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Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some state laws. This should not be used as legal advice. Itentive recognizes that there is not a “one size fits all” solution for the ideas expressed in this webinar; we invite you to follow up directly with us for more personalized information as it pertains to your specific practice and issues. Thank you, and enjoy the webinar.

ITENTIVE WEBINAR SERIES Population Health Management

Introduction Our healthcare system has its challenges. These include:  A fragmented system based on a sickness model  A high prevalence of chronic conditions  An aging population with an increasing number of chronic conditions  Transitioning payer markets  The need to understand new technologies designed to make treating chronic diseases easier  Non-compliant patients when trying to implement health management programs

A Few Statistics • 133 million Americans have chronic conditions  One third of young adults aged 18-34 have at least one chronic condition  One third of adults aged 45 to 65 have at least one chronic condition  90% of the elderly have at least one chronic condition

Chronic Conditions The treatment of ongoing chronic conditions accounts for the largest percentage of healthcare costs in the American health system today. These include:  Diabetes,  Congestive heart failure  Coronary artery disease  Asthma  Depression  To name a few…..

Cost of Chronic Conditions • By 2020, 157 million people are expected to have a chronic condition • 81 million will have multiple chronic conditions • More than 75% of all health care costs are due to chronic conditions • Four of the five most expensive health conditions are chronic conditions (heart disease, cancer, mental disorders, and pulmonary conditions) • By 2023, the top 7 chronic conditions will cause the US $4.2 trillion in treatment costs and lost economic output

Ambulatory Market

A Transitioning Market • Shifting away from Volume-based towards value- based reimbursement models  Fee-for-outcome services in rules based precision care are transitioning away from in office services towards minute-clinic like entities i.e. Walmart, CVS, etc.  Greater number of NP based practices • Value based models focus on quality over quantity  Most well known value-based program: Meaningful Use • Payers and Insurance Companies are looking to embody value-based reimbursement programs  Greater alignment of incentives for the consumer, customer, and provider Jeffery, Bendix. "Top 10 Challenges Facing Physicians in 2014." Modern Medicine Network . 25 Dec. 2013. Web.

Changing Trends Volume-based reimbursement models already exist in the private market, and it is expected more private insurance companies will implement these types of programs • In California, 200 physician organizations participating in a statewide Pay for Performance Program received over $450 million in incentives through 2012 from the following private payer participants:  Aetna  Anthem Blue Cross  Blue Shield of California  Cigna Healthcare of California  Health Net  United Healthcare  Western Healthcare Advantage Christensen, Clayton M., and Jerome H. Grossman. The Innovator's Prescription: A Disruptive Solution for Health Care . New York: McGraw-Hill, 2009. Print. Value-Based Pay for Performance: Rewarding Affordability Alongside Quality (Health Affairs Blog ValueBased Pay for Performance Rewarding Affordability Alongside Quality Comments)

Healthcare Networks Healthcare networks will be structured to profit from keeping chronically ill patients well • Bundled payments for services • Episodes of care • Meaningful Use, PQRS, CQMs, etc. • Shared Savings Programs • Patient Centered Medical Home • Payer owned IPAs • Per-month membership programs

The New Role of the Provider Providers will take on the management and oversight of patient behavior intensive diseases with compensation based on outcomes through population health management creating a new challenge…  Regardless of whether the patients are compliant or non-compliant, chronically ill or well, the health outcomes will be the basis for reimbursements

Changes in Approach

Shifting Market • We must recognize that the patient population is shifting  Aging population  Increase in Obesity Rates  Stagnant Smoking Rates  Increase in chronic conditions  Increase in multiple chronic conditions • These trends directly result in greater challenges to manage a patient population in a value-based, pay for performance world

The Patient Factor • We must recognize that patients are often non-compliant. According to the New England Journal of Medicine, people with chronic conditions only receive 56% of the recommended care they should receive  There is a lack of adherence to the processes involved in care • Only 52.5% of patients obtain their suggested screenings • Only 58.5% of patients receive the recommended follow-up care  In order to overcome the patient factor….we must change our approach.

Transition from Reactive to Proactive  Increase patient engagement for preventative care  Work to prevent patients from falling through the cracks  Increase quality reporting for value based measures  Improve return visits, compliance, patient outcomes  Create target outreach for patients identified as needing additional care to have positive health outcomes

What exactly is Population Health Management? • Active approach to proactively manage medical conditions of patient populations with the primary goals to:  Reduce the cost of care while improving outcomes  Increase adherence to programs and care plans at a mass level  Reduce health care inequalities and disparities • This approach requires data, interoperability, and analytics to address specific problems and to mitigate risk at a mass level

EHR and Population Health Management • Electronic Health Records improves the ability of physicians to more effectively analyze their patient population  Mass collection of data  Easily collaborate with multiple healthcare organizations  Focus on quality improvement metrics • Reminders for immunizations and preventative diagnostic studies • Ability to configure clinical protocols  Efficiently reaches out to patients with health disparities through automated processes "How Can Electronic Health Records Improve Public and Population Health Outcomes?" HealthIT.gov . 15 Jan. 2013. Web.

Population Health Management Benefits

Patient Benefits • Reduce the frequency of Emergency Room visits and hospitalizations • Lower the cost per service • Improve patient experience, especially with improved access to care • Promote patient engagement • Empower patients through participation of care plans • Provides the ability to monitor patient compliance electronically such as diabetic patients with high A1C levels, hypertensive patients through blood pressure checks, reminders for preventative screenings, reminders for flu shots, etc.

Physician Benefits • Maximize financial return in value based care • Increases reimbursements for preventative screenings • Shared saving opportunities • Increases patient satisfaction

NextGen Care

NextGen Care • Provides the opportunity to proactively engage with patient population to increase outreach, improve outcomes, and grow ROI  Quickly identify at-risk patient population and take actions efficiently • Expands upon the original features of NextGen Population Health  Encompasses data and information from NextGen applications • EHR, Practice Management, Patient Portal, Dashboard, Population Health, and Share • Partnered with Milliman, a healthcare actuarial firm with expertise in patient risk to develop NextGen Care in order to easily identifies patients with high, medium, or low risk

NextGen Care • Major Concepts  Risk Stratification for Care Management and Outreach • Shares data with NextGen applications to stratify patient data based low, medium, or high risk  Organized to take action effectively and efficiently with an automated outreach feature that can be customized based on patient conditions and stratified demographics • Fully utilize the Population Health Management tool  Integrated Care Management • Track patients and identify gaps in care, such as missing immunizations, lack in follow-up care, labs that are due, etc. • Access to patients’ charts, patient dashboard, add recall plans, send messages to the portal, create tasks, refer patients, generate documents to quickly take action  Advanced Integration with NextGen Ambulatory Suite • Quickly identifies preferred contact method

Risk Stratification and Quick Action