Trinity Health and Heritage Provider Network (HPN) have formed a joint venture set to redesign existing healthcare models, including primary care, care management, hospitalist, post-acute care and high-risk clinics, in order to improve and coordinate care, according to Trinity Health.
The new venture, Trinity Health Partners, will meld Heritage’s population health capabilities with Trinity Health’s expansive national hospital system, said Heritage officials. The joint venture is expected to expand Trinity’s capabilities to contract with payer-partners for full-risk, capitated arrangements that will result in better health, better care and lower costs in communities served.
HPN coordinates the care of more than 1 million individuals in 15 markets across three states. Its high-performing networks, which regularly receive four and five-star ratings for Medicare Advantage performance, use care management protocols that improve outcomes and provide individuals with quality care and value. HPN remains the largest of the Pioneer accountable care organizations, (ACOs) and has developed many of the care management processes that today constitute industry standards. HPN was also the creator and sponsor of the Heritage Health Prize Challenge, the world’s largest data analytics contest that sought the creation of an algorithm predicting hospital utilization.
Trinity Health is committed to improving the health of individuals and the communities it serves. In the past year, it has taken numerous steps toward that goal, including developing value networks and regional partnerships aimed at clinical integration, creating models of care in retail pharmacy settings that serve people when and where they need it and plans to deliver digital wellness tools. Recently, the Centers for Medicare & Medicaid Services (CMS) announced that nine accountable care organizations (ACOs) formed by Trinity Health’s ministries allied with independent physicians are among 89 new Medicare Shared Savings Program (MSSP) ACOs, effective January 1.
Source: Trinity Health, January 12, 2015
Population Health Framework: 27 Strategies to Drive Engagement, Access & Risk Stratification walks through the elements of Adventist’s population health management program that engages individuals to modify behaviors and prevent illness in the future. In this 25-page report, Elizabeth Miller, vice president of care management at White Memorial Medical Center (part of Adventist Health) details the program, which relies on a combination of incentives, risk stratification and engagement strategies.