EHI IPA Officers 2018-2019   The Board elected the following officers at its meeting last night:

  • Dr. Lynda Dolan, President

  • Dr. Kevin Kurohara, Vice President

  • Dr. Brenda Camacho, Secretary

  • Dr. Buddy Festerling, Treasurer

Payment Transformation Global Payment Rates Unilateral Amendments – UPDATE   HMSA will be delivering a Payment Transformation Agreement Unilateral Amendment to your offices tomorrow. This amends current rate agreements which expire on 6/30/18. HMSA is delivering this to you to meet their 60-day notice requirement. EHI received hard copies of these amendments last Friday. We are having our attorney review the amendments and did not feel comfortable distributing to members until we understood the impact. HMSA is going to distribute them anyway. Since this is a unilateral amendment, it will go into effect regardless of whether you sign it or not. EHI is planning meetings with HMSA to negotiate new rates effective 10/1/18. We want enough time to understand the proposals and negotiate and ask for more funding. The IPA will be holding meetings to review and discuss. If you have questions about the amendments, please contact Nahea Brenneman at nahea_brenneman@hmsa.com or 808-494-2069.

Updated 2018 HMSA Payment Transformation Guide   Attached is the new guide for HMSA Payment Transformation providers. Some changes are as follows:

  • An explanation of the value-based PMPM methodology, including the risk modifier PMPM and quality modifier PMPM, and a detailed example of the calculations – pages 11 to 17.

  • Appendix C, which explains the standardized base PMPM methodology – pages 54 to 56.

  • A summary of major changes is shown on page 5.

COREO Individual Training for Payment Transformation Providers   COREO is live now but many offices are still trying to get their usernames and passwords. Please contact Tiffany Pa, Provider Engagement Lead, HMSA, if you need help with getting access. Her contact information is tiffany_pa@hmsa.com or 808-630-5020. She will be visiting offices next week. To sign up for a session, please complete the attached form. First come, first served.

IPA Super Huddle (Adult PCPs & Staff) – May 8, 2018, 12:00-1:15 PM, ‘Imiloa   Please RSVP by Friday, May 4.

Episodic Care Management Services for Payment Transformation Providers   The EHI Care Management Team is offering services for adult patients admitted to Hilo Medical Center and attributed to HMSA Payment Transformation PCPs. We ask that providers who are interested in this service sign the attached “compact” agreement outlining services and responsibilities. Please contact Susan Mochizuki at smochizuki@ehiipa.com if you are interested.

SBIRT   Stands for Screening, Brief Intervention & Referral to Treatment for alcohol & substance abuse. All offices are invited to participate. Offices who collect surveys from their patients will receive a $2500 honorarium. Providers and staff will receive an additional $50 per person to attend a 2-hour workshop (regardless of participation in the program). Workshop date is Friday, May 25. Please RSVP by Friday, May 18. We will be scheduling additional workshops in June if you cannot attend the May session. EHI received a State Department of Health grant to support this program. Please contact Jane for more information at jbontuyan@ehiipa.com. MANY THANKS TO OFFICES WHO ARE CURRENTLY HELPING US PILOT THIS PROJECT.

Announcements:

  • CMS Participation Criteria for Year 2 of the Quality Payment Program WEBINAR – Wednesday, May 9, 8:00 AM HST. Register here.

  • eCQM Annual Update for 2019 Report/Performance Overview WEBINAR – Thursday, May 10, 7:30 AM HST. Register here.

  • Nutrition 101 Classes – Refer your patients to a FREE one-time nutrition class presented by certified dieticians from National Kidney Foundation of Hawaii on May 15 and 25, 9:00-11:00 AM. If patients prefer 1:1 with the dietician, there are spots open on May 14-15 and May 24-25. Please contact Mary at mvitales@ehiipa.com, 808-829-4115. Flyer attached.

  • KTA Diabetes Self-Management Education Classes — Refer your patients to diabetes education classes presented by KTA Pharmacist Dayna Wong-Otis on Thursdays at 9:00-11:130 AM or 4:00-6:30 PM, May 17-31, 2018. Fax the COMPLETE and signed referral form to EHI IPA at 808-935-4472. Referral form attached.

  • 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. Few spots still available! Flyer attached.

  • 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. Flyer attached.

  • Advanced Healthcare Directive – IMPORTANT UPDATE: Patients need to fill out the most current form. The easiest way to tell if the AHCD is the most current form is to see if it asks for the individual’s Date of Birth on the first line; and a cell phone for the Health Care Power of Attorney. USE UPDATED FORM ATTACHED. Refer your patients to a FREE session to complete their advance healthcare directives at ADRC. Dates in the flyer attached.

  • Aloha Kidney Education Classes – Starting May 2018 – Refer your patients with chronic kidney disease! Hilo flyer attached. Waimea flyer attached. Few spots still available!

  • Mountain-Pacific Quality Health Newsletter (MIPS) – April 2018 Issue attached.

  • CMS MIPS/MACRA Quality Payment Program Small, Rural, Underserved Support Newsletter – April 2018 Issue attached.

  • Medical Assistant/Receptionist – Established internal medicine office seeking F/T, hardworking, friendly individual with computer skills.  Send resume to Medical Office, 670 Ponahawai St., Ste. 223, Hilo, HI 96720.

  • Hui Mālama Ola Nā ʻŌiwi (HMONO) Seeking Licensed MD for Open Position: More info here. Please inquire by Friday, May 18.

  • 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.” Please see attached for the latest schedule of events, topics & speakers. 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).