The Kansas Foundation for Medical Care (KFMC) is working to
carry out the new payment model initiatives set forth by Centers for Medicare
& Medicaid Innovation (CMMI) through various efforts across multiple
contracts. These models provide incentives to providers for making correct care
decisions and for moving toward a more coordinated, integrated care system.
Ahead of the Practice Transformation Network grant award, KFMC
has partnered with Maryland-based Aledade, to form an independent physician-led
Accountable Care Organization (ACO) in Kansas: the Aledade Kansas ACO. ACOs are networks of physicians who band
together to deliver coordinated care to patients, operating under a payment
structure that rewards positive health outcomes for patients, instead of the
volume of healthcare services delivered.
"Family physicians have a unique connection with their
patients,” said Dr. Farzad Mostashari, CEO and co-founder of Aledade. “They are
best positioned to lead the transformation toward value-based healthcare, and
our ACO will empower them to do so. And
just like these doctors have a special relationship with their patients, KFMC
has a special relationships with Kansas physicians. We’re excited to work with this team, and
know this partnership will benefit Kansas’ independent doctors and their
patients.”
Aledade ACOs focus on delivering the highest quality care to
patients, with an emphasis on preventative care, high-value referral networks,
and customized technology. Aledade offers unmatched analysis of patient claims
and electronic health record (EHR) data to identify patients who need help
before serious medical problems arise. Aledade’s partnership with KFMC will
enable the new ACO to provide hands-on, personal support for physicians
throughout the entire setup and operation of the new organization.
Jennifer Brull, MD, a leader in electronic medical record
adoption and one of the first Kansas physicians to attest to meaningful use in
the state, will serve as the organization’s medical director. “Aledade brings
tremendous experience on the national scale, while KFMC brings true connections
to doctors and patients in our home state.” said the Plainville-based Dr.
Brull. “It’s a powerful combination that
will allow small primary care practices access to the tools of a big-city ACO,
while retaining the small town feel that makes our practices special. With trusted, knowledgeable partners like
Aledade and KFMC, Kansas physicians will improve both the quality of the care
we provide, and our own financial stability.”
The current payment model for providers is a
fee-for-service, fragmented care system that is associated with a relatively low
quality of care. The care delivered is inconsistent; there is a increased probability
for medical error as well as many patient safety incidents and preventable
deaths. In addition, this system is a significant contributor to the federal
budget deficit. The costs are increasing faster than salaries and inflation,
and American’s healthcare expenditures are by far the highest in the world.
The Practice Transformation Network grant will be the next
step toward supporting the Centers for Medicare and Medicaid Innovation (CMMI) goals
of development and testing of innovative health care payment and service
delivery models.