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American Health Network

American Health Network. Ben H. Park, MD ben_park@ahni.com. Essential question every physician must answer. It is not “How do I want to care for my patients?”. But rather “How do I want my physician to care for me?”. A New Paradigm. Pay for activity. Pay for results. Population oriented

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American Health Network

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  1. American Health Network Ben H. Park, MD ben_park@ahni.com

  2. Essential question every physician must answer.

  3. It is not “How do I want to care for my patients?”

  4. But rather “How do I want my physician to care for me?”

  5. A New Paradigm Pay for activity Pay for results Population oriented Relationship essential Risk premium driven Must prove quality Cost centers Rework = Cost Transparent pricing Hard • Procedure oriented • “The hip in room 219” • Fee driven • Quality assumed • Revenue sources • Rework = Revenue • Opaque pricing • Easy

  6. Where Are We? • Largest ACO in Indiana • Total of three ACOs • AHN/Franciscan Statewide • AHN/Premier in Bloomington • AHN Columbus Ohio • Very low data sharing opt out • Steep learning curve on administrative side • CMS still learning as well

  7. Commercial is not Medicare • Medicare has pricing under control • The major driver of commercial cost is price • No effective price competition

  8. Factors Accounting For Growth In Per Capita National HealthExpenditures And Personal Health Care Expenditures, SelectedCalendar Years 2004–11.

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