Wednesday, September 02, 2015

Medical Network Management Services of Delaware, Inc. (MedNet)

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“Enabling Physicians to Lead – Empowering Physicians to Serve”

MedNet, established in 1995, as a wholly-owned subsidiary of the Medical Society of Delaware, provides administrative services, such as contract management, and practice support to over 900 physicians, who participate in one of the four physician organizations in Delaware. As such, MedNet is uniquely positioned to assist Delaware physicians in taking advantage of opportunities presented by the changing health care delivery landscape.

 

 MedNet/Physician Organization Contact Information:

900 Prides Crossing, Newark, DE 19713
Fax (302) 366-1354

Lori Ann Rhoads, 
Director of Physician Relations and Health System Innovation
E-Mail: LoriAnn.Rhoads@medsocdel.org
Phone 302-224-5196

Michelle Seymour
Manager of MedNet
E-Mail: Michelle.Seymour@medsocdel.org
Phone 302-224-5188
 

The Four Physician Organizations in Delaware

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Delaware’s Physician Organizations (POs), developed in the late 1990’s, were developed by MedNet as for-profit stock corporations, and owned by the participating stockholder physicians. The purpose for creating the POs was to advance the concept of physician-directed managed care, while promoting high quality, cost effective medical care in Delaware through highly integrated, multi-specialty organizations. The POs serve as a resource for Delaware physicians for the implementation of new strategies for the delivery of medical care as the market evolves. Each PO’s governing board consists exclusively of practicing physicians.


  • The New Castle County Physicians Organization (NCCPO) is comprised of nearly 450 physicians whose primary practice is in New Castle County.
  • The Eastern Sussex Physicians Organization (ESPO) is comprised of approximately 225 physicians whose primary practice is in Lewes and the surrounding areas (Eastern Sussex County).
  • The Central Delaware Physicians Organization (CDPO) is comprised of more than 135 physicians whose primacy practice is in Kent County.
  • The Nanticoke Physicians Organization (NPO) is comprised of over 80 physicians whose practice is in Seaford and surrounding areas (Western Sussex County).

Since their inception, the POs have held network contracts with various health plans such as Tricare, Multiplan, Private HealthCare Systems and Conifer Health (InforMed/Community Health Plan).  MedNet of Delaware currently provides administrative services to the Physician Organizations and their participating physicians for the ongoing maintenance of these contracts and other initiatives around models of care delivery, such as the Highmark Delaware PCMH and the Quality Blue Accountable Care Organization (ACO): MedNet programs.


Current Strategies for MedNet & the Physician Organizations (POs)

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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.


Copyright 2013 by Medical Society of Delaware