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

Yesterday’s LTC Match.com • All about census • Matches were with • Hospitals • Discharge planners • Case management • Social services • Doctors

Tomorrow’s Match.com • Partners • Census

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

1 st Date, 2 nd 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

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

Accountable Care Organizations • All about savings • Bench marks • Financial • Quality • Out patient • Hospital • Savings ratcheting down • Now Long Term Care

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

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.

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

Bringing Up Past Dating W on’t Help • Loyalty • Local • Choice

Partnership • What can you do for me? • What can we do together?

SWOT Thoughts • Strengths • Measurements matter • Size matters • Weaknesses • Size matters • Opportunities • Business focus from census to partnerships • Mergers and acquisitions • Threats • Not looking forward

Match.com • My favorite color is blue • My favorite thing to do is being with FADONA

Thank you

References • Match.com • Health Policy Brief , Robert Woods Johnson Foundation, November 23, 2015 • U.S. Dept. of Health and Human Services, Report to Congress: Plan to Implement a Medicare Skilled Nursing Facility Value-Based Purchasing Program.