All Provider Meeting October 27, 2016 1 Agenda Call to order - - PowerPoint PPT Presentation

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All Provider Meeting October 27, 2016 1 Agenda Call to order - - PowerPoint PPT Presentation

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All Provider Meeting October 27, 2016 1 Agenda Call to order Richard Gough, MD Medical Director Update Richard Gough, MD 2017 New Provider(s) Richard Gough, MD Shared Savings Overview Richard Gough, MD 2016 Performance

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All Provider Meeting

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October 27, 2016

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Agenda

  • Call to order

Richard Gough, MD

  • Medical Director Update

Richard Gough, MD

  • 2017 New Provider(s)

Richard Gough, MD

  • Shared Savings Overview

Richard Gough, MD

  • 2016 Performance Measures of Primary Focus Richard Gough, MD
  • Customer Service

Johnson Koilpillai, MD

  • MACRA Final Rule

Jennifer Teeter

  • FIHN Payor Contract -Medicare Advantage Jennifer Teeter
  • Upcoming Events / 2016 Priorities

Richard Gough, MD

  • Next All Provider Meeting / Adjourn

Richard Gough, MD

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Medical Director Update

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PY2017 New FIHN Provider(s)

Sunil Thadani, M.D., M.P .H. Stephen McKenna, M.D., M.B.A., F.A.C.S

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Shared Savings Overview

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Shared Savings Potential

  • Cost Savings
  • Benchmark (2016) - $11,446
  • Goal (@3.5% savings) - $11,045
  • CY2016 (Q2) - $10,942 (4.4%) on track
  • Quality Measures
  • Must at least be at 30th percentile on each measure to earn

points

  • Cost savings shared by CMS depends on Quality Score!

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ACO Quality Scoring

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Quality Measure Score

  • CAHPS (Patient / Caregiver Experience) Survey – 25%
  • Claims & Group Practice Reporting PQRS – 75% (25% each)
  • Preventative Health - (breast, colon, flu, pneumovax, BMI,

tobacco, HBP screen/follow-up, depression screen/follow-up)

  • At-Risk Population – (diabetes composite – A1c/retina,

IVD/asa, CHF/B-blocker, CAD (c Diab or CHF)/ACE or ARB, Depression remission)

  • Care Coordination / Patient safety – (Fall Risk, Med Rec, %MU,

All-Cause admits/readmits (incl SNF), PQI’s)

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2016 Performance Measures

  • f Primary Focus

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Clinical Measures

  • Fall Risk

(Annual Wellness Visit or Medicare Screening Questionnaire) 40th percentile

  • Depression Screening & follow-up plan – < 30th percentile

(PHQ-2 or PHQ-9)

  • Influenza Immunization - 30th percentile

(“elsewhere shots”, document refusals)

  • Pneumococcal Vaccination – 40th percentile

(www.mdimmunet.org)

  • Diabetes Composite Measure (HgbA1C + Retinal Exam) -

benchmark not yet released

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Patient / Caregiver Experience (Customer Service)

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Customer Service – ACO CAHPS

  • 8 Measures are included in CAHPS for ACOs survey
  • Getting timely appointments and information
  • How well doctors communicate
  • Patient’s rating of doctor
  • Access to specialists
  • Health promotion and education
  • Shared decision making
  • Health status / Functional status
  • Stewardship of patient resources

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Customer Service – ACO CAHPS

  • Heath Promotion and Education – < 30th percentile
  • Use educational handouts & pamphlets, align awareness months

with reminders (e.g. breast cancer awareness month), maintain a list of free community events that promote health and well-being.

  • Shared Decision Making - 40th percentile
  • Patient rights posters, Be aware of patients’ financial situations and

cultural differences, Never dismiss a patient concerns, Encourage patient to bring a family member to an appointment where a surgery or procedure will be discussed.

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Customer Service Reminder Minute

  • FIHN Top 4 priority areas
  • Careful listening
  • Showing Respect
  • Knowledge of important medical history
  • Explaining in a way patients understand

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Simple recommendations based

  • n Press Ganey best practice -

How to improve patients perception of Listening carefully

  • Sit at eye level, lean in, poised to listen and focus
  • Acknowledge concerns: “Let’s talk more about your

concerns”, validate emotions

  • Allow the patient to finish without interrupting
  • Ask, “Do you understand what we are planning”
  • Ask about their experience in the office, treatment by

staff, comfort. Maximize patient loyalty through asking for feedback and making changes.

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How well providers communicate

  • Morning staff huddles to review patients for the day – test

results needed, specialist consults, resources

  • Review chart from last visit and history before entering

the room – Tell the patient “you mentioned in your last visit that…”, “I see you have had allergies in the past…”

  • Engage with staff to handoff information to you from

preparing the patient that indicates you are listening to each other. “The nurse Mary indicated you have had pain recently”

  • Ask – “What do you think is causing this?” or “
  • 50% of patients do not understand the plan of care - Use

visual aids and teach back approach – having the patient repeat back to you the plan of care/medication use. Give written instructions or handouts.

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Take-Aways

  • Scores below the 30th percentile rank = no points

towards shared savings

  • Our final Shared Savings rate is determined based on

performance compared to National Benchmarks

As others get better so must we to achieve shared savings!

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Items for Discussion

  • Recent Event - Holly Hills Celebration
  • Shared Savings Check Dissemination
  • Website Update
  • FIHN.org (Public Reporting Page)
  • FIHNACO.org (Network Resources)
  • Specialist (c Attribution) Priority – refer patients to PCP;

MC Screening Questionnaire (cross-cutting measures)

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MSSP/ACO PCPs taking new Medicare patients

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Sajjad Aziz, MD 801 Toll House Avenue, Suite C-3 Frederick MD 21701, 301-663-1566 Syed Haque, MD 700 Montclaire Avenue Frederick MD 21701, 301-662-6943 Internal Medicine Specialists of Frederick, LLC 70 Thomas Johnson Dr, Ste 101 Frederick MD 21702, 301-668-9393 Sibte Kazmi, MD 814 Toll House Ave Frederick MD 21701, 301-662-8310 Middletown Valley Family Medicine, PA 300 S. Church St. PO Box 20 Middletown MD 21769, 301-371-9000 Primary Medical Services, PC (Zaidi) 801 Toll House Avenue, Suite E-1 Frederick MD 21701, 301-662-3229 Gaffar A Syed, MD, PA 801 Toll House Avenue, Bldg. H-4 Frederick MD 21701, 301-698-9444 X'cel Primary Care (Saied) 15 W. 7th Street Frederick MD 21701, 301-698-5050 Union Bridge Family Practice 104 North Main Street Union Bridge MD 21791, 410-775-2622 Parkview Medical Group 194 Thomas Johnson Drive, Suite A Frederick MD 21702, 240-215-6370 7211 Bank Court, Suite 230 Frederick MD 21703, 240-215-6370 504 East Ridgeville Blvd.

  • Mt. Airy MD 21771,

240-215-6370 3000-D Ventrie Ct. Myersville MD 21773, 240-215-6370

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Medicare Access and CHIP Reauthorization Act 2015 (MACRA) –

Final Rule Published October 14, 2016 Overview: https://qpp.cms.gov/docs/Quality_Payment_Program_Overview_Fact_Sheet.pdf

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Key MACRA points

  • Ended the annual Medicare Physician Fee Schedule update that

was unsustainable (-21%)

  • Medicare physician fee schedule increases held to .5% CY 2016-

2025

  • New system called “Quality Payment Program” QPP
  • 2 tracks –
  • Merit Incentive Payment System (MIPS) concept – “earn” adjustments

to future Medicare payment, or

  • Join Advanced Alternative Payment Models (AAPMs)
  • January 2017 Performance Year Start Date
  • Final Rule - Providers in an ACO receive the same MIPS score

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Select MACRA Definitions

  • MACRA: Medicare Access and CHIP Reauthorization Act of 2015
  • MIPS – Merit Incentive Payment System
  • Advanced APM – Alternative Payment Model with Risk Sharing
  • MIPS APM – Alternative Payment models without risk
  • Categories of Providers Subject to MIPS: Physicians, Physician

Assistants, Nurse Practitioners, CNS, Nurse Anesthetists

  • Performance Period: January 1 – December 31, 2017
  • Payment Impact Period: January 1, 2019 – December 31, 2019
  • Deadline for Quality Data Submission: March 31, 2018
  • Non-patient Facing Clinicians - bills 100 or fewer patient facing

encounters

  • Hospital based clinicians – 75% services inpatient hospital, on-

campus outpatient hospital or emergency room

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MIPS Categories of Performance Measurement

  • Quality – 50% weight 2017, declines to 30% 2019, 60 points
  • Report minimum of 6 PQRS measures

ACO participants receive the ACO Quality Reporting Score

  • Resource Use – 0% weight 2017, increases to 30% 2019
  • Cost per beneficiary; Cost per episode, claim data used, no reporting

ACO Participants meet through ACO cost goals

  • Clinical Practice Improvement – 20% weight, 40 points
  • 90 Activities to choose from, must report 4 activities

ACO participants meet requirements through ACO activities

  • Advancing Care Information – 30%, 100 possible points
  • EHR, electronic access and data exchange requirements

ACO participants receive weighted average score for ACO providers

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Transition to MIPS - flexibility

CMS recognizes challenge for physicians

  • 2017 “Transition Year” some proposed requirements relaxed

AND opportunities to join Advanced APMs expanded

  • 3 flexible data submission options for 2017 -
  • Report fully for a 90 day period or the full year – maximizes
  • pportunity for positive adjustment
  • Report for at least 90 days and submit more than one of each:

quality measure, improvement activity and advancing care information measure, avoid negative adjustment and perhaps receive positive adjustment.

  • Report for at least 90 days and submit one of each: quality measure,

improvement activity and advancing care information measure and avoid negative adjustment.

  • More reporting is expected of large practices > 100 clinicians

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Phased in Reporting options

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Exemptions from MIPS

  • Providers newly enrolled in Medicare – 1st year
  • Providers meeting low volume threshold for Medicare:

<=$30,000 billed charges OR <=100 patients

  • Providers enrolled in MIPS Alternative Payment

Methodologies (APMS) receive credit in most categories

  • MIPS APMs: MSSP Track 1 included
  • “Advanced” Alternative Payment Methodologies –

exempt from MIPS and qualify for a 5% incentive bonus

  • Requires use of Certified EHR
  • Quality measure scores determine payment
  • Provider is at risk for medical cost losses
  • Qualifying models – ESRD Care Model, CPC+, MSSP Tracks 2-

3, Next Generation ACO, Oncology Care 2-sided risk model

  • Non-patient facing providers and hospital based

providers exempt from some reporting

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  • Registry
  • Electronic Health Record
  • Claims
  • Attestation

How to report – technologies used

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MIPS Categories of Performance Measurement

  • Quality – 50% weight 2017, declines to 30% 2019, 60 points
  • Report minimum of 6 PQRS measures

ACO participants meet Quality through participating in ACO reporting

  • Resource Use – 0% weight 2017, increases to 30% 2019
  • Cost per beneficiary; Cost per episode, claim data used, no reporting

ACO Participants meet through ACO cost goals

  • Clinical Practice Improvement – 20% weight, 40 points
  • 90 Activities to choose from, must report 4 activities

ACO participants meet requirements through ACO activities

  • Advancing Care Information – 30%, 100 possible points
  • EHR, electronic access and data exchange requirements

ACO participants receive weighted average score for ACO providers

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  • I. Advancing Care Information

Report using EHR certified to 2014 or 2015 criteria, 2018 will require 2015 criteria Reporting at group/TIN level – 5 measures, 50% score

  • Security Risk Analysis
  • E-Prescribing
  • Provide Patient Access (Portal)
  • Send Summary of Care for Transitions or Referrals (CCD)
  • Request/Accept Summary of Care
  • Submit up to 9 measures, up to 90 additional points
  • Bonus Score – can earn up to 100 points total
  • Report to 1 or more public health registries
  • Use CEHRT to complete CPIA Section activities

Measure Summaries: https://qpp.cms.gov/measures/aci 30

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ACI - EHR activity examples:

  • Drug interactions safety checks, allergy checks
  • Transmission and receipt of orders and results:

medications, lab and imaging, referrals to other providers

  • Patient access, education, engagement, secure messaging
  • HIE data sharing (CRISP, NextGen, in process FMH HIE)
  • Registry reporting, submission and receipt of data
  • Reconciliation of Meds, Allergies, Problem List
  • Participation with DHMH Syndrome Surveillance systems

– infectious disease, lead poisoning

https://mmcp.dhmh.maryland.gov/ehr/Pages/PublicHealthObjectives_Main.aspx

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Advancing Care Information Scoring

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MIPS Advancing Care Information Scoring Methodology 2017

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MIPS Categories of Performance Measurement

  • Quality – 50% weight 2017, declines to 30% 2019, 60 points
  • Report minimum of 6 PQRS measures

ACO participants meet Quality through participating in ACO reporting

  • Resource Use – 0% weight 2017, increases to 30% 2019
  • Cost per beneficiary; Cost per episode, claim data used, no reporting

ACO Participants meet through ACO cost goals

  • Clinical Practice Improvement – 20% weight, 40 points
  • 90 Activities to choose from, must report 4 activities

ACO participants meet requirements through ACO activities

  • Advancing Care Information – 30%, 100 possible points
  • EHR, electronic access and data exchange requirements

ACO participants receive weighted average score for ACO providers

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  • II. Quality – report 6 measures
  • 1 “Cross Cutting” Measure – broadly applicable across

settings and specialties: CAHPS, Medication Management, Flu and Pneumonia vaccine, Falls, Breast Cancer screening, Pain assessment, Depression screening & follow-up

  • 1 “Outcome” High Priority Measure such as Diabetes Care
  • 4 Measures selected from PQRS or select a specialty specific

set of predetermined measures selected by specialty societies

Bonus points – cannot exceed 10% of total possible points

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ACO Participants all receive the same score based on ACO Quality Reporting

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What if an ACO fails to report the quality measures?

  • ACO participants will have the opportunity to report

quality measures prior to the reporting deadline, final rule page 962

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Can practices separately report additional quality measures if they are in an ACO?

  • No, page 1106 Final Rule

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MIPS Categories of Performance Measurement

  • Quality – 50% weight 2017, declines to 30% 2019, 60 points
  • Report minimum of 6 PQRS measures

ACO participants meet Quality through participating in ACO reporting

  • Resource Use – 0% weight 2017, increases to 30% 2019
  • Cost per beneficiary; Cost per episode, claim data used, no reporting

ACO Participants meet through ACO cost goals

  • Clinical Practice Improvement – 20% weight, 40 points
  • 90 Activities to choose from, must report 4 activities

ACO participants meet requirements through ACO activities

  • Advancing Care Information – 30%, 100 possible points
  • EHR, electronic access and data exchange requirements

ACO participants receive weighted average score for ACO providers

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  • III. Resource Use – scoring starts 2018
  • Geographic and Risk Adjusted Categories:
  • Total Per Capita Cost of Parts A + B
  • Total Spending per Beneficiary
  • Cost per Episode – 41 episodes – high cost & variability
  • 2018 proposed measures based on Appropriateness of Use

criteria such as Choosing Wisely guidelines

  • Cost per episode will take on more weighting in future yrs
  • Providers will receive feedback in 2017 to prepare for 2018

40 ACO Participants all receive the same score.

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Episode Cost Specialty Areas

  • Breast
  • Cardiovascular
  • Gastrointestinal
  • Genitourinary
  • Infectious Disease
  • Metabolic
  • Neurology
  • Musculoskeletal
  • Respiratory
  • Vascular

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MIPS Categories of Performance Measurement

  • Quality – 50% weight 2017, declines to 30% 2019, 60 points
  • Report minimum of 6 PQRS measures

ACO participants meet Quality through participating in ACO reporting

  • Resource Use – 0% weight 2017, increases to 30% 2019
  • Cost per beneficiary; Cost per episode, claim data used, no reporting

ACO Participants meet through ACO cost goals

  • Clinical Practice Improvement – 20% weight, 40 points
  • 90 Activities to choose from, must report 4 activities

ACO participants meet requirements through ACO activities

  • Advancing Care Information – 30%, 100 possible points
  • EHR, electronic access and data exchange requirements

ACO participants receive weighted average score for ACO providers

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IV . Clinical Practice Improvement Activities (CPIA)

  • 90 activities to choose from – Must report up to 4 for

at least 90 days

  • 40 Points total possible
  • Year 1 everyone must attest Y/N for all activities in

the inventory

  • Small Groups <15 clinicians need to only report 2
  • Activities will become more difficult over time
  • No bonus points for this category

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  • ACO Participants receive the same score, 100% in 2017
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Categories of Improvement Activities

  • Access – hours, patient portals, secure messaging
  • Population Management – registries, anticoagulation

management clinics referral, clinical pathway use, Annual Wellness Visits, Transitions in Care

  • Care Coordination – closing loop tests, telehealth, HIE use
  • Beneficiary engagement – care plans, Shared Decision

Making, certified patient education tools

  • Patient Safety – checklists, clinician certifications, registry use
  • Future categories
  • Equity – serving Medicaid & Exchange plans, accepting new MC patients
  • Accommodations – wheelchair, lifts, interpretation
  • Social and community – referrals to social agencies, minority populations
  • Emergency Preparedness – volunteering, serving in reserves
  • Integrating Behavioral Health

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Final MIPS Scoring

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4 category scores roll up to the Composite Performance Score (CPS)

  • Score for each category multiplied by the category weight
  • Composite Performance Score (CPS) is associated to the TIN
  • Payments for the TIN adjusted positively or negatively

based on scoring above or below the performance threshold

  • Adjustments must be budget neutral to CMS, unless they

are negative adjustment

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Alternative Payment Methodology Participating Provider Scoring Standards

  • Certain “MIPs APM” participants (MSSP Track 1

included) will be scored at the APM level in all 4 categories – FIHN is a MIPS APM

  • Advancing Care Information – FIHN practices receive the

same score, the weighted mean of all practices’ scores

  • Quality – FIHN practices receive the same score thru ACO

Reporting

  • Clinical Practice Improvement – FIHN Practices do not

need to report for 2017, partial reporting may be required in future years

  • Resource Use/Cost – no scoring in 2017

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Advanced APMs –

  • Must receive 25% of Medicare payments or see 20% of

Medicare patients through an Advanced APM in 2017

  • Providers in Advanced APMs will be excluded from

MIPS and receive a 5% lump sum incentive payment

  • Advanced APMs meet 3 criteria
  • Requires Participants to use CEHRT
  • Provides payment incentives based on quality measures

similar to those required under MIPS

  • Requires participants bear more than nominal risk or be a

Medical Home Model – 4% of expenditures at risk. ACOs in Tracks 2, 3 and NexGen are examples of Advanced APMs

  • Other Payor Advanced APMs will be identified in 2019
  • Maryland planning for CPC+ in 2018, CMS reviewing for

Advanced APM approval

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Work in Progress on MIPS

ACO Track 1 “+” under development, will be considered an Advanced APM, others planned Maryland waiver Phase II – Advanced APMs planned such as Maryland CPC+ in 2018 under development Other Payor Activity may qualify as Advanced APM

  • Medicaid actively working to implement
  • New Medicare models encourage commercial payors

implementation of similar programs

Virtual Groups may be approved for reporting in the future

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Takeaways

  • 2017 is the 1st Performance Year, July 1st reports released
  • FIHN reporting for 2017 will meet Resource Use, Quality

and Clinical Practice Improvement requirements

  • Advancing Care Information (ACI) score will be the

weighted mean score of all ACO practices.

  • FIHN practices should develop specific goals and prepare

to report starting January 1, 2017 – CRISP, local HIE and CDR transmission beneficial to scoring. See handout for

  • specifics. FIHN can help!
  • Maximize electronic EHR functions and Registry Use

qualify for credit in many categories, engage EHR Vendor!

  • 2018 is unknown (ACO 3-year contract 2015-2017, next?)

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Next Steps

  • Provider Education
  • FIHN Provider Education
  • Non-FIHN General Medical Staff Education
  • Assess Advancing Care Information (ACI) IT Readiness
  • Develop gap list based on EHR and ACI objectives
  • Engage your vendor, practice superuser, peers, FIHN IT support
  • FIHN review of provider Meaningful Use and PQRS
  • Practice IT Support – FIHN, peers using similar EHR
  • Premier MACRA Readiness Assessment - FIHN
  • Monitor Advanced Alternative Payment Model
  • pportunities – exempt from MIPS, MD Waiver proposed

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  • https://apps.ama-assn.org/pme/#/assessment

AMA Assessment Tool

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Where to find more information?

CMS Web site:

  • https://qpp.cms.gov/learn/getprepared

CMS Educational Resources:

  • https://qpp.cms.gov/education

Participate in the Quality Improvement Organization Learning Action Network

  • http://qioprogram.org/glossary-terms/learning-and-

action-network

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MACRA Resources

  • CMS Quality Payment Program https://qpp.cms.gov/.

Subscribe to Email Updates at the bottom of the page

  • The Quality Payment Program Service Center

1-866-288-8292, Monday – Friday, 8:00AM – 8:00PM Eastern Time Email: QPP@cms.hhs.gov

  • NextGen Health Reform Team:
  • Session on 10/20/2016 4pm. Shared on Success Community
  • Additional Sessions are posted and you may enroll via this

link: https://www.community.nextgen.com/a3X33000000HPsE

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FIHN Payor Contracting Opportunity – Medicare Advantage

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What is Medicare Advantage - Part C coverage?

Medicare Advantage – A health plan replacement for Medicare Part A and B

  • ffered by a private insurer that contracts with CMS. Medicare beneficiaries

enroll in a Medicare Advantage health plan (HMO or PPO. The health plan may include part D prescription drug coverage. Unlike fee for service Medicare, Advantage plans contain the following elements:

  • Contracted provider network
  • Greater benefits: vision, dental, hearing and others
  • Members have a premium , copayment/coinsurance and incentives for

healthy behaviors

  • Lower cost than Medicare A & B with supplement
  • Medicare driving patients toward Medicare Advantage

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Strategy

  • FRHS and 5 other health systems formed the “Advanced

Health Collaborative” and together evaluated 8 Medicare Advantage Plans as partners through an extensive request for proposal

  • Reasons:
  • MC- Advantage largest growth segment for health plans
  • Attractive product for seniors - cheaper, more benefits
  • Unfriendly competitors entering market – Kaiser, Medstar
  • Population based payment reform
  • Gain control over the product/network design, local care

management, access to data to help manage patients

  • Strategic planning regarding Medicare payor mix
  • Payor resurgence into market due to hospital cost reductions

in Maryland

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Why did we choose Johns Hopkins Medicare Advantage product for partnership?

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Why Hopkins?

  • Successful experience in this market
  • Strong business plan
  • Care Management Experience - local
  • Name recognition for seniors
  • No requirement to use JH Hospital or employed

physicians

  • Opportunity to have a seat at the table
  • Hopkins health plans reputation with providers

FRHS and other systems partnered as “Advanced Health Collaborative” are now part owners of the Johns Hopkins Medicare Advantage Plan

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Future Structure - Johns Hopkins Medicare Advantage value added Agreement with FIHN

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Johns Hopkins Healthcare Medicare Advantage Advanced Health Collaborative II Frederick and FIHN Peninsula Adventist Lifebridge Other owner systems: Anne Arundel and Mercy

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Advanced Health Collaborative must be a multi- provider clinically integrated network before it can negotiate a value based Agreement with the Johns Hopkins Medicare Advantage plan

Six key requirements to be clinically integrated:

  • Selectivity and Commitment
  • Information Technology and Capital/Human

Commitment

  • Clinical Protocols
  • Care Review
  • Enforcement
  • Safeguards

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AHC Hospitals and ACO Medical Directors Collaborating

  • Care Pathways – 8 recently developed
  • Network Policies and Procedures
  • IT Solutions
  • Care Management Strategy
  • Other Best Practices

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Next Steps

  • FIHN Board Approval of contract – completed July 2017
  • November 2016 - Invite FIHN practices to join AHCII which will

result in our sharing FIHN provider list with Hopkins as those approved for contracting. Opt out mailing coming soon.

  • Hopkins Contracts with practices – you can always opt-out
  • Practice Agreement with Hopkins will be migrated to a FIHN

level Agreement with incentives as membership increases to levels required for meaningful performance measurement. You can always opt-out if that Agreement is not amenable to your practice.

  • This does not restrict you from participating in other Medicare

Advantage health plans

  • Hopkins will market plan in Frederick in 2017 for 2018 enrollment

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2016 Priorities

  • Improve IT data integration to report on contracts
  • Engage beneficiaries – FMH Care Clinic intensive education

and social support, disease management

  • Reduce Skilled Nursing Facility Length of Stay
  • Provide End of Life care in the most appropriate setting
  • Reduce overutilization of high tech imaging and emergency

room use for high utilizing FMH Employees

  • PCPs - Medicare AWV and Transitions in Care – Improve

Quality Measure Performance!

  • High Risk – review plan of care with care manager
  • Rising Risk - Refer newly diagnosed/low literacy and social

support patients to care management

  • Engage Specialists – care managers, refer patients to PCPs,

MC screening questionnaire (cross-cutting measures)

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Upcoming Events

  • JH Medicare

icare Adva vanta tage Contr tract ct Mai Mailing ling - November

  • Sup

uper r Use ser r POD Meeting ing – November 16, 2016 at Crestwood

  • FMH Medical Staff Holiday Party – December 3, 2016

at Frederick County Airport, you and your guest, dancing and heavy hors d’oeuvres, entertainment by your peers, chance to socialize, available flight simulator and option of donating to a local non-profit!

  • Fin

inal al 2016 All Provi vider r - December 14, 6-7:30 pm in Classroom 1 & 2 66

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Last 2016 All Provider Meeting

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December 14, 2016 6:00 p.m. – 7:30 p.m. Classroom 1&2