SLIDE 1
Match.com Profile
- Gender
- Age
- Profession
- Favorite color
- Favorite song
- Favorite thing to do
Match.com Leonard Hock, DO, MACOI, CMD, HMDC, FAAHPM Match.com - - PowerPoint PPT Presentation
Match.com Leonard Hock, DO, MACOI, CMD, HMDC, FAAHPM Match.com - - PowerPoint PPT Presentation
Match.com Leonard Hock, DO, MACOI, CMD, HMDC, FAAHPM Match.com Profile Gender Age Profession Favorite color Favorite song Favorite thing to do Yesterdays LTC Match.com All about census Matches
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SLIDE 5
Yesterday’s LTC Match.com
- All about census
- Matches were with
- Hospitals
- Discharge planners
- Case management
- Social services
- Doctors
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Tomorrow’s Match.com
- Partners
- Census
SLIDE 7
Partners
- ACOs
- Finding more savings
- And more savings after that
- Health Systems
- Bundled Payments
- Follow the money
- Health Care Plans
- Medicare replacement plans
- Medicaid managed care
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1st Date, 2nd Date or No Date at all
- Taking the lead
- Who’s in charge
- What’s the goal
- How to get there
- Becoming a couple
- You are being watched
- And measured
- Compatible
- Commitment
SLIDE 9
Affordable Care Act
- Authorizes CMS with broad authority
- Test new payment models
- Moving away from Fee for Service
- ACOs
- Episodes of care
- Bundled payment
- Emphasis on quality of care
- Outcomes
- Cost
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Accountable Care Organizations
- All about savings
- Bench marks
- Financial
- Quality
- Out patient
- Hospital
- Savings ratcheting down
- Now Long Term Care
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Systems and Plans
- Bundled Payments
- Bundled Payments for Care Improvement, BPCI.
- Valued Based Purchasing
- Focus on SNF and NF
- Metrix, satisfaction, public reporting
- Global Capitation
- A set dollar amount for one person for one episode
SLIDE 12
Bundled Payments in LTC
- Model 1
- Payments to hospitals. Ends December 2016
- Model 2
- Payments to hospitals and LTC up to 90 days.
- Model 3
- Triggered by hospital stay. Payments are to LTC.*
- Model 4
- Hospital stay. One payment to all partners.
SLIDE 13
Match.com
- Picking the right partner
- A win-win relationship
- Aligning goals and purpose
- Achievable quality and cost goals
- Staying in the dating game
- Narrowing networks
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Bringing Up Past Dating Won’t Help
- Loyalty
- Local
- Choice
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Partnership
- What can you do for me?
- What can we do together?
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SWOT Thoughts
- Strengths
- Measurements matter
- Size matters
- Weaknesses
- Size matters
- Opportunities
- Business focus from census to partnerships
- Mergers and acquisitions
- Threats
- Not looking forward
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Match.com
- My favorite color is blue
- My favorite thing to do is being with FADONA
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Thank you
SLIDE 19
References
- Match.com
- Health Policy Brief, Robert Woods Johnson
Foundation, November 23, 2015
- U.S. Dept. of Health and Human Services, Report