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APM Kick Off - Shared screen with speaker view
Max Perrey. RCHC
20:13
Are non WG members able to watch/ask questions at the WG meetings?
Anitha Mullangi
24:58
Does our org HPSA score impact our PPS rate?
Naomi Fuchs
25:11
nope
Anitha Mullangi
25:34
Thanks Naomi :)
Yogesh Jagirdar MD. Native American Health Ctr
26:01
Would it be a different PMPM rate for high utilizers / High Risk Members?
Marty Lynch
27:55
Rate would average and weight low utilizes and high utilizers.
Jina Lawler
28:15
will there be risk stratification for not only high risk health conditions about also for SDOH? - in QI outcomes
Yogesh Jagirdar MD. Native American Health Ctr
29:12
what Historical data would you look at- ie - how many years look back for visits /yr per member?
droseinda@splg.org
29:58
can you go back to the things we could be doing now if we are interested?
Judy’s iPhone
31:18
Is it really voluntary?
Judy’s iPhone
31:55
Have other states done this and then abandoned it because it didn’t work?
Angel Acevedo, Community Health Systems, Inc.
31:56
Will slides be available?
Audrey Simons San Fernando CHC
32:01
How soon will recording and slides be available?
Marty Lynch
32:05
On QI outcomes..and risk stratification Qi committee will be working on what we want to propose on those types of issues
Ashley
32:58
Are Managed Medi-Cal Plans part of these conversations?
Judy’s iPhone
33:32
Very concerned about the acuity of the patient mix of our clinic and the negotiation of rates, will the rate be negotiated on an individual clinic bases?
Jina Lawler
36:21
Judy, that is a good question. Will the rate be for the organization or by sites?
Molly
37:39
getting a rate that's representative of costs is a challenge because of the current cis process: 20% reduction to rate delta and tough audits.
Sabra Matovsky-SFCCC she/her
38:38
Thanks, Tim!
Warren Brodine
39:27
Second Molly’s comment.
Tory Starr
39:47
Is the state approaching this as a learning and improvement opportunity to create an equitable and achievable payment system moving forward? Is this a time limited study with evaluation points to measure progress and make changes as learning occurs? Is there a defined cycle time. It looks like it but I didn't see any detail on that in the slides.
Eddie Chan - San Francisco
39:51
How do multi level sub-delegated IPA's with contracts with FQHC's receive APM payments? Will the Plans pay differently to the IPA's for private providers versus FQ's?
Sabra Matovsky-SFCCC she/her
40:14
Duals may have the most to benefit from the APM
Yogesh Jagirdar MD. Native American Health Ctr
42:12
Agreed- access to wraparound services would improve with APMs.
Tory Starr
43:46
Is there any talk of making the APM a full continuum program including the acute component of the costs as that is where the real savings are?
Warren Brodine
46:09
The IPA level is critical in parts of the state and thank you for considering this part of the process.
Eddie Chan - San Francisco
49:15
Fernando's points are VERY important!
Ricardo Ornelas
51:37
In what year would members and visits be analyzed to determine the Wrap CAP. Hopefully, it was not during pandemic when visits per member were lower than usual.
Jessica Ho
52:29
Agree with Ricardo. Many clinics like ours are also working to help vaccinate non-NEMS patients, (community members) and that may skew the data.
Judy’s iPhone
52:44
For us By organization
Maria Z
53:36
If we currently receive the wrap payment for patients that are not ours how it is going to work when a patient comes to us and does not belong to us? Someone else will get the pmpm payment correct?
Kim Kilpela
56:29
Will wrapping quality into APM negate quality improvement programs and the incentive payments that brings?
Judy’s iPhone
56:45
Also agree with concern of using 2019 or 2020. Volumes are still not normal. We were seeing visit increases pre-pandemic and then big swing for COVID testing and vaccines.
Marty Lynch
57:26
Quality in Apm should be separate from existing P for P arrangements with plans.
Kathryn Phillips
58:02
States have different rules for how and if patients are assigned versus attributed (and by whom). CHCS did a review nationally of the different mechanisms. I will pass to Andie.
Christy Ward
59:03
Have to jump off. Great discussion today! :D
Dr. Gerard Jenkins
59:19
Thanks Andie..
Carol Wood
59:23
can you answer the rest of the questions in your email?
Kim Kilpela
59:24
Thank you!
Yogesh Jagirdar MD. Native American Health Ctr
59:28
Thanks