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   RE: opportunity for imps Please respond?
 From: Jean Antonucci
 To: Member Forum
 Posted: 12-28-2017 11:10
 Message: UPDATE

 the AAFP also submitted a proposal an they accepted it for testing
 It is complex and   still uses MIPS but is capitated risk adjusted

I am still going to propose the idea previously posted here 2.00/day per  low and medium risk patients and 3.00/day  for high risk Risk measured by  HowsYourHealth

 I found a grant write t o help me with good writing  She got busy and in unavailable for a while who of you could look at this proposal( it is  20 p max) and comment on the writing and how well it conveys the ideas(I am not looking for ideas just whether we have a strong prosoal)
 there would be panel size caps( so you cannot suck up patients just to be paid) and a 15 % withhold til end of each yr if you do not meet benchmarks you will  not get 15 %

who will help read and edit please?

Jean Antonucci
Original Message:
Sent: 09-11-2017 16:14
From: Jean Antonucci
Subject: opportunity for imps Please respond?

Could someone please crosspost to AAFP list serv?

 Please see my original post. Much has happened
  I have had conversations with many people
 -we would like to  submit this proposal -a proposed payment model for office based PCP payment - NPS and Docs - based on risk stratification by  using Hows Your Health ;  providers would be  in a project that paid them 2.00/day-  60PMPM -for low and medium risk patients and  3.00 or 90PMPM for high risk patients  Panels would be capped at 1500 patients/provider so you cannot  just add patient  names get rich and do no work;  15% of your  payment would  be withheld until the end of the yr and if you met the benchmarks you get the 15%; if not you might have a reason  and be allowed a second chance you might be kicked out of the project
 That is the basics

 The following now needs to happen
1 I need a professional writer to tie the proposal together( apparently I can't  write)
2  I need to re- create this list of you that were interested.  I had created a list that got me 5000 medicare covered lives Then I was told it was not my  job to  do that Medicare would run the project. NOW I am told I should prove I have docs committed to  do this
I think it can be any payer but starts with medicare
 I am asked to ask people for money to pay the writer and show committment    I am against this    I do not  want to take money  log it as income and be some kind of middleman making docs  that I do not know well send me money as a comittement  to participate in  such a project if it began    There was an independent woman in Reston VA,  there were some of you  I called, .....    I need to find asap interested parties I have no idea whether you would say you were interested only if you take Medicare I think if you are willing to be  in a pilot and  be paid this  way PERIOD  all payers please tell me  Please contact me and tell me your panel size of medicare and total  This is a large chance to infuence how  you might be paid     I need you to be serious    I have no idea how to make you promise to  do it if offered ,nor how to find a writer   I will pay the writer
 Comments please  \
Note many details of the project are to be worked out but the basics are above Very  high cost things to the practice like vaccines and IUDs would stil lbe FFS but very few things will be carved out


Jean Antonucci

Original Message:
Sent: 05-09-2017 22:33
From: Jean Antonucci
Subject: opportunity for imps Please respond?

Dear IMP Community,
 For years  IMP has struggled with how we might work together to improve payment or  work on  advocacy  measures despite the fact that we are  spread out across  all the states, with each state having various initiatives around cost/quality/practice transformation efforts/programs  payment etc.We spend time telling stories about "well  what  I  do is" when  the  one listening often  has no power to utilize such stories in their environment.
Tres frustrating

 Our time has come
What we have  been unable to do is now possible
 The law called MACRA established a board or committee called PTAC (Physician Payment Technical Advisory Committee- like SO not any clever acronym but at least it has a vowel so you can  pronounce it:) )- to evaluate new methods to pay docs. Any doc or any  group can make a proposal to this group  The proposals  would be around  the structure of payment and must be  nothing  done  before, be about value over volume and measure  quality  to prove its worth

 Although IMP has been a community that supports practices in practice management, we originated in the idea  of a project that would use innovative measuring and cutting edge tech to pursue practices that were sustainable for the docs and  provide the best care for patients. Those of us that went through the IMP project  cohorts or attended IMP Camps  know the details.

A few  of us have gotten together on the iMP calls and email and agree we should make a proposal
we have a good friend on the committee who  would help us

The basics are: us simply and better
Roughly $1.00( maybe more)/patient/day  (- -  have 1,000 patients?   so-$365,000 into your practice and so say the overhead is 50%, you the doc get  $182,500.) You can take of people for 1.00/day We might risk adjust it but   for this  post we are  keepin gitismple.
2 use HowsYourHealth to measure and risk assess.
 There are details Not for this email

I need a lot of patients to do this I need a lot of docs.
 Please respond to me at if you are  interested inpartcipating
 we need you to take straight ordinary Medicare as payment would apply to them only, we need you to be willing t o use HYH   60 + surveys/yr ( its free)We  may need you to do a little work for the proposal  but I am hoping  a small steering group can  put it together .

We have a good chance this project will be  accepted( which means recommended to DHHS who may put it into action)

If you want  simple pay  better  pay and to get  out of  some of the  administrative measurement junk, please email me
I need this SOON  I need you to  be willing to recruit 1 or 2 or 10 other docs also

Frankly, why wouldn't you?

Jean Antonucci

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