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Transformation through Partnership KP LMP Model – Joshua Rutkoff

Explore the key elements of the ACA transformation model focusing on partnership building in healthcare. Learn about the impact of ACA on Medicare reimbursements, changing competitive landscape, underlying principles, new care settings, leadership resources, challenges, and opportunities.

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Transformation through Partnership KP LMP Model – Joshua Rutkoff

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  1. Transformation through Partnership KP LMP Model – Joshua Rutkoff George Washington University— April 7, 2016

  2. Where did the Partnership come from? +

  3. How we measure success

  4. Slide title (Arial bold 32-36 pt.)ACA ACA Impact Medicare reimbursements down Market won’t tolerate raising rates Raise revenue through growth Medicaid and Individuals on Exchange bring less revenue than traditional members Pressure to both increase operational efficiency AND innovate. Ambidexterity.

  5. Slide title (Arial bold 32-36 pt.)ACA Changing Competitive Environment Consolidations: National Insurers, Regional Providers New Entrants: Retail Pharmacies; Tech Companies, established and start-up Collaborate or Compete?

  6. Slide title (Arial bold 32-36 pt.)ACA Some Underlying Principles Interest-Based Relationship Unions Integrated into Decision-Making Transparent Sharing of Data Continuous Improvement Human Centered Design

  7. Slide title (Arial bold 32-36 pt.)ACA New Care Settings & Models Retail Clinics Continuum of Care Upstream Social Determinants of Health Community Paramedicine Small, Flexible Use Clinics Critical Skills: Consumer Focus; Digital Fluency; Collaboration; Process Improvement

  8. Slide title (Arial bold 32-36 pt.)ACA Jobs of the Future Committee, SCAL 2014-15: Automated Lab, Receptionist of Future Multi-Functional Healthcare Worker Patient Navigator Nursing Continuum of Care 2016: Spread to other KP regions

  9. Slide title (Arial bold 32-36 pt.)ACA Leadership & Resources Visible and engaged leadership & sponsorship $30M LMP Trust Fund Dedicated staff to support unit-based teams, workplace safety, Total Health, growth, communications, etc. Training in all aspects of partnership: consensus decision-making, interest-based bargaining, RIM, etc.

  10. Slide title (Arial bold 32-36 pt.)ACA Challenges & Opportunities Large Organization: How to scale and spread? Standardization versus Warranted Variation Performance Improvement & Innovation Spreading the partnership model

  11. Slide title (Arial bold 32-36 pt.)ACA Discussion and Feedback ..

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