COREO Launch Postponed to May 1, 2018 – HMSA Payment Transformation ProvidersCOREO launch has been postponed to May 1. HMSA sent the attached letter to continue to use COZEVA until then.
Payment Transformation Global Payment Rates – July 1, 2018 HMSA met with EHI IPA last week to present proposed new global payment rates effective July 1, 2018. HMSA just sent each PCP a letter explaining the new methodology. They asked the IPA as a group to approve moving forward with the new rates. We have a choice to stay with the current rates or select the new rates. The new rates take into account quality performance, past FFS revenue, GET tax, and overall panel risk. There are separate rates for each line of business: Commercial, Medicare & Quest. They provided us with a de-identified list of providers and their current rates compared to the new rates + a blank worksheet for each provider to calculate total dollars under each method. EHI is preparing a letter to HMSA leadership asking for additional PMPM (above what they are offering), FFS payment for in-office procedures and additional funding for each new patient visit. The Board will be asked to approve going to HMSA with this proposal. The IPA also has the option to delay implementation of new rates to the Fall but we must ask for this as a group. We are currently doing an analysis of the rates and its impact on our group as a whole. We will share this analysis and additional information as it becomes available.
CMS MIPS 2017 Data Submission Deadline Extended to April 3 at 2:00 PM HST – see attached.
Membership Benefits & DuesStarting July 1, 2018, members will be asked to pay annual dues of $1200. These dues will be prorated to $600 for 2018. Members may make monthly payments of $100. Each member was mailed a copy of the attached for a detailed explanation. If you have any questions or need additional information, please contact any Board member or Susan Mochizuki at smochizuki@ehiipa.com, 808-797-3114.
SAVE THE DATE! Annual Meeting & Election – Wednesday, April 25, 2018 – 5:30-7:30 PMThe election will be held at ‘Imiloa to elect Board members and discuss the future of the IPA. Voting will occur at the meeting. Please request an absentee ballot if you cannot attend and would like to vote. Jeff Beal, VP Corporate Development, Optum (bio attached), will be our guest speaker. He will talk about how Optum can help the IPA can become a more closely integrated entity.
The following members are running for seats and prepared statements attached here.
Dr. Lynda Dolan
Dr. Sheareen Gedayloo
Debra Kettleson, APRN
Dr. Mary K. Nordling
Attached is a registration form. Last day to request an ABSENTEE BALLOT is Friday, April 6.
Discounted HIPAA Training AvailableEHI offers HIPAA training to all offices at a discounted rate. HIPAA training must be renewed either annually or every two years (depending on type of training). The training we offer is good for two years. Please complete and send the attached form if your office is interested; FAX 808-935-4472.
Healthcare Source HR Screening Tool Available for MembersEHI offers member offices use of a complimentary employee screening tool. The tool helps assess whether staff you are thinking of hiring are the right fit for your office! The tool rates candidates numerically by job performance, retention and service excellence. It also customizes key questions for face-to-face interviews. This program has been used successfully by hundreds of healthcare organizations. Candidates are sent a link to the assessment with results forwarded to a designated office email address. Please email Joyce at jvitales@ehiipa.com if you are interested in learning more about this tool.
22nd Annual East Hawaii IPA Healthcare Symposium – August 17-19, 2018 – Fairmont Orchid Hotel This year’s theme is “Advancing Wellness for Patients, Providers and Organizations.” EHI IPA members receive a discounted rate of $75 which includes AAFP CMEs, all sessions, trade show attendance, pau hana event and two breakfasts. Please register early (flyer attached).
Pharmacist Support Jessica Ku, PharmD, is working full-time to provide med reconciliation and consultation to providers who are participating in HMSA’s Payment Transformation contract. Please reach out to Susan Mochizuki if you have any questions @ smochizuki@ehiipa.com, 808-797-3114.
UnitedHealthcare Accountable Care Program EHI will be working with offices to ensure that UHC patients who are discharged from the hospital or are seen in the ER receive follow-up within 7 days. In addition, the IPA will work with offices to confirm that high risk, high cost UnitedHealthcare (UHC) patients are seen every 90 days. UHC will give the IPA with some funding to pay for staff help. These efforts can go toward supporting MIPS/MACRA and CPC+ measures. Please contact Kahea Wakinekona if you would like more information at kahealani@kidneyhi.org.
SBIRT Stands for Screening, Brief Intervention & Referral to Treatment for alcohol & substance abuse. EHI received a two-year grant from the State Department of Health to help offices do SBIRT screenings by having patients complete a brief survey. All offices are invited to participate and will receive honoraria to join. Please contact Jane for more information at jbontuyan@ehiipa.com.
Announcements:
Diet of Hope – LaRae Barnes, APRN, will be presenting a portion control nutrition program on Wednesday, April 11, 2018, from 6:00-7:00 PM at the EHI IPA office. THIS EVENT IS FOR PROVIDERS & STAFF AS WELL AS PATIENTS. Call 969-7378 for more details. Flyer attached. Please RSVP by April 6.
CMS MIPS/MACRA Quality Payment Program Webinar: “Medication Safety LAN Event: A Patient-Centered Approach to Safely Managing Diabetes” – Wednesday, April 11, 9:00 AM HST. Register here.Call in: 1-855-339-4595 Password: MedSafety
MIPS Reporting Deadline for 2017 Fast Approaching – Attached are 10 things to do and know if you plan to submit data for the 2017 MIPS performance period. MIPS data submission: Now through April 3, 2018 – Submit your data on the CMS Enterprise Portal here.
7th Annual Big Island Aids Walk – Saturday, April 14th at 8:00 AM.Flyer attached.
Ecosystem Healthcare Referral: KTA Diabetes Self-Management Education Classes — Refer your patients to diabetes education classes presented by KTA Pharmacist Dayna Wong-Otis on Thursday at 4:00-6:30 PM, April 5-26, 2018. One-on-one sessions start on March 27th and 29th. Fax the COMPLETE and signed referral form to EHI IPA at 808-935-4472. Referral form attached.
Ecosystem Healthcare Referral: NKFH Chronic Disease Self-Management Program – Refer your patients with chronic diseases to this resource. Call Mary at 808-895-2730 or fax to 808-935-4472 a list of patients to refer to the program. Mary will request a demographic sheet. This six-week class will be on Fridays at 9:00-11:30 AM starting on April 27, 2018. Flyer attached.
Ecosystem Healthcare Referral: NKFH Diabetes Self-Management Program – Refer your patients with diabetes to this resource. Call Mary at 808-895-2730 or fax to 808-935-4472 a list of patients to refer to the program. Mary will request a demographic sheet. This six-week class will be on Tuesdays at 9:30 AM-12:30 PM starting on May 22, 2018.
Ecosystem Healthcare Referral: Advance Healthcare Directive – Refer your patients to a FREE session to complete their advance healthcare directives at ADRC. Dates in the flyer attached.
Ecosystem Healthcare Referral: Aloha Kidney Education Classes – Starting May 2018 – Refer your patients with chronic kidney disease! Hilo flyer attached.Waimea flyer attached.
CMS MIPS/MACRA Quality Payment Program Small, Rural, Underserved Support Newsletter – March 2018 Issue attached.
CMS MIPS/MACRA: “Study on Burdens Associated with Reporting Quality Measures” – CMS would like your help in understanding the burden of MIPS reporting. Join the study and receive a full year credit for 2018 in the improvement activity category. Apply here.
Hui Mālama Ola Nā ʻŌiwi (HMONO) Positions Available: health professional (here) and consultant (here).
East Hawaii IPA Recruiting Chief Medical Officer – The IPA is recruiting and hiring a Chief Medical Officer to help the IPA move toward clinical integration & consolidation and create infrastructure to improve quality of care, recruit & hire new physicians and help retiring physicians transition well. Attached is a position description. Please contact Susan Mochizuki at 797-3114 or smochizuki@ehiipa.com.
Hawaii Tribune Herald Article: “A Better Way of Getting Primary Care” – see attached.
