Structuring Our Network (Minnesota)

1. Structuring Our Network (Minnesota)

2. Nature of our network Existing legal relationships among our network partners (contractor/subcontractor, partnership, memorandum of understanding, … ) • MOUs • Subcontracts • See “Action Steps” slide (need to further flesh out these relationships)

3. Nature of our network Our next step(s) to further develop the capability of our network: • Determine how to structure the network – are any partners missing, are there “sub partners” who are not full-fledged partners but are contracted with for specific work? • Questions – should we focus on metro area and take lessons learned and scale with other AAAs and other regions in the state? • Re: structure, identify a process to determine who should approach potential customers and speak on behalf of the network • Perhaps look at some business planning tools?

4. Our network as a community asset Features that appeal to our customers Features that appeal to contracting organizations Footprint – scale that we have. Wherever patients are in metro area, we can help. One-stop shop – can go to one place instead of negotiating with multiple organizations Ability to design flexible packages that are responsive to customer needs Embedded in communities and have developed trust Can engage holistically with person, care partner, and larger system • We are local, familiar, and accessible (see as a community resource/hub) • Commitment that “you won’t get a voicemail, you’ll always get a voice”

5. Our network as a community asset The next action(s) we will take to develop the image and influence of our network: • Just not there yet! TBD

6. Organizational issues we need to address • Develop workgroups and identify priority areas to address • Consider – does this work replace work we’ve been doing, make our work more efficient/effective, etc. for each partnering organization • Packaging how to communicate this to board members and other key stakeholders • Make decisions – what should be put in network structure and what shouldn’t? • Estimate potential revenue attached to various services • Estimate timeline for this process

7. Our network as a business enterprise Entity/entities that can bill for services Entity/entities that can receive and distribute payment We’re not there yet! • We’re not there yet!

8. Our network as a business enterprise Special requirements we must meet to secure and deliver on a contract • Identify a fiscal agent

9. Our network as a business enterprise Action steps(s) we will take to strengthen the business capability of our network: • Map out geography and locations of network • Learn how network members (specifically MAAA) have been able to bill CMS for CCCTP work (secure server, etc.) • Have another conversation with Stratus re: health IT (in the future, perhaps other things should come first).

10. Insights Our biggest insight(s) from this session on Structuring Our Network is/are… • “Grow it as you do it” – this is an iterative process • Value of being flexible and nimble to respond to needs/requests of payors. • Need to learn the language and gain a deeper understanding of the “bang for the buck” from the payors perspective as well as our perspective. • Not adding on/taking away from services, but reshaping how we do business (key to sustainability)

11. Action Steps The action step(s) we will take in the next month to further structure our network are: • Need to map out for all partners where there are existing relationships and how they are organized • Also look at geography of network partners and identify overlap/gaps • Get clearer on centralized data collection • Of the ACOs in our counties, learn how many have a service area that extends in other areas • Find $$ to purchase consultant/project management resources to continue to move group along • Before upcoming meetings, develop a purpose statement/vision for what network would like to accomplish (internal and external)

12. Parking Lot (Issues for later, additional questions for speakers) • Deb has been participating in group that is looking at how patients interact with their health/health records (patient engagement). There are some “cool models” to explore.