fuel the platform

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TRANSFORMATIONAL JOURNEYMethodical process to move providers and the market to value

PracticeFundamentals

Stabilize the practice to create a successful base

EnhancedExperience

Upgrade the patient experience

Fundamentalsof Value

Execute on the fundamentals of value-based care

Comprehensive Care

Take greater responsibility for the totality of patient care

EHR & Patient PortalRevenue Cycle

Payer ContractingPerformance Mgmt

Reporting

AdvancedClinical Model

Redesign practice to succeed in mature value models

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Practice WebsitesOnline Scheduling

Virtual VisitsPatient Outreach

Satisfaction Surveys

Membership GrowthRisk Adjustment

Quality MeasuresPOD EngagementValue Reporting

Total Cost of CareReferral Management

Care ManagementPalliative Care

Behavioral Health

Advanced PractitionersNetwork Delegation

Inpatient MgmtRisk PositioningVirtual Assistant

PRIVIA CAPABILITIES | PROVIDER EXPECTATIONS | KEY METRICS

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2,400+Privia Health

Providers

2.6MPatients

615K Attributed Patients

98%Privia ProviderRenewal Rate

4XHFMA MAP Award Winner

For High Performance in Revenue Cycle

2015, 2016, 2017, 2018

GrowthOne of the Fastest Growing

Independent Medical Groups in the U.S.

$117MTotal Savings

Generated in 2017

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WHAT WE DO

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Privia Health delivers tailored solutions to secure a provider’s future,

regardless of their starting point on the transition to value

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★ Able to succeed in FFS, while transitioning to value

★ Organize and engage providers

★ Create a culture of quality care across group

★ Able to scale in diverse markets

★ Nimble enough to change12

TRANSITION TO VALUE

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FEE FOR SERVICE

● Not positioned for value

● Entrenched interests

● Inflexible technology

● Bureaucracy

● Short-term mindset

VALUE BASED

● Niche players

● Medicare focused

● Difficult models to scale

● Betting on shift to value

Large Health SystemsEstablished Physician GroupsIPAsConcierge and Onsite ModelsUrgent CareS

elec

t Ex

ampl

es

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VALUE PROPOSITION

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TO PROVIDERS

● Take better care of patients

● Preserve autonomy

● Reduce administrative burden

● Join a sophisticated group

● Prepare for the future

● Grow the practice, increase income

TO PATIENTS

● Top doctor network

● Accessible care

● Sophisticated technology

● Supplemental care team & resources

TO PAYERS

● Top-ranked quality metrics

● Lower utilization & cost of care

● Enhanced patient experience

● Transition providers to value

● Tighter payer and provider integration

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WHY PROVIDERS PARTNER WITH US

We know doctorsTogether we improve outcomes

Together we move markets

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PROVIDER ENGAGEMENTWe believe an engaged provider is the starting place for value-based care

GOVERNANCE

Build governance structures selecting physician leaders that will make the hard decisions necessary to be successful in value-based care

INCENTIVES

Align incentives with provider and payer to encourage right activities and reward performance

LOCAL PODs

Organize providers into local peer groups to create accountability, and drive follow-through with the Privia team

EMBEDDED WORKFLOWS

Move data and decision support to be integrated within the provider’s EHR workflow

SHARED VISION

Bring together like-minded providers who share common vision and mission for better patient care

PRIVIA RESOURCES

Additional services, talent, and technology to take work off the shoulders of providers

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NATIONALLY RECOGNIZED PRACTICE MANAGEMENT

Exceptional people

Technology-enabled services

Metric-oriented

Workflow architects

DIFFERENTIATORS

PAYERALIGNMENT

4XMAP Award Winner

For High Performance in Revenue Cycle2015, 2016, 2017, 2018

#1Rated athena Practice

Among 80K Physicians

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UNIQUE POPULATION HEALTH PLATFORM

Local, Physician Driven Approach

Anchored in Physician-Patient Relationship

Highly Integrated into Workflows

Data Transparency

Scalable, Not Manual

DIFFERENTIATORS

Extend patient careoutside the office

Enable providers to succeed in value-based care

Develop network to manage patient care outside of the group

Align incentives with payers to be rewarded for higher value care

CARE MANAGEMENT

NETWORKDEVELOPMENT

CARE CENTERTRANSFORMATION

PAYERALIGNMENT

$

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2017 SUCCESS ACROSS MULTIPLE MARKETS AND MULTIPLE VALUE-BASED MODELS

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MEDICARE ADVANTAGE

● $22M Annual Surplus

● Quality Stars of 4.82

● 41% membership increase over 3 years

MEDICARE

● $48M Savings generated

● 2nd best quality score

● Lowest Inpatient Visits / 1000

● Lowest ER Visits / 1000

COMMERCIAL

● $47M Savings Generated

● Generated savings in 4 out of 5 programs

● 3.3% savings on total medical cost

One of the largest and top-performing ACOs in each of our markets.18

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PROPRIETARY TECHNOLOGY PLATFORM

Privia’s single instance cloud-based technology platform integrates across the clinical and

patient experience to improve outcomes

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TYPICAL SMALL PRACTICE TECHNOLOGY NEEDS

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PRIVIA PROPRIETARY TECHNOLOGY PLATFORM

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OUR PLATFORM ELIMINATES THE COMPLEXITY OF BUYING 30+ TOOLS

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Securing the Future of

INDEPENDENTPROVIDERS