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 INTEGRATION

Physician 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