august newsletter 082014
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Network News
The PPC Board of Directors voted May 28 to join the first pediatric Accountable Care Organization (ACO) in Texas, the Physician Quality Alliance (PQA).
Additionally, the PQA reached an agreement with the Baylor Scott & White Quality Alliance (BSWQA) through which PPC members who opt into participation are given access and Tier I reimbursement for approximately 17,000 pediatric patients from Baylor’s own health plan. The BSWQA also plans to expand this offering to other employers, expecting to reach around 36,000 patients in 2015.
The PPC board recommends participation for the following reasons:
Participation may expand your network as the BSWQA grows. Patients joining from affiliated partners are expected to reach 36,000 patient lives in 2015.
This offer has no effect on your current contracted Payor Agreement and reimbursement rate, and it reduces covered patients’ out-of-pocket costs by accessing care from a Tier 1 provider, because the employer will pay a higher portion of the physician fee.
Participation with this highly regarded organization positions your practice as a thought leader in the DFW market.
Data from this network will be used in efforts to improve quality and reduce patient costs, and it provides the future opportunity to participate in quality-based incentive programs.
There are no risks or additional fees associated with participation outside of the monthly PPC membership fee.
For information on how to opt-in to the BSWQA, please contact Cherie Johnston at 214-957-2307
Vaccine purchasing PPC has selected CHA/Provista as its group purchasing organization (GPO), which includes the opportunity to purchase vaccines at a discount. CHA/Provista was selected after PPC leaders reviewed proposals from three GPO programs.
PPC members also may elect to purchase other products and services through CHA/Provista. Some of these additional opportunities may include office supplies, medical supplies and document destruction. The agreement with CHA/Provista lasts through 2015.
Baylor Scott & White Quality Alliance August 2014
Membership & Clinical Integration News
Portland pediatrician alliance sharing patient
data to improve care The Children’s Health Alliance, a group of pediatricians in Oregon and Southwest Washington, are using an online tool to track and share patient data. Learn more by reading the full story.
Inspiring physicians in a complex health care
environment The Harvard Business Review has weighed in on physician engagement in the rapidly evolving health care market. Thomas Lee, MD, CEO of Press Ganey and Toby Cos-grove, MD, CEO of the Cleveland Clinic, offer several strat-egies such as demonstrating the value of a shared purpose and creating financial incentives to help organizations achieve engagement. Read more.
If you have news you would like to share, want to have your practice included as a member spotlight or
have story ideas, please contact Amy McLarty by email at [email protected]
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www.pediatricpfc.com
Please send us your
feedback and questions
Carolyn Ashworth, MD Board Chair, Medical Director and Membership Committee Chair
Email Dr. Ashworth
Scott Katz, MD Board member, Associate Medical Director and Governance Committee Chair
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Darla Kincaid, MD Board member, Associate Medical Director and Quality Committee Chair
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Chris Abel, MD Board member
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Susan Badaracco, MD Board member
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Alan Murray, MD Board member, Medical Director of Pediatric Specialists
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Kendall Brown, MD Associate Medical Director of Pediatric Specialists
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Matt Davis, Sr. Vice President Physician Networks and Clinical Enterprises
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Scott Hurst, Director, Network Development
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Cherie Johnston, Project Manager
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