Structuring Our Network(Pennsylvania Partners for Care)

Nature of our networkExisting legal relationships among our network partners (contractor/subcontractor, partnership, memorandum of understanding, … )•Counties – 33•Non-profit – 19CCTP - Service Provider AgreementMOUs for ADRCsA few MOUs between AAAs & CILsContracts between AAA No mou exists between all of our partnersMOUs between some of the CILS

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Nature of our networkOur next step(s) to further develop the capability of our network:•Are you in or are you out•Formalize the relationship•One llc would not preclude you from establishing others•Stated purpose and commitment to move forward to do the LLC•Get some legal advice

• Someone from Wojdak – PCA• Corporate Law firm need- various options of a structure of corporate include

an auditor in the discussion as well

•Operating agreement – would have to agree to let additional members in•LLc could have different level of membership – full – financial stake and revenue sharing – associate members

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Our network as a community asset

Features that appeal to our customers

• More continuity and uniformity across the system.

• Predictability • Improve quality of service

by being able to provide effective and efficient the services

• Meet people with specialty needs

Features that appeal to contracting organizations

• Single organization to contract with, with the flexibility to

• We are on the ground in the home

• Performance management • Economies of scale• Flexibility and responsiveness on

pricing models• Standardization and uniformity• Secondary support

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Our network as a community asset

The next action(s) we will take to develop the image and influence of our network:•Do the market analysis

– Smeal School of Business- Penn State– Wharton– Carnegie

•Decide who is in and who is not •Marketing- how can we describe this endeavor•Key stakeholders – who do you know or can call upon?

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Organizational issues we need to address

• Need to decide who is in and who is out, philosophically - not necessarily legally– Develop the executive management team– Need to make sure we include not those that are in the room.

• If we establish the LLC, some may need to put up money – does that change the level of organizational membership

• Social enterprise foundations – small business development centers

• Look at Foundations- that look at capacity building• Need to figure out IT – including electronic health records

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Our network as a business enterprise

Entity/entities that can bill for services

• CCTP sites can bill for CCPT • PCA & Veterans • NHT• Waiver providers• Blair and 4 in south east can

bill privately

Entity/entities that can receive and distribute payment

• Any of the non-profits- Some CILS do not bill.

• Some County and the non-profit foundations

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Our network as a business enterprise

Special requirements we must meet to secure and deliver on a contract•We have to have a contracting organization or organizations•Need an It system- SAMS is just a workflow management system. It does not have the performance monitoring capabilities and data analytics to position us to be more competitive– “Home Tracks” system

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Our network as a business enterprise

Action steps(s) we will take to strengthen the business capability of our network:•Need to establish a joint identify first “establish network”

– What does this mean and how is it defined– Think about ways to do the work regionally before and LLC– Those who are interested are agreeing to participate in pricing

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Insights

Our biggest insight(s) from this session on Structuring Our Network is/are… •The LLC is the most promising model•Need to pursue several different avenues

– What are the capacities of the non-profits and what they are able to do

– Who is interested in going with the llc– Explore MSO management service organization

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Action Steps

The action step(s) we will take in the next month to further structure our network are:•Webinar with Lark•Learn more about Management service organization•Find out who is in who is out

– Phase one and phase two

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Parking Lot (Issues for later, additional questions for speakers)

• L

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