MissionPoint Health Partners saves St. Vincent Health System $5.8 million

MissionPoint Health Partners has saved St. Vincent Health System $5.8 million in healthcare costs in 2015. St. Vincent participates in shared savings through MissionPoint Health Partner’s accountable care organization (ACO) model, where groups of doctors, hospitals and other healthcare providers share the financial benefit that comes from improving patient health while reducing costs. In 2015, MissionPoint Health Partners saved St. Vincent more than $5.8 million. “Our population health management model is proven to increase total Healthy Days for our members while also cutting costs,” said Jason Dinger, chief executive officer of MissionPoint. “Most companies are experiencing healthcare cost increases on average of 4-6 percent annually. MissionPoint’s care management model, combined with our clinically integrated network of providers and facilities, allows… read more

This Part of Health Care Reform is Sticking Around, in Nashville and Beyond

Health insurance co-ops may be on their way out, but accountable care organizations, one of the other new health care models birthed by the Affordable Care Act, appear to be here to stay. That’s at least what the government wants, evidenced by both its announcement of the next generation accountable care organization model, as well as the renewal of nearly 150 participants in the shared savings model. As a reminder, accountable care organizations are a form of managed care led by providers. That means providers agree to pay for a population of patients for a set fee. Based on the model in which the ACO operates, savings from lower costs are then distributed between the organization and the health plan…. read more

MissionPoint Health Partners Selected as One of Nearly 150 Renewing Medicare Shared Savings Program Accountable Care Organizations

New hospitals and health care providers join successful, cutting-edge federal initiative that cuts costs and puts patients at the center of their care Medicare accountable care organization initiatives to improve how the health system cares for patients Today, the Centers for Medicare & Medicaid Services (CMS) announced 121 new participants – representing 49 states and the District of Columbia – in an innovative initiative – Medicare Accountable Care Organizations (ACOs) – designed to improve the care patients receive in the health care system and lowers costs. Nashville, TN – MissionPoint Health Partners was selected as one of nearly 150 renewing Medicare Shared Savings Program Accountable Care Organizations (ACOs), providing Medicare beneficiaries with access to high-quality, coordinated care across the United… read more

NALLI: Boosting Hoosiers’ Health Takes Team Effort

It’s the fourth quarter in a transformative year for Hoosiers’ health. In 2015, thousands of uninsured Indiana residents gained access to health care coverage through the expanded Healthy Indiana Plan. With more than 337,000 signing up, it’s clear Hoosiers are motivated to get covered and, more important, they’re taking a key first step toward better health. As we progress through this year’s health insurance exchange open-enrollment period—which began Nov. 1 and runs through Jan. 31—we can build on that great work. It will be up to Indiana’s health care providers, employers, policymakers and civic leaders to not only promote awareness of the enrollment period, but also ensure individuals find the health insurance option that is right for them. But coverage… read more

Smaller Networks Let Consumers Choose Lower Costs

Everyone wants the best health care possible. But cost — premiums, deductibles, copays and any other expense to the individual — is also a key factor. Health plans such as BlueCross work to balance these considerations every day for our members, giving them access to the care they need at a cost they can afford. One way we do that is by contracting with providers — doctors, hospitals, clinics, etc. — to create health care networks. By agreeing to join, providers accept negotiated discounts from their standard billing rates. Every network is, then, a “value” network because it saves our members money. In recent years, as a response to consumer demand for more affordable coverage options, insurers have developed new,… read more

Clinical Integration Emerging as Groundwork for Value-Based Care

In the shift from a fee-for-service to a fee-for-value health care environment, three Indiana hospitals are leading the charge by creating clinically integrated networks to better serve their patients. In Columbus and Seymour, adjacent communities hugging Interstate 65 in south central Indiana, leaders of two hospitals and their associated physician groups have formed Inspire Health Partners, a clinically integrated network to change both the structure and mindset of health care. That includes breaking the tradition of doctors being focused on a small number of patients each day. “We’d like that doc to wake up every morning and say, ‘I have 2,500 families that I have to keep healthy,’” says Marc Rothbart, president of Inspire Health Partners. Meanwhile, in a 20-hospital… read more

MissionPoint ACO Chaplain Makes House Calls to Uplift Patients

Leslie Duke, a retired Ford auto worker and full-time putterer, fell in his basement while working on his antique tool collection. He couldn’t remember what happened. He suffered brain damage and spent six weeks in a hospital in Nashville, Tenn. When he went home, friends greeted him with warm wishes and gifts. They returned for more visits. Then the visits dropped off. “After a while, people stop coming. They forget,” said his wife, Odessa Duke. Enter the Rev. Catherine Chang, chaplain for MissionPoint Health Partners, an accountable care organization. MissionPoint advocates for patients, some of whom have chronic illnesses, after they are discharged from traditional hospitals. Its nurses and counselors make home visits, help patients navigate the health care system… read more

Ascension to Compete for Employers’ Business in AL, IN and FL

MissionPoint Health Partners, an Ascension subsidiary that develops health plan networks and accountable care organizations, is going after employers’ business in Alabama, Indiana and Florida. An increasing number of health systems are negotiating directly with employers as they compete for local market share. They also risk alienating insurance companies that they still need to negotiate with for other business. Healthcare executives say the strategy allows them to better control healthcare cost and quality by using narrow provider networks that use information technology and incentives to coordinate care. Insurance companies that administer health plans for large employers are important, said Jason Dinger, MissionPoint’s chief executive. MissionPoint will work with employers’ existing insurers to add the MissionPoint benefits and network as another… read more

St.Vincent Joins Forces with MissionPoint Health Partners

MissionPoint Health Partners has teamed up with St.Vincent to further the company’s ministry of high-quality, holistic care – already helping 72,000 people in Indiana since the partnership began in Jan. 1. With this partnership, St.Vincent is applying MissionPoint’s Population Health Management model, which strives to see better patient outcomes, lower the costs of healthcare and improve patient satisfaction. The goal is to identify patients as people, not illnesses.

Are Smaller Companies Poised to Self-fund Health Care?

The economic and risk equations are shifting for midsized and small employers weighing whether to self-fund their benefits claims. “There are advantages for employers in self-funding, so we see the [growth] trend continuing, but largely among midsize and smaller employers, in the range of 100 to 1,000 covered lives,” says Brad Nieland, vice president of stop-loss at Sun Life Financial.