providers independent securing the future of...securing the future of independent providers 2 an...
Post on 12-Oct-2020
5 Views
Preview:
TRANSCRIPT
Securing the Future of
INDEPENDENTPROVIDERS
2
An independent provider typically controls their own fate, as much as fate can be controlled. ”FRED TAWEEL, MD
Internal Medicine Associates of Reston
WHO WE ARE
Privia is a national physician organization meeting providers where they are to
transform the healthcare delivery experience
3
4
$
TODAY’S HEALTHCARE PROBLEM
Provider ConsolidationEscalating
Healthcare Costs
Fee-for-Service Ineffective Technology
$
SOLUTION
Protect PhysicianAutonomy
Accelerate Shift toValue-Based-Care
Align IncentivesTechnology Platform & Operational Efficiency
Market Presence
Maryland
Virginia
District of Columbia
Georgia
Florida (Central)
North Texas (Dallas-Fort Worth)
South Texas (Houston, Austin)
55
Primary Care OrientedMedical Group
(small to large practices)
Specialists HealthSystems
Direct to Employers
Virtual Health
Core Model
CU
STO
MER
SS
ERV
ICES
Extends into other verticals...
Physician Practice Management — Revenue Cycle, Performance Management, Support Services
Population Health & Risk Management — Medical Economics, Contracting, Medical Management, Network, Coding
Technology & Analytics — EMR, Reporting, Clinical Analytics, Health Event Engine, Data
Single Tax-ID Entity in Each MarketAligned incentives between Privia MSO and Privia Medical Group
Market specific ACO Entity, IPA and Ancillaries Economic Model based on % of Collections and Performance-based Earnings
BUSINESS MODEL
6
REPLICABLE MODEL TO ENTER AND MOVE MARKETSTOWARD TRANSFORMATIONAL VALUE
7
Market Entry
OrganizeProviders Perform
Increase to More Value & Risk
Identify partner in a new market that has a strong reputation, physician leadership, and positioned to move the market to value
Understand the market to identify, screen, and bring together physician partners; develop networks to bring together the right PCPs and specialists
Deliver on the basics of practice management, enhance the patient experience, and the fundamentals of value-based care
Use the early results to transition payer contracts to greater value or risk, and take on greater responsibility, such as care management
● Single TIN Medical Group
● Governance Model
● Physician Leadership
● Supplemental Expertise & Resources
● Data Transparency
● Practice Reporting
● Applied Analytics
● Interfaces to the Ecosystem
● Proprietary Privia Technology (single technology platform)
● Delivery at the Point-of-Care
● Patient Engagement
● Communications Platform
TRANSFORMATIONAL PLATFORMAligns with the needs of providers, payers, and patients
TALENT TOOLS TECHNOLOGY
8
Aligned vision and incentives fuel the platform
TRANSFORMATIONAL JOURNEYMethodical process to move providers and the market to value
PracticeFundamentals
Stabilize the practice to create a successful base
EnhancedExperience
Upgrade the patient experience
Fundamentalsof Value
Execute on the fundamentals of value-based care
Comprehensive Care
Take greater responsibility for the totality of patient care
EHR & Patient PortalRevenue Cycle
Payer ContractingPerformance Mgmt
Reporting
AdvancedClinical Model
Redesign practice to succeed in mature value models
1 2 3 4 5
Practice WebsitesOnline Scheduling
Virtual VisitsPatient Outreach
Satisfaction Surveys
Membership GrowthRisk Adjustment
Quality MeasuresPOD EngagementValue Reporting
Total Cost of CareReferral Management
Care ManagementPalliative Care
Behavioral Health
Advanced PractitionersNetwork Delegation
Inpatient MgmtRisk PositioningVirtual Assistant
PRIVIA CAPABILITIES | PROVIDER EXPECTATIONS | KEY METRICS
10
2,400+Privia Health
Providers
2.6MPatients
615K Attributed Patients
98%Privia ProviderRenewal Rate
4XHFMA MAP Award Winner
For High Performance in Revenue Cycle
2015, 2016, 2017, 2018
GrowthOne of the Fastest Growing
Independent Medical Groups in the U.S.
$117MTotal Savings
Generated in 2017
WHAT WE DO
11
Privia Health delivers tailored solutions to secure a provider’s future,
regardless of their starting point on the transition to value
★ Able to succeed in FFS, while transitioning to value
★ Organize and engage providers
★ Create a culture of quality care across group
★ Able to scale in diverse markets
★ Nimble enough to change12
TRANSITION TO VALUE
12
FEE FOR SERVICE
● Not positioned for value
● Entrenched interests
● Inflexible technology
● Bureaucracy
● Short-term mindset
VALUE BASED
● Niche players
● Medicare focused
● Difficult models to scale
● Betting on shift to value
Large Health SystemsEstablished Physician GroupsIPAsConcierge and Onsite ModelsUrgent CareS
elec
t Ex
ampl
es
VALUE PROPOSITION
13
TO PROVIDERS
● Take better care of patients
● Preserve autonomy
● Reduce administrative burden
● Join a sophisticated group
● Prepare for the future
● Grow the practice, increase income
TO PATIENTS
● Top doctor network
● Accessible care
● Sophisticated technology
● Supplemental care team & resources
TO PAYERS
● Top-ranked quality metrics
● Lower utilization & cost of care
● Enhanced patient experience
● Transition providers to value
● Tighter payer and provider integration
WHY PROVIDERS PARTNER WITH US
We know doctorsTogether we improve outcomes
Together we move markets
14
15
PROVIDER ENGAGEMENTWe believe an engaged provider is the starting place for value-based care
GOVERNANCE
Build governance structures selecting physician leaders that will make the hard decisions necessary to be successful in value-based care
INCENTIVES
Align incentives with provider and payer to encourage right activities and reward performance
LOCAL PODs
Organize providers into local peer groups to create accountability, and drive follow-through with the Privia team
EMBEDDED WORKFLOWS
Move data and decision support to be integrated within the provider’s EHR workflow
SHARED VISION
Bring together like-minded providers who share common vision and mission for better patient care
PRIVIA RESOURCES
Additional services, talent, and technology to take work off the shoulders of providers
16
NATIONALLY RECOGNIZED PRACTICE MANAGEMENT
Exceptional people
Technology-enabled services
Metric-oriented
Workflow architects
DIFFERENTIATORS
PAYERALIGNMENT
4XMAP Award Winner
For High Performance in Revenue Cycle2015, 2016, 2017, 2018
#1Rated athena Practice
Among 80K Physicians
17
UNIQUE POPULATION HEALTH PLATFORM
Local, Physician Driven Approach
Anchored in Physician-Patient Relationship
Highly Integrated into Workflows
Data Transparency
Scalable, Not Manual
DIFFERENTIATORS
Extend patient careoutside the office
Enable providers to succeed in value-based care
Develop network to manage patient care outside of the group
Align incentives with payers to be rewarded for higher value care
CARE MANAGEMENT
NETWORKDEVELOPMENT
CARE CENTERTRANSFORMATION
PAYERALIGNMENT
$
2017 SUCCESS ACROSS MULTIPLE MARKETS AND MULTIPLE VALUE-BASED MODELS
18
MEDICARE ADVANTAGE
● $22M Annual Surplus
● Quality Stars of 4.82
● 41% membership increase over 3 years
MEDICARE
● $48M Savings generated
● 2nd best quality score
● Lowest Inpatient Visits / 1000
● Lowest ER Visits / 1000
COMMERCIAL
● $47M Savings Generated
● Generated savings in 4 out of 5 programs
● 3.3% savings on total medical cost
One of the largest and top-performing ACOs in each of our markets.18
PROPRIETARY TECHNOLOGY PLATFORM
Privia’s single instance cloud-based technology platform integrates across the clinical and
patient experience to improve outcomes
19
TYPICAL SMALL PRACTICE TECHNOLOGY NEEDS
20
PRIVIA PROPRIETARY TECHNOLOGY PLATFORM
21
OUR PLATFORM ELIMINATES THE COMPLEXITY OF BUYING 30+ TOOLS
22
23
Securing the Future of
INDEPENDENTPROVIDERS
top related