Structuring Our Network (Pennsylvania Partners for Care)

1. Structuring Our Network (Pennsylvania Partners for Care)

2. Nature of our network Existing legal relationships among our network partners (contractor/subcontractor, partnership, memorandum of understanding, … ) • Counties – 33 • Non-profit – 19 CCTP - Service Provider Agreement MOUs for ADRCs A few MOUs between AAAs & CILs Contracts between AAA No mou exists between all of our partners MOUs between some of the CILS

3. Nature of our network Our next step(s) to further develop the capability of our network: • Are you in or are you out • Formalize the relationship • One llc would not preclude you from establishing others • Stated purpose and commitment to move forward to do the LLC • Get some legal advice • Someone from Wojdak – PCA • Corporate Law firm need- various options of a structure of corporate include an auditor in the discussion as well • Operating agreement – would have to agree to let additional members in • LLc could have different level of membership – full – financial stake and revenue sharing – associate members

4. Our network as a community asset Features that appeal to our customers Features that appeal to contracting organizations Single organization to contract with, with the flexibility to We are on the ground in the home Performance management Economies of scale Flexibility and responsiveness on pricing models Standardization and uniformity Secondary support • More continuity and uniformity across the system. • Predictability • Improve quality of service by being able to provide effective and efficient the services • Meet people with specialty needs

5. Our network as a community asset The next action(s) we will take to develop the image and influence of our network: • Do the market analysis • Smeal School of Business- Penn State • Wharton • Carnegie • Decide who is in and who is not • Marketing- how can we describe this endeavor • Key stakeholders – who do you know or can call upon?

6. Organizational issues we need to address • Need to decide who is in and who is out, philosophically - not necessarily legally • Develop the executive management team • Need to make sure we include not those that are in the room. • If we establish the LLC, some may need to put up money – does that change the level of organizational membership • Social enterprise foundations – small business development centers • Look at Foundations- that look at capacity building • Need to figure out IT – including electronic health records

7. Our network as a business enterprise Entity/entities that can bill for services Entity/entities that can receive and distribute payment Any of the non-profits- Some CILS do not bill. Some County and the non-profit foundations • CCTP sites can bill for CCPT • PCA & Veterans • NHT • Waiver providers • Blair and 4 in south east can bill privately

8. Our network as a business enterprise Special requirements we must meet to secure and deliver on a contract • We have to have a contracting organization or organizations • Need an It system- SAMS is just a workflow management system. It does not have the performance monitoring capabilities and data analytics to position us to be more competitive • “Home Tracks” system

9. Our network as a business enterprise Action steps(s) we will take to strengthen the business capability of our network: • Need to establish a joint identify first “establish network” • What does this mean and how is it defined • Think about ways to do the work regionally before and LLC • Those who are interested are agreeing to participate in pricing

10. Insights Our biggest insight(s) from this session on Structuring Our Network is/are… • The LLC is the most promising model • Need to pursue several different avenues • What are the capacities of the non-profits and what they are able to do • Who is interested in going with the llc • Explore MSO management service organization

11. Action Steps The action step(s) we will take in the next month to further structure our network are: • Webinar with Lark • Learn more about Management service organization • Find out who is in who is out • Phase one and phase two

12. Parking Lot (Issues for later, additional questions for speakers) • L