The Michigan Primary Care Transformation (MiPCT) Project The Way Forward: Sustainability and Continuity in 2015 and Beyond 1 The Exciting News! 2 The MiPCT has been extended by CMS through 2016! (i.e. until 12/31/2016) Announced on 9/24/14; Ongoing consultation with CMS Project Officers re: operational requirements Well share in this presentation what is known about extension How are We Doing? Recap and MiPCT Results to Date 3 MiPCT Participants (2014) 358 practices 37 POs 1,800 physicians 1.1 million patients Medicare Medicaid managed care plans BCBSM BCN Priority Health (7/13) MiPCT Statewide Progress to Date Over 400 Care Managers hired and trained Building caseloads of targeted high-risk patients Building infrastructure in partnership with participating Physician Organizations and practices Ongoing Care Manager training, coaching, mentoring Learning collaboratives (team-based care, billing) developing Palliative Care expertise Best-practice sharing Multi-payer claims database Dashboards, member lists, activity reports Now incorporating clinical (registry) data 5 State Evaluation Conducted by: Michigan Public Health Association (MPHI) Status ActivityStatus Cost, quality and utilization analysis MiPCT practice level analysis underway Comparison data supplied by all payers through December 2013 Being processed expected Delivery to MPHI: November PO SurveyComplete Care Manager SurveyThree time points available, additional survey planned Practice/Staff SurveyStill open for response Patient Survey Mail/phone follow-up Using claims data to randomly select respondents We could use your help to encourage response 7 3 rd Care Manager Survey Data were collected via Survey Monkey June 9 - June 26, Care Managers wereed invitations to participate 50% completed the survey (N=209) Data cleaning and analysis was performed using SPSS v19.0 8 9 Care Manager Survey Results Number of Encounters (face-to-face and phone) Completed During an Average Shift 10 Maximum1525 Percentiles Minimum1111 Complex CMs Hybrid CMs Moderate CMs All CMs Physicians Support MiPCT 11 Staff Support MiPCT 12 The MiPCT Experience I would like to see care management in my practice continue National Evaluation Conducted by: Research Triangle Institute (RTI) How will CMS define success? 17 The tie to budget neutrality and ROI 18 Quarterly Trend Comparison: Medicare PMPM Payments 19 Quarterly Trend Comparison: Payments to PC and Specialty Physicians 20 Quarterly Trend Comparison: Hospital Admissions Key Quality Data Recap 21 22 23 24 25 26 27 Questions/Discussion