Start Date: 7/14/2020 1:00 PM CDT
End Date: 7/14/2020 2:30 PM CDT
Venue Name: TPCA Conference Center Location:
710 Spence Lane
Nashville, TN United States 37217
Tennessee Primary Care Association
This session is a part of TPCA's 2020 Innovative Care Summit. To learn more about this three-track learning summit, click here.
Registration is FREE for TPCA Members and $15 for Non-Members
This training is designed to advance the clinical provider’s understanding of value-based care. Provider leaders are encouraged to bring their c-suite peers to provide opportunity for discussion of team based strategies to strengthen patient care through innovation.
Tennessee Community Health Centers (CHCs) have rapidly and innovatively transformed the way that they offer access to primary care under the COVID-19 pandemic, supported by loosening of telehealth payment rules. What would primary care look like if payment rules were further loosened, allowing CHCs to use the most appropriate member of the care team in the most member-centric fashion that facilitated optimal health outcomes while sustaining historical Medical revenue streams? Sound too good to be true? That opportunity exists for Tennessee CHCs and will be explored and discussed in this session.
Presenter: Art Jones, MD, Health Management Associates
Art Jones has more than 25 years of experience as a primary care physician and chief executive officer (CEO) at a Chicago area community health center. The health center was an early adopter of managed care, successfully operating under a partial capitation payment system for all ambulatory and emergency room services and shared savings for inpatient services since the early 1990s. Starting with the Medicaid population, similar contractual arrangements were later extended to the Medicare and commercial populations. He was the architect for the first capitated FQHC APM nationally in 2001. The health center earned recognition as a high performer under these advanced APMs, ranking in the 99th percentile nationally among FQHCs for managed care margin. Part of the success was due to developing an intensive medical management program for individuals confined to their home or a long-term care institution.
Dr. Jones was one of the founders and continues to serve as the chief medical officer for Medical Home Network (MHN), an ACO comprised of 10 FQHCs and three health systems serving 125,000 Chicago-area Medicaid recipients. MHN is completely delegated for care management, successfully operated under a shared savings arrangement on total cost of care for three years, and transitioned to shared risk two years ago. He is helping MHN work with the local public health system to launch a Medicare Advantage plan that went live on January 1, 2020, and includes ISNP, IE SNP, and a CSNP for HIV-impacted individuals.
Dr. Jones is a principal at Health Management Associates, where he focuses on advancing clinically and financially integrated provider organizations. He is a sought-after national expert in creating FQHC APMs, having assisted model development in Washington State, Washington DC, New York, Delaware, Connecticut, Michigan, and Georgia. He was part of the HMA team that worked with the State of Idaho Medicaid Agency to develop their shared savings program. He has consulted with several other primary care associations, other FQHC integrated delivery systems, and individual FQHCs nationally to negotiate APMs and to improve performance on those value-based payment arrangements.
Dr. Jones is a graduate of the University of Illinois Medical School and completed his internal medicine residency, chief residency, and a cardiology fellowship at the University of Chicago.
To register as a TPCA Member you will need an account. To create an account, click here. For further assistance, contact Sarah Hill (firstname.lastname@example.org).
This program is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under award U58CS06816 State and Regional Primary Care Associations. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsement be inferred by HRSA, HHS, or the U.S. Government.