In 2010, MedNet engaged in a strategic visioning process to ensure that the Physician Organizations stayed ahead of the curve, remained viable corporate entities and were positioned to address the evolving needs of physicians in the emerging health care reform environment in our state. The first step in the process was to look at fundamental concepts that were likely to guide the future of health care, including Patient Centered Medical Homes and Accountable Care Organizations.
At the conclusion of the strategic visioning process, MedNet identified advantages and disadvantages of implementing various delivery models, using the PO corporate entities as the foundation upon which to build a new future for the POs and MedNet. The Patient Centered Medical Home (PCMH) Model (also referred to as Patient Centered Medical “Neighborhood” to include sub-specialists) was determined to be the most suitable alternative to the existing operating model for the POs.
Under the leadership of the Medical Society, a Patient Centered Medical Home Task Force was created in an effort to launch a pilot program creating the medical home. Representation from MedNet on the executive committee of this task force assisted in supporting the evolution of the POs, using the PO networks of physicians to lead the demonstration.
MedNet then partnered with Highmark Blue Cross Delaware (Highmark Delaware) in 2012 to launch the first state-wide PCMH pilot, using the POs as the network of physicians that would transition into this model of care delivery. The pilot was slated to run for three years, and in May 2014, Delaware expanded the offer to an additional 60 primary care physicians to transition into a PCMH model of care delivery. As a result, we have evolved from a pilot into a full PCMH program, being embraced by over 100 physicians in almost 40 practices statewide.
The success of the PCMH partnership between Highmark Delaware and MedNet led to the planning to launch the first state-wide, physician-led Accountable Care Organization (ACO).
Our ACO program is designed to coordinate the efforts of primary care physicians, specialists, and other health care providers to ensure efficient, cost-effective care for a population of patients across the entire care continuum and achieve IHI’s Triple Aim.
MedNet and the four Physician Organizations in Delaware are working together on the ACO program, named the Quality Blue ACO: MedNet Program, which launched July 1, 2014. Today, the ACO is already covering over 53,000 lives in Delaware, and includes 175 practices, comprised of over 500 physicians.
After months of planning and due diligence, MedNet announced Delaware Care Collaboration,™ an exciting new physician-led health care reform project for Delaware in collaboration with Saint Francis Healthcare and Trinity Health. Delaware Care Collaboration™ is an accountable care organization (ACO) for Delaware Medicare recipients being formed under the Medicare Shared Savings Plan (MSSP) federal program guidelines. The Medical Society and MedNet are pleased to add this new program offering in addition to our existing Highmark Quality Blue ACO program. The MSSP is being offered to physicians within the four established Physician Organizations (POs) across our state.
Delaware Care Collaboration™ has an anticipated start date of January 1, 2016.
For more information about the PCMH or ACO initiatives, or about MedNet, please contact: Lori Ann Rhoads, Director, Physician Relations & Health System Innovation, Medical Society of Delaware. Phone (302) 224-5196 Fax (302) 366-1354 or Email LoriAnn.Rhoads@medsocdel.org.