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National Stage for IHS Innovation

National Stage for IHS Innovation. Aligning IHS Strategic Initiatives with Federal Payment Reform Opportunities . Payment Reform Mechanisms Federal Overview Sabra Rosener, Vice President, Government Relations Iowa Health System. HEALTH REFORM - PASSAGE.

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National Stage for IHS Innovation

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  1. National Stage forIHS Innovation Aligning IHS Strategic Initiatives with Federal Payment Reform Opportunities

  2. Payment Reform Mechanisms Federal Overview Sabra Rosener, Vice President, Government Relations Iowa Health System

  3. 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

  4. HEALTH REFORM - NOTABLE PROVISIONS

  5. HEALTH REFORM

  6. CMMi

  7. CMMI

  8. CMMI

  9. IHS LONG-TERM STRATEGIC PLAN

  10. 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

  11. IHS INITIATIVES MIRROR NATIONAL IDEAL

  12. IHS STRATEGIC INITIATIVES

  13. Partial Capitation FORT DODGE PAYMENT REFORM PROJECT Sue Thompson, President / CEO Trinity Health Systems

  14. FORT DODGE - PARTIAL CAPITATION

  15. FORT DODGE – ACO SERVICE AREA

  16. FORT DODGE - PARTNERS

  17. FORT DODGE – STRATEGIC PARTNERS

  18. FORT DODGE – PAYER ENGAGEMENT

  19. FORT DODGE – CLINICAL INNOVATION

  20. FORT DODGE – QUALITY INITIATIVES

  21. FORT DODGE – QUALITY INITIATIVES

  22. DES MOINES - BUNDLED PAYMENTS

  23. DES MOINES – RATIONALE FOR FOCUS

  24. DES MOINES – PROJECT SERVICE AREA

  25. DES MOINES - PARTNERS

  26. DES MOINES – PAYER ENGAGEMENT

  27. DES MOINES – PROJECT INNOVATION

  28. DES MOINES – QUALITY INITIATIVES

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