Houston s Accountable Care Plan

Size: px
Start display at page:

Download "Houston s Accountable Care Plan"

Transcription

1 Houston s Accountable Care Plan

2 KelseyCare. The only Houston-area health plan whose core network is based on the nation s first NCQAaccredited Accountable Care Organization (ACO). KelseyCare consistently delivers higher quality at a lower total medical cost.* kelseycare.com * Source: AON Hewitt, 2004, 2005, 2007, 2008, 2009, 2010 and For the most current information go to kelseycare.com 1

3 What Our Clients Say About KelseyCare What sets KelseyCare apart is the fact that it is an efficient and unique delivery model. St. Luke s plans are running better and are less expensive, when compared to other peer (hospital) industry groups. St. Luke s cost performance is less than the 50th percentile when compared to these groups. We ve been able to achieve that because of the KelseyCare plan. Drew Brown Administrative Director, Human Resources St. Luke s Episcopal Health System MCFA has offered KelseyCare health insurance as an option since The convenience of this plan is a big deal for our employees. And we know they re getting quality healthcare from quality doctors. With the KelseyCare health plan, we ve experienced high employee satisfaction and lower costs. That s a true win-win. Jesse Welsh Human Resources Manager Mitsubishi Caterpillar Forklift America 2 For the most current information go to kelseycare.com

4 KelseyCare Conveniences and Quality Make Our Members Smile When you choose KelseyCare, you select Kelsey-Seybold doctors to coordinate your healthcare. S ee the Kelsey-Seybold physician you want with no referral required 70 Kelsey-Seybold physicians at 21 Houston-area locations. elsey physicians partner with 1,800 medical specialists and premier hospitals including St. Luke s Episcopal Hospital K Texas Medical Center, Sugar Land and The Woodlands; Texas Children s Hospital; the Texas Heart Institute; Methodist Sugar Land and Willowbrook; and Clear Lake Regional Medical Center. ancer care is delivered by Kelsey-Seybold s nationally recognized Cancer Center in coordination with St. Luke s Cancer C Center. MD Anderson Cancer Center is available as part of the affiliate referral network for complex cancer cases. Members have total access to all 21 locations and physicians no referral is ever needed. Saturday visits for ill or injured patients at four locations from 9 a.m. to 2 p.m. 24-hour appointment scheduling and After-Hours Kelsey Nurse Hotline, with on-call physicians. Secure messaging with your physician. Onsite lab and X-ray at all locations with all testing included in the co-pay. Outpatient Ambulatory Surgery Center and Endoscopy services. Personal Concierge exclusively for KelseyCare members. For the most current information go to kelseycare.com

5 The difference Between the KelseyCare Plan and Large PPO Plans Including Kelsey-Seybold Physicians KelseyCare s Integrated Delivery Model vs. Proactive outreach and monitoring of KelseyCare member s preventive care. Kelsey-Seybold Physicians Listed In Network Advanced Clinical Initiatives (ACI): Integrated Disease Management (DM) and Case Management (CM) delivered by KelseyCare DM/CM Nurses who are part of the KelseyCare medical team. Full integration of electronic medical records and Best Practice alerts to all Primary Care, Specialist and Hospitalist Physicians. KelseyCare Hospitalist physicians actively manage hospital care and discharge planning at the bedside.. KelseyCare members receive triple benefit: Patient-Centered Medical Home + Integrated Disease/Case Management + Integrated RxQI Initiative + Integrated Hospitalist Program. Active monitoring of Rx generics and Therapeutic opportunities through the KelseyCare RxQI initiative. The KelseyCare Integrated Delivery Model provides quality, evidence-based medical care and consistently scores higher on enrollee satisfaction.* It is the same model of care used by the prestigious Mayo Clinic and Cleveland Clinic. *Source: Consumer Assessment of Healthcare Providers and Systems Survey, 2005, 2006, 2007 and For the most current information go to kelseycare.com

6 The AON Hewitt Health Value Initiative 2011 According to a leading benchmark study performed by the AON Hewitt Health Value Initiative a cost and performance analysis database of more than 1,800 health plans throughout the United States KelseyCare s health benefits plan has a track record of being rated the most financially efficient * in overall medical costs compared to all benefits plans in the greater Houston market. Texas Houston Market Profile KelseyCare s health benefits plan is the most financially efficient. * *Source: AON Hewitt Associates Health Value Initiative National Benchmarking Survey, 2004, 2005, 2007, 2008, 2009, 2010, and The Strategy: Plan Design and Pricing KelseyCare Advanced Clinical Initiatives and Coordinated 'Accountable Care' Delivery Model The Results: Lower total medical costs, higher quality outcomes and highly satisfied enrolles. For the most current information go to kelseycare.com 5

7 Coordinated accountable care saves lives and shrinks healthcare costs. Thank God, Sam came into my life. Hilaria Medrano says that KelseyCare Disease Management Nurse Sam Samaniego, R.N., made the difference in my life. Today, Hilaria is successfully managing her diabetes with Sam s continued intervention, her doctor s support, and real time feedback using the Kelsey-Seybold Electronic Medical Record. The KelseyCare Accountable Care Model connects members with KelseyCare physicians and the KelseyCare Integrated Delivery System where we specialize in the prevention, early identification, and ongoing intervention of disease. We dramatically alter care outcomes because we are so focused and connected in our approach to patient care best practices and integrated disease and case management. Our health plan model is highly effective in the ongoing treatment of chronically ill and medically complex plan members who drive the greatest costs. We improve the delivery of healthcare through highly-effective clinical processes that are proven to deliver results in quality and cost savings. These clinical processes include a coordinated, accountable delivery system based on the nation s first NCQA-Accredited Accountable Care Organization --along with integrated disease management, case management, and onsite hospitalist physicians who meet our patients at the hospital bedside. No other health plan offers this delivery system and these outcomes. 6 For the most current information go to kelseycare.com

8 Recognized as the nation s first accredited Accountable Care Organization by the National Committee for Quality Assurance (NCQA) Kelsey-Seybold Clinic has been named the nation's first Accredited Accountable Care Organization by the prestigious National Committee for Quality Assurance (NCQA). R E C O G N I T I O N Recognized for excellence in diabetes care, heart and stroke care and back care by the NCQA Highest Honors by the Accreditation Association for Ambulatory Health Care (AAAHC) The nation s first freestanding Cancer Program approved with multiple commendations by the American College of Surgeons Commission on Cancer Cholesterol Management Program Nationally recognized by the American Society of Gastrointestinal Endoscopy for Superior Quality and Safety Kelsey-Seybold Clinic. Known for Quality. Nationally Recognized for Excellence. Named a National Model of Excellence in Cholesterol Management (American Medical Group Association) Recognized for Excellence in Breast Health (National Consortium of Breast Centers, Inc.) For a complete list of awards and distinctions, visit kelsey-seybold.com. For the most current information go to kelseycare.com 7

9 21 Convenient Locations Close to Home and Work Open access to all locations, Kelsey-Seybold Clinic specialists and primary care physicians with no referral required. Cinco Ranch 2000 Highland Knolls Dr. Katy, Texas Clear Lake Clinic 80 Gemini St. Houston, Texas Hardy Toll Rd. Clear Lake Medical Center Highway Webster, Texas Cypress Clinic 1114 FM 1960 West Suite 200 Houston, Texas Downtown at The Shops 1200 McKinney St., Suite 47 Houston, Texas Westpark Tollway Meyerland Sleep Center Fort Bend Medical and Diagnostic Center University Blvd. Sugar Land, Texas Humble Clinic 8484 Will Clayton Pkwy. Humble, Texas Katy Clinic Kingsland Blvd. Katy, Texas Kingwood Clinic 2755 W. Lake Houston Pkwy. Kingwood, Texas Main Campus 2727 W. Holcombe Blvd. Houston, Texas Meyerland Plaza Clinic 560 Meyerland Plaza Houston, Texas Pasadena Clinic 508 E. Pasadena Frwy. Pasadena, Texas Shadow Creek Ranch Shadow Creek Pkwy. Pearland, Texas Silverlake Clinic 940 Broadway St., Suite 120 Pearland, Texas Sleep Center 900 Essex, Suite 500 Houston, Texas For the most current information go to kelseycare.com Ambulatory Surgery Center at this location Kelsey-Seybold Clinic Sleep Center Spring Medical and Diagnostic Center Cypress Woods Medical Drive, Suite 100 Houston, Texas St. Luke s Medical Tower Clinic 6624 Fannin St. Houston, Texas The Vintage Vintage Preserve Pkwy. Houston, Texas The Woodlands Clinic Medical Arts Center II 1750 St. Luke s Way, Suites 175 and 200 Broadway St. / FM 518 Nasa Rd. 1 (Pharmacy, Suite 150) The Woodlands, Texas The Woodlands OB/GYN Clinic St. Luke s Way, Suite 540 The Woodlands, Texas West Clinic (Galleria-area) 1111 Augusta Drive Houston, Texas Woman s Center 7900 Fannin St., Suite 2100 Houston, Texas

10 kelseycare.com

Making the Most of Your Health Benefits. Memorial Hermann Health Insurance Company Member Booklet Houston, Texas

Making the Most of Your Health Benefits. Memorial Hermann Health Insurance Company Member Booklet Houston, Texas Making the Most of Your Health Benefits Memorial Hermann Health Insurance Company Member Booklet Houston, Texas Welcome! Member Quick Reference Guide As a member of Memorial Hermann Health Insurance Company,

More information

HOUSE CALL November 2014

HOUSE CALL November 2014 HOUSE CALL November 2014 KELSEYCARE ADVANTAGE RECEIVES NATIONAL ACCLAIM At KelseyCare Advantage, we are extremely proud of the plan that we have built for you. Positive feedback from members like yourself

More information

Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Coventry Health and Life Insurance Company Commercial Lines of Business

Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Coventry Health and Life Insurance Company Commercial Lines of Business Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Coventry Health and Life Insurance Company Commercial Lines of Business Quality Management Program 2012 Overview Quality Improvement

More information

HCA. Leadership: Maura Walsh Division President Kim Lelli Division Chief Financial Officer. Hospitals: Off-Campus Emergency Centers: Houston

HCA. Leadership: Maura Walsh Division President Kim Lelli Division Chief Financial Officer. Hospitals: Off-Campus Emergency Centers: Houston Press Kit 2012 HCA Gulf Coast Division Information Description: HCA Gulf Coast Division is a comprehensive network of hospitals, outpatient surgery centers, emergency centers, cancer centers and diagnostic

More information

Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Summit Health Plan of Florida

Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Summit Health Plan of Florida Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Summit Health Plan of Florida Medicare Quality Management Program Overview Quality Improvement (QI) Overview At Coventry, we

More information

Colorado Small Business Enrollment Guide A BETTER WAY to take care of business

Colorado Small Business Enrollment Guide A BETTER WAY to take care of business 2015 SMALL BUSINESS HEALTH Colorado Small Business Enrollment Guide A BETTER WAY to take care of business Choose BETTER. 31 Important deadline Open enrollment begins on November 15, 2014 for coverage beginning

More information

Houston Medical Office Market Slowly Recovering

Houston Medical Office Market Slowly Recovering Q4 2011 COLLIERS HEALTHCARE SERVICES GROUP - Houston Texas HEALTHCARE MARKET COMMENTARY Houston Medical Office Market Slowly Recovering Houston Houston s medical office market closed 4Q 2011 with encouraging

More information

HEALTH CARE DESIGNED AROUND You.

HEALTH CARE DESIGNED AROUND You. HEALTH CARE DESIGNED AROUND You. Health care designed around you means... Access to the best care {where you live and work. What does health care designed around you really mean? In a time when health

More information

ACCREDITED CHILD CARE PROGRAMS Gulf Coast Region Name, Business Address City State ZIP County Telephone Accrediting Organization

ACCREDITED CHILD CARE PROGRAMS Gulf Coast Region Name, Business Address City State ZIP County Telephone Accrediting Organization Brazoria Head Start 120 West Pleasant Brazoria TX 77422 Brazoria (979)849-1881 Sweeny Head Start 601 Sycamore Sweeny TX 77480 Brazoria (979)548-5959 Alvin Head Start 1019 East House Street Alvin TX 77511

More information

Houston Hospital Based Physicians HMO Blue Texas SM Current as of: July 2016

Houston Hospital Based Physicians HMO Blue Texas SM Current as of: July 2016 Hospital Based UTMB Health at Angeleton Danbury Campus Matagorda Regional Angleton Bay City Fredricksburg Anesthesia (EMCARE) Amed Sayeed, M.D. Angleton Dr Aggarwal Bay City Texas Anesthesia San Jacinto

More information

Houston s robust healthcare/medical office market drives new development

Houston s robust healthcare/medical office market drives new development Research & Forecast Report HOUSTON HEALTHCARE Mid-Year 2015 Houston s robust healthcare/medical office market drives new development Lisa Bridges Director of Market Research Houston Healthcare Trends Commentary

More information

DELIVERING VALUE THROUGH TECHNOLOGY

DELIVERING VALUE THROUGH TECHNOLOGY DELIVERING VALUE THROUGH TECHNOLOGY Mark Nelson, MD - EMR Physician Champion Krishna Ramachandran - Chief Information and Transformation Officer Karen Adamson - Director, Epic Clinical Applications DuPage

More information

Making the Grade! A Closer Look at Health Plan Performance

Making the Grade! A Closer Look at Health Plan Performance Primary Care Update August 2011 Making the Grade! A Closer Look at Health Plan Performance HEDIS (Healthcare Effectiveness Data and Information Set) is a set of standardized measures designed to track

More information

2016 Business health insurance plans

2016 Business health insurance plans 2016 Business health insurance plans Live well. We ll insure you do. MercyCare Health Plans is a Qualified Health Plan issuer in the Health Insurance Marketplace. About us Healthy businesses depend on

More information

2015 Business health insurance plans

2015 Business health insurance plans 2015 Business health insurance plans Live well. We ll insure you do. page 1 About us Healthy businesses depend on healthy employees. MercyCare s business health plans are backed by a company that s been

More information

NCQA Health Plan Accreditation. Creating Value by Improving Health Care Quality

NCQA Health Plan Accreditation. Creating Value by Improving Health Care Quality NCQA Health Plan Accreditation Creating Value by Improving Health Care Quality NCQA Health Plan Accreditation Creating Value by Improving Health Care Quality Purchasers, consumers and health plans pay

More information

Healthcare Consulting Services

Healthcare Consulting Services Healthcare Consulting Services It s Not Just What We Do... It s How We Do It. We successfully prepare organizations for the future by forging partnerships, customizing solutions, and delivering results

More information

PHYSICIAN REFERRAL AND CONSULTATION GUIDE

PHYSICIAN REFERRAL AND CONSULTATION GUIDE PHYSICIAN REFERRAL AND CONSULTATION GUIDE PHYSICIAN REFERRAL AND CONSULTATION SERVICES T he University of Kansas Hospital is dedicated to providing excellent patient-centered care. Because we value our

More information

POPULATION HEALTH MANAGEMENT The Lynchpin of Emerging Healthcare Delivery Improve Patient Outcomes, Engage Physicians, and Manage Risk

POPULATION HEALTH MANAGEMENT The Lynchpin of Emerging Healthcare Delivery Improve Patient Outcomes, Engage Physicians, and Manage Risk POPULATION HEALTH MANAGEMENT The Lynchpin of Emerging Healthcare Delivery Improve Patient Outcomes, Engage Physicians, and Manage Risk Julia Andrieni, MD, FACP Vice President, Population Health and Primary

More information

Houston s Class A Medical Office Rental Rate Increases by 7.4% in First Half of 2012

Houston s Class A Medical Office Rental Rate Increases by 7.4% in First Half of 2012 MIDYEAR 2012 MEDICAL OFFICE COLLIERS HEALTHCARE SERVICES GROUP - Houston Texas HEALTHCARE MARKET COMMENTARY Houston Houston s Class A Medical Office Rental Rate Increases by 7.4% in First Half of 2012

More information

We re here when you need us. SHOWALTER Showalter LAW Law Firm FIRM Wills Probate Personal Injury General Practice www. ShowalterLaw.com 281-341-5577 Info@ShowalterLaw.com I LOVE LIVING IN CROSS CREEK RANCH

More information

Alzheimer's Certified Unit

Alzheimer's Certified Unit Houston and Southeast Texas Chapter 6055 South Loop East., Houston, TX 77087 Helpline 713.314.1313 800.272.3900 available 24/7 www.alz.org/texas This is not a referral list. The Association does not endorse

More information

January 2012 Medicare Plan Enrollment Guide

January 2012 Medicare Plan Enrollment Guide Open Enrollment for City of Houston employees January 2012 Medicare Plan Enrollment Guide Step-by-step This is your handy guide for choosing a Medicare plan Stay where you are If you re happy with your

More information

Las Vegas Chamber of Commerce Group Health Benefits Program LVCC

Las Vegas Chamber of Commerce Group Health Benefits Program LVCC Las Vegas Chamber of Commerce Group Health Benefits Program LVCC The LVCC Group Health Benefits Program Adds Value to Chamber Membership Providing quality and affordable health insurance has never been

More information

City of San Antonio Police Health Plan Performance. April 29th, 2014

City of San Antonio Police Health Plan Performance. April 29th, 2014 City of San Antonio Police Health Plan Performance April 29th, 2014 Average Police Per Employee Per Month Costs are almost 2x greater than Civilian as of 2-2014 2 Health Benefits Membership Civilian* Police

More information

Guiding you on the new road ahead

Guiding you on the new road ahead Guiding you on the new road ahead Your 2015 retiree plan options Caltech Retiree Information Sessions Today s focus: Your 2015 plan options Understanding the plans How to enroll in 2015 Aetna Marketplace

More information

Disease Management Identifications and Stratification Health Risk Assessment Level 1: Level 2: Level 3: Stratification

Disease Management Identifications and Stratification Health Risk Assessment Level 1: Level 2: Level 3: Stratification Disease Management UnitedHealthcare Disease Management (DM) programs are part of our innovative Care Management Program. Our Disease Management (DM) program is guided by the principles of the UnitedHealthcare

More information

UnitedHealth Premium SM

UnitedHealth Premium SM Physician s Commonly Asked Questions June 17, 2005 UnitedHealth Premium SM Designation Program 1. What is the UnitedHealth Premium designation program? The UnitedHealth Premium designation programs recognizes

More information

Your guide to UnitedHealthcare

Your guide to UnitedHealthcare Your guide to UnitedHealthcare Face the future with confidence The benefits environment remains challenging. Uncertainty reigns as a wave of new regulation sweeps across the industry. Costs continue to

More information

LINKING OUR PAST TO OUR FUTURE. By Carl M. Marchetti, MD

LINKING OUR PAST TO OUR FUTURE. By Carl M. Marchetti, MD LINKING OUR PAST TO OUR FUTURE By Carl M. Marchetti, MD 1 From its humble beginnings as a convalescent home to the Ann May Memorial Homeopathic Hospital in Spring Lake, to the opening of Fitkin Memorial

More information

HIMSS Davies Enterprise Application --- COVER PAGE ---

HIMSS Davies Enterprise Application --- COVER PAGE --- HIMSS Davies Enterprise Application --- COVER PAGE --- Applicant Organization: Hawai i Pacific Health Organization s Address: 55 Merchant Street, 27 th Floor, Honolulu, Hawai i 96813 Submitter s Name:

More information

Quality Oversight in the Health Care Marketplace, Spring 2010 Tufts Health Care Institute

Quality Oversight in the Health Care Marketplace, Spring 2010 Tufts Health Care Institute Quality Oversight in the Health Care Marketplace, Spring 2010 Tufts Health Care Institute Session 16: C.1. Performance Reports National Reports Some reports present information on a category of providers

More information

Benefit Design and ACOs: How Will Private Employers and Health Plans Proceed?

Benefit Design and ACOs: How Will Private Employers and Health Plans Proceed? Benefit Design and ACOs: How Will Private Employers and Health Plans Proceed? Accountable Care Organizations: Implications for Consumers October 14, 2010 Washington, DC Sam Nussbaum, M.D. Executive Vice

More information

Centricity Electronic Medical Record. Complete information, one location

Centricity Electronic Medical Record. Complete information, one location Centricity Electronic Medical Record Complete information, one location Turn information into insight Imagine being able to raise the bar on patient care safety and quality. And find the information you

More information

HealthPartners: Triple Aim Approach to ACO Development

HealthPartners: Triple Aim Approach to ACO Development HealthPartners: Triple Aim Approach to ACO Development Brian Rank, MD Medical Director, HealthPartners Medical Group October 27, 2010 HealthPartners Integrated Care and Financing System 10,300 employees

More information

January 2015 Medicare Plan Enrollment Guide

January 2015 Medicare Plan Enrollment Guide Open Enrollment for City of Houston employees January 2015 Medicare Plan Enrollment Guide Step-by-step This is your handy guide for choosing a Medicare plan Stay where you are If you re happy with your

More information

More than a score: working together to achieve better health outcomes while meeting HEDIS measures

More than a score: working together to achieve better health outcomes while meeting HEDIS measures NEVADA ProviderNews Vol. 3 2014 More than a score: working together to achieve better health outcomes while meeting HEDIS measures We know you ve heard of Healthcare Effectiveness Data and Information

More information

Blue Medicare PPO. Physician & Other Professional Provider Orientation

Blue Medicare PPO. Physician & Other Professional Provider Orientation 1 Blue Medicare PPO Physician & Other Professional Provider Orientation as of May 2009 A product of HCSC Insurance Services Company, an Independent Licensee of the Blue Cross and Blue Shield Association

More information

Catherine Dodd, RN, PhD Director, Health Service System

Catherine Dodd, RN, PhD Director, Health Service System Catherine Dodd, RN, PhD Director, Joint Labor Management Wellness Committee Presentation January 2013 Total Medical Premium Costs 2011-12 Kaiser $282.6M Blue Shield $275.6M City Plan $65.5M Kaiser and

More information

Population Health Solutions for Employers MEDIA RESOURCES

Population Health Solutions for Employers MEDIA RESOURCES Population Health Solutions for Employers MEDIA RESOURCES ABOUT MISSIONPOINT MissionPoint s mission is to make healthcare more affordable, accessible and improve the quality of care for our members. MissionPoint

More information

Cancer Care Delivered Locally by Physicians You Know and Trust

Cancer Care Delivered Locally by Physicians You Know and Trust West Florida Physician Office Building Johnson Ave. University Pkwy. Olive Road N. Davis Hwy. For more information on West Florida Cancer Center: 850-494-5404 2130 East Johnson Avenue Pensacola, Florida

More information

Texas Workforce Commission Explorer Series. Industry Day at the Alamo Colleges. April 16, 2014

Texas Workforce Commission Explorer Series. Industry Day at the Alamo Colleges. April 16, 2014 Texas Workforce Commission Explorer Series Industry Day at the Alamo Colleges April 16, 2014 Workforce Statistics for Texas Texas economy added 312,400 jobs over the last year for an annual growth rate

More information

Southwest Medical Associates

Southwest Medical Associates Southwest Medical Associates Introduction Nine medical centers + five SMA Convenient Care clinics 60% primary care (IM/FP, Peds, Ob/Gyn) Eight medical sub-specialties Adult and pediatric hospitalist groups

More information

Bold New Alliance Among Houston s Leading Health Care Providers to Transform Care Delivery in the Region

Bold New Alliance Among Houston s Leading Health Care Providers to Transform Care Delivery in the Region Bold New Alliance Among Houston s Leading Health Care Providers to Transform Care Delivery in the Region Clinical Services, Research and Education Greatly Enhanced by New Collaborations for CHI, St. Luke

More information

The Medical Group Practice in Value- Based Insurance Design

The Medical Group Practice in Value- Based Insurance Design The Medical Group Practice in Value- Based Insurance Design Patrick Carter, MD, MBA, FAAFP Medical Director, Care Coordination and Quality Improvement Kelsey-Seybold Clinic (At Least Part of) The Problem

More information

Population Health Management: Banner Health Network s Perspective. Neta Faynboym, Medical Director Banner Health Network

Population Health Management: Banner Health Network s Perspective. Neta Faynboym, Medical Director Banner Health Network Population Health Management: Banner Health Network s Perspective Neta Faynboym, Medical Director Banner Health Network 29 Acute Care Hospitals BANNER AT A GLANCE Banner Health Network with 400K lives

More information

A Guide to Patient Services. Cedars-Sinai Health Associates

A Guide to Patient Services. Cedars-Sinai Health Associates A Guide to Patient Services Cedars-Sinai Health Associates Welcome Welcome to Cedars-Sinai Health Associates. We appreciate the trust you have placed in us by joining our dedicated network of independent-practice

More information

Nurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference?

Nurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference? Nurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference? More than ever before, patients receive medical care from a variety of practitioners, including physicians, physician assistants

More information

Essentia Health. Heart Failure and Remote Monitoring. Denise Buxbaum, RN, BSN, CHFN Heart Failure Program Manager

Essentia Health. Heart Failure and Remote Monitoring. Denise Buxbaum, RN, BSN, CHFN Heart Failure Program Manager Essentia Health Heart Failure and Remote Monitoring Denise Buxbaum, RN, BSN, CHFN Heart Failure Program Manager Essentia Health Oct 2014 No reproduction without permission Why Heart Failure? Prevalence

More information

Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS

Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS WHEN IT COMES TO HEALTH INSURANCE, WE KNOW WHAT MATTERS MOST: YOU. No one plans to be sick or injured, but if something happens, we want you to

More information

The Patient-Centered Medical Home & You: Frequently Asked Questions (FAQ) for Patients and

The Patient-Centered Medical Home & You: Frequently Asked Questions (FAQ) for Patients and The Patient-Centered Medical Home & You: Frequently Asked Questions (FAQ) for Patients and Families What is a Patient-Centered Medical Home? A Medical Home is all about you. Caring about you is the most

More information

Hard-Wiring Your ACO the California Way

Hard-Wiring Your ACO the California Way Hard-Wiring Your ACO the California Way How much integration is enough? Keith Wilson, MD Talbert Medical Group Eleven Centers Orange County Anaheim Fountain Valley Huntington Beach Santa Ana Tustin Ambulatory

More information

SIMPLICITY. 2015 Your Plan Explained

SIMPLICITY. 2015 Your Plan Explained Hello SIMPLICITY 2015 Your Plan Explained PFIZER UnitedHealthcare Group Medicare Advantage (PPO) Effective January 1, 2015, through December 31, 2015 Group Number: 12367, 12368 Benefit Highlights UnitedHealthcare

More information

HEDIS/CAHPS 101. August 13, 2012 Minnesota Measurement and Reporting Workgroup

HEDIS/CAHPS 101. August 13, 2012 Minnesota Measurement and Reporting Workgroup HEDIS/CAHPS 101 Minnesota Measurement and Reporting Workgroup Objectives Provide introduction to NCQA Identify HEDIS/CAHPS basics Discuss various components related to HEDIS/CAHPS usage, including State

More information

FOCUS ON. Physical Therapists

FOCUS ON. Physical Therapists FOCUS ON Physical Therapists Houston Gulf Coast Region* 1 of 5 There is no better reward than making a difference in others lives. When a person experiences loss of bodily functions due to back and neck

More information

Proven Innovations in Primary Care Practice

Proven Innovations in Primary Care Practice Proven Innovations in Primary Care Practice October 14, 2014 The opinions expressed are those of the presenter and do not necessarily state or reflect the views of SHSMD or the AHA. 2014 Society for Healthcare

More information

HOUSTON MEDICAL OFFICE THIRD QUARTER 2007

HOUSTON MEDICAL OFFICE THIRD QUARTER 2007 COLLIERS INTERNATIONAL HOUSTON Market Research MEDICAL OFFICE THIRD QUARTER 2007 Houston s Medical Office Market Expands MARKET INDICATORS Q3-06 Q3-07 Net Absorption 165,225 SF -20,848 SF Overall Rental

More information

Commercial ACOs: Trials and Tribulations

Commercial ACOs: Trials and Tribulations Commercial ACOs: Trials and Tribulations June 12, 2015 Agenda: John Jenrette, MD, CEO, Sharp Community Medical Group Moderator Nancy Greenstreet, MD, Medical Director, Physicians Medical Group of Santa

More information

Patient Rights & Responsibilities

Patient Rights & Responsibilities Patient Rights & Responsibilities Kelly Cajahuaringa, M.D. Family Medicine Kelsey-Seybold Clinic West Patient Rights & Responsibilities Patient Services A Commitment to Quality Since its founding in 1949,

More information

What s fair? Fair healthcare pricing from Healthcare Blue Book

What s fair? Fair healthcare pricing from Healthcare Blue Book What s fair? Fair healthcare pricing from Healthcare Blue Book Healthcare Blue Book is a free consumer guide to help you determine fair prices in your area healthcare services Lap-Band (CPT code 43770)

More information

STARMHAC Regional Learning Collaborative. Tuesday, May 28th 12:00 1:00 PM

STARMHAC Regional Learning Collaborative. Tuesday, May 28th 12:00 1:00 PM STARMHAC Regional Learning Collaborative Tuesday, May 28th 12:00 1:00 PM Agenda Introductions Background and announcements Case example D70: Georgia Medical Home Certification Program Texas Medical Home

More information

Columbia St. Mary s Physician Directory Fall 2010

Columbia St. Mary s Physician Directory Fall 2010 SM Physician Directory Fall 2010 SM Welcome Physicians consists of over 200 physicians and 65 community clinics located throughout Milwaukee, Ozaukee, Sheboygan and Washington Counties. We are also associated

More information

YOUR FAST TRACK TO LIVING WELL. A Step Ahead Get answers to your diabetes questions. Member Rights The care and service you need. www.aultcare.

YOUR FAST TRACK TO LIVING WELL. A Step Ahead Get answers to your diabetes questions. Member Rights The care and service you need. www.aultcare. good health SPRING 2014 YOUR FAST TRACK TO LIVING WELL A Step Ahead Get answers to your diabetes questions Member Rights The care and service you need www.aultcare.com IN BRIEF Do You Have Questions? Find

More information

University of Arizona Integrative Health Center

University of Arizona Integrative Health Center University of Arizona Integrative Health Center Frequently Asked Questions created for Maricopa County Employees 1. What is the Integrative Health Center? The University of Arizona Integrative Health Center

More information

Cigna Collaborative Accountable Care

Cigna Collaborative Accountable Care Cigna Collaborative Accountable Care Health Industry Forum 10-22-12 Dick Salmon, MD, PhD National Medical Director Copyright 2012 by Cigna. NETWORK STRATEGY Achieve the triple aim = better quality, better

More information

A white paper. Collaborative Accountable Care. CIGNA s Approach to Accountable Care Organizations. 841282 a 11/11

A white paper. Collaborative Accountable Care. CIGNA s Approach to Accountable Care Organizations. 841282 a 11/11 A white paper Collaborative Accountable Care CIGNA s Approach to Accountable Care Organizations 841282 a 11/11 Transforming the Health Care System Successfully transforming the U.S. health care system

More information

Staff. Ten family practice physicians. One nurse practitioner. Two orthopedic physicians. Four staff psychiatrists

Staff. Ten family practice physicians. One nurse practitioner. Two orthopedic physicians. Four staff psychiatrists Go Cyclones! Staff Ten family practice physicians One nurse practitioner Two orthopedic physicians Four staff psychiatrists Eighteen nursing staff Six health promotion & wellness professionals Three pharmacists

More information

INTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS. Karen Unholz, RN, BSN

INTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS. Karen Unholz, RN, BSN INTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS Karen Unholz, RN, BSN Origins of the Accountable Care Organization ACOs originated from the Patient Protection and Affordable Care Act (Healthcare Reform)

More information

Pediatric Alliance: A New Solution Built on Familiar Values. Empowering physicians with an innovative pediatric Accountable Care Organization

Pediatric Alliance: A New Solution Built on Familiar Values. Empowering physicians with an innovative pediatric Accountable Care Organization Pediatric Alliance: A New Solution Built on Familiar Values Empowering physicians with an innovative pediatric Accountable Care Organization BEYOND THE TRADITIONAL MODEL OF CARE Children s Health SM Pediatric

More information

January 2014 Medicare Plan Enrollment Guide

January 2014 Medicare Plan Enrollment Guide Open Enrollment for City of Houston employees January 2014 Medicare Plan Enrollment Guide Step-by-step This is your handy guide for choosing a Medicare plan Stay where you are If you re happy with your

More information

Global Health Navigator. Facilitated Medical Access at New York s #1 Hospital and When Away from Home

Global Health Navigator. Facilitated Medical Access at New York s #1 Hospital and When Away from Home Global Health Navigator Facilitated Medical Access at New York s #1 Hospital and When Away from Home One of America s Best Hospitals More of America s Top Doctors America s Greatest City NewYork-Presbyterian

More information

Why Select Us? CONTACT US 2013 RATE INFORMATION FOR THE HIGH AND STANDARD OPTION SELECTHEALTH PLAN. for FEDERAL EMPLOYEES

Why Select Us? CONTACT US 2013 RATE INFORMATION FOR THE HIGH AND STANDARD OPTION SELECTHEALTH PLAN. for FEDERAL EMPLOYEES 2013 RATE INFORMATION FOR THE HIGH AND STANDARD OPTION SELECTHEALTH PLAN These rates do not apply to all enrollees. If you are in a special enrollment category, please refer to your special FEHB Guide

More information

Alameda County s Health Care Coverage Initiative Network Structure: Interim Findings

Alameda County s Health Care Coverage Initiative Network Structure: Interim Findings Alameda County s Health Care Coverage Initiative Network Structure: Interim Findings Introduction The Health Care Coverage Initiative (HCCI) Program in Alameda County is called Alameda County Excellence

More information

Northern Colorado Companies. The Power of Innovative Integration

Northern Colorado Companies. The Power of Innovative Integration Northern Colorado Companies The Power of Innovative Integration July 22, 2014 Agenda Introductions and Expectations Overview of Kaiser Permanente Northern Colorado Network Overview Integrated Medical Delivery

More information

Henry Ford Health System Employee Wellness. Bethany Thayer, MS, RD Director, Wellness Programs & Strategies

Henry Ford Health System Employee Wellness. Bethany Thayer, MS, RD Director, Wellness Programs & Strategies Henry Ford Health System Employee Wellness Bethany Thayer, MS, RD Director, Wellness Programs & Strategies System Overview Henry Ford established a unique integrated model Positioned to be sustainable

More information

Medicare Supplements. Major Medical. Dental and Vision. Critical Illness. Cancer/Heart/Stroke. Accident Coverage. Car Insurance.

Medicare Supplements. Major Medical. Dental and Vision. Critical Illness. Cancer/Heart/Stroke. Accident Coverage. Car Insurance. For over 30 years now, Design Benefits has had the privilege of helping thousand of clients with their insurance needs. We have a full staff of experienced employee's to assist you with any insurance questions,

More information

MedStar Family Choice (MFC) Case Management Program. Cyd Campbell, MD, FAAP Medical Director, MFC MCAC June 24, 2015

MedStar Family Choice (MFC) Case Management Program. Cyd Campbell, MD, FAAP Medical Director, MFC MCAC June 24, 2015 MedStar Family Choice (MFC) Case Management Program Cyd Campbell, MD, FAAP Medical Director, MFC MCAC June 24, 2015 Case Management Program Presentation Overview CM Programs Disease Management Complex

More information

how to choose the health plan that s right for you

how to choose the health plan that s right for you how to choose the health plan that s right for you It s easy to feel a little confused about where to start when choosing a health plan. Some people ask their friends, family, or co-workers for advice.

More information

individual and family health insurance plans

individual and family health insurance plans CALL TODAY: (800) 895-2421 MercyCare has a plan for you. individual and family health insurance plans Live well. We ll insure you do. page 1 About us MercyCare s individual health plans are backed by a

More information

Get healthy. Stay healthy. Kaiser Permanente. Kaiser Permanente. Health Plan. kp.org

Get healthy. Stay healthy. Kaiser Permanente. Kaiser Permanente. Health Plan. kp.org Get healthy. Stay healthy. Kaiser Permanente Kaiser Permanente Student Student Health Plan Health Plan w i t h d e d u c t i b l e kp.org Table of Contents The Basics 3 How It Works 4 Frequently Asked

More information

Managing Care for Adults With Long-term Medical Illnesses. A Review of the Research

Managing Care for Adults With Long-term Medical Illnesses. A Review of the Research Managing Care for Adults With Long-term Medical Illnesses A Review of the Research Is This Information Right for Me? If you meet all of the following, this information is for you: You or someone you care

More information

Attracting the Digital Health Care Consumer

Attracting the Digital Health Care Consumer HealthPost Attracting the Digital Health Care Consumer Innovations in Real-time Online Search and Appointment Scheduling 2 Meet Today s Panel Shay Pratt Executive Director, Research and Insights Tracy

More information

WellSpan Health Care Management Strategy. October, 2013

WellSpan Health Care Management Strategy. October, 2013 WellSpan Health Care Management Strategy October, 2013 We will realize a fundamental, yet gradual, shift in how we deliver and receive payment for care From: A system that treats people mostly when they

More information

Understanding Group Health Insurance Anthem KeyCare 15+ Plan

Understanding Group Health Insurance Anthem KeyCare 15+ Plan Understanding Group Health Insurance Anthem KeyCare 15+ Plan January 12, 2010 Although it is the intent of the University to continue current benefit plans, the University reserves the right to modify,

More information

Understanding Aexcel. Doctors who meet certain standards for clinical performance and efficiency. What the blue star means for you 38.02.314.

Understanding Aexcel. Doctors who meet certain standards for clinical performance and efficiency. What the blue star means for you 38.02.314. Understanding Aexcel What the blue star means for you Doctors who meet certain standards for clinical performance and efficiency 38.02.314.1 (6/09) Our performance network includes Aexcel-designated doctors

More information

Maureen Mangotich, MD, MPH Medical Director

Maureen Mangotich, MD, MPH Medical Director Maureen Mangotich, MD, MPH Medical Director Prepared for the National Governors Association Healthy America: State Policy Leaders Meeting, December 2005 Delivering value from the center of healthcare Pharmaceutical

More information

How to know it when you see it Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov

How to know it when you see it Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Guide to Health Care Quality How to know it when you see it Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality This booklet

More information

CURRICULUM VITAE. James Douglas Cable, M.D. Specialization: Recreational/Work-Related Back Injury

CURRICULUM VITAE. James Douglas Cable, M.D. Specialization: Recreational/Work-Related Back Injury CURRICULUM VITAE James Douglas Cable, M.D. Specialization: Recreational/Work-Related Back Injury Office Address: Texas Back Institute 6020 West Parker Road Suite 200 Plano, Texas 75093 EDUCATION Residency:

More information

Development Profiles. Pima Medical Pavilion I and II Scottsdale, Arizona. 4105 and 4125 Briargate Parkway Colorado Springs, Colorado

Development Profiles. Pima Medical Pavilion I and II Scottsdale, Arizona. 4105 and 4125 Briargate Parkway Colorado Springs, Colorado Development Profiles Over the last 20 years, Healthcare Realty has developed more than four million square feet of outpatient medical facilities, representing an investment of over $1 billion. These properties,

More information

Simple. 2015 Benefit Guide. Personal. Empowering.

Simple. 2015 Benefit Guide. Personal. Empowering. 2015 Benefit Guide Simple. Personal. Empowering. An easy-to-use guide to understanding your UnitedHealthcare benefits offered by the Cook County Pension Fund. Open Enrollment is November 1 - November 30

More information

Chapter 4 Health Care Management Unit 1: Care Management

Chapter 4 Health Care Management Unit 1: Care Management Chapter 4 Health Care Unit 1: Care In This Unit Topic See Page Unit 1: Care Care 2 6 Emergency 7 4.1 Care Healthcare Healthcare (HMS), Highmark Blue Shield s medical management division, is responsible

More information

Call-A-Nurse Location

Call-A-Nurse Location Call-A-Nurse A 24-hour medical call center, specializing in registered nurse telephone triage, answering service, physician and service referral, and class registration. Call-A-Nurse Location Call-A-Nurse

More information

GROUP MEDICARE PLANS AT A GLANCE FOR EMPLOYER GROUPS. Toll-free 1-800-851-3379 ext. 8024 TTY: 711 HealthAlliance.org

GROUP MEDICARE PLANS AT A GLANCE FOR EMPLOYER GROUPS. Toll-free 1-800-851-3379 ext. 8024 TTY: 711 HealthAlliance.org GROUP MEDICARE PLANS GROUP MEDICARE PLANS AT A GLANCE FOR EMPLOYER GROUPS 2016 Toll-free 1-800-851-3379 ext. 8024 TTY: 711 HealthAlliance.org Coverage You Know and Trust If you ve worked with Health Alliance

More information

Webinar Series. Creating Diplomats For Hope THE PSYCHOLOGY OF THE WAIT

Webinar Series. Creating Diplomats For Hope THE PSYCHOLOGY OF THE WAIT Webinar Series Creating Diplomats For Hope THE PSYCHOLOGY OF THE WAIT Webinar Series Creating Diplomats For Hope HOUSEKEEPING AUDIO is available through your computer speakers or through dial-in. All lines

More information

Pushing the Boundaries of Population Health Management: How University Hospitals Launched Three ACOs July 26, 2013 American Hospital Association

Pushing the Boundaries of Population Health Management: How University Hospitals Launched Three ACOs July 26, 2013 American Hospital Association Pushing the Boundaries of Population Health Management: How University Hospitals Launched Three ACOs July 26, 2013 American Hospital Association Eric J. Bieber, M.D. Chief Medical Officer, University Hospitals

More information

Diagnostic Imaging Management

Diagnostic Imaging Management Diagnostic Imaging Management Frequently Asked Questions (FAQ) from Providers Updated August 1, 2013 Program Overview Q1. What is AIM Specialty Health SM (AIM)? A1. AIM Specialty Health SM (AIM) is a leading

More information

Your Plan: Value HMO 25/40/20% (RX $10/$30/$45/30%) Your Network: Select Plus HMO

Your Plan: Value HMO 25/40/20% (RX $10/$30/$45/30%) Your Network: Select Plus HMO Your Plan: Value HMO 25/40/20% (RX $10/$30/$45/30%) Your Network: Select Plus HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary

More information

Patient Centered Medical Home

Patient Centered Medical Home Patient Centered Medical Home 2013 2014 Program Overview Florida Blue is a trade name of Blue Cross and Blue Shield of Florida Inc., an Independent Licensee of the Blue Cross and Blue Shield Association.

More information

Gateway Health Medicare Assured RubySM (HMO SNP) $6,700 out-of-pocket limit for Medicare-covered services. No No No No. Days 1-6: $0 or $225 copay per

Gateway Health Medicare Assured RubySM (HMO SNP) $6,700 out-of-pocket limit for Medicare-covered services. No No No No. Days 1-6: $0 or $225 copay per Assured RubySM (HMO Premium $0 monthly plan $0 - $33.90 monthly plan Assured GoldSM (HMO $12.40 - $46.30 monthly plan $43.90 - $77.80 monthly plan In Network Maximum Out-of-Pocket $3,400 out-of-pocket

More information

Lantern Lane Shopping Center

Lantern Lane Shopping Center Lantern Lane Shopping Center NWC of Memorial Dr. and Benignus Rd. Houston, Texas Josh Friedlander 281.477.4300 4,309 SF of Excess Space Available for Sublease Leasing Tenant Representation Development

More information