Connect Archives

March 2015

Thursday, March 19, 2015

HEALTH FIRST NETWORK, INC. RECEIVES URAC HEALTH NETWORK AND CREDENTIALING ACCREDITATION

Health First Network, Inc. announced that it has earned full Health Network and Credentialing Accreditation from URAC, a Washington, DC-based health care accrediting organization that establishes quality standards for the health care industry.

Not only is this a prestigious award, but HFNI passed with a score of 100% in the 40 Core standards, and 100% in all Network and credentialing standards.

“Health First Network, Inc.’s compliance with URAC’s rigorous standards demonstrates the integrity, transparency and accountability of our business practices and our commitment to move healthcare forward by advocating and providing high value health care delivered by quality providers with effective and integrated delivery of management services,” said Richard Tuten, President & CEO of Health First Network, Inc.

“By applying for and receiving URAC accreditation, Health First Network, Inc. has demonstrated a commitment to quality healthcare,” said URAC President and CEO Kylanne Green. “Quality healthcare is crucial to our nation’s welfare and it is important to have organizations that are willing to measure themselves against national standards and undergo rigorous evaluation by an independent accrediting body.”

URAC, an independent, nonprofit organization, promotes health care quality through its accreditation, education and measurement programs. URAC offers a wide range of quality benchmarking programs and services that keep pace with the rapid changes in the health care system and provides a symbol of excellence for organizations to validate their commitment to quality and accountability. Through its broad-based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in establishing meaningful quality measures for the entire health care industry.

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2015 COMPREHENSIVE 360 PHYSICAL (360) AND HEALTH MANAGEMENT REPORT (HMR) INITIATIVE

In 2015, Cigna-HealthSpring will be using two documents to provide quality care for our customers and ensure that their chronic conditions are being sufficiently addressed.

1. Comprehensive 360 Physical – This is an in-depth physical that gives a 360-degree view of the customer’s current health status and ensures appropriate preventative and chronic care.
2. Health Management Report – This is a summary of current and historical diagnoses reported for the customer used to ensure all of the customer’s active and chronic diagnoses are being addressed.

2015 Reimbursement Information

360 Base rate: $150
HMR Base rate: $50
Targets: All Customers
Bonus Payment: $100 per Customer
6/30 Bonus Target: 60% Completion
9/30 Bonus Target: 80% Completion

Bonus
• Bonus will be available on each 360/HMR performed together if the bonus target is met.
o The 6/30 bonus will be based on 360s and HMRs performed by 6/30 and received by 7/31.
o The 9/30 Bonus will be based on 360s and HMRs performed by 9/30 and received by 10/31.
o If you reach both bonuses, the 9/30 bonus will only include forms not previously bonused.

• PCPs who meet the 9/30 bonus will also get $225 per 360 performed after 9/30.
o This will be paid on 360s completed by 12/31 and received by 1/31.

• PCPs who do not meet the 6/30 bonus will still be eligible for the 9/30 bonus.
• The bonus calculation will be based on your January 2015 Cigna-HealthSpring customer panel.
• Only approved documents will be used in the bonus calculation.
• Due to the implementation of ICD 10, HMRs will no longer be accepted after 9/30/15.

PHYSICIAN LEADERSHIP OPPORTUNITIES

We encourage our network physicians to consider becoming a part of HFNI’s leadership. If you are interested in serving on one of our Committees, please contact Michelle Hamilton at MHamilton@hfni.com.

By contributing your time and expertise to HFNI, you can promote our mission to move healthcare forward by advocating and providing high value health care delivered by quality providers with effective and integrated delivery of management services.

HFNI SHAREHOLDER MEETING ANNOUNCEMENT

The Annual HFNI Shareholder’s meeting will be held on Monday, April 27, 2015 at 5:30 p.m. at Health First Network located at 3001 Langley Avenue, Pensacola, FL.

If you are planning to attend, please RSVP to Michelle Hamilton at MHamilton@hfni.com.

CMS EXTENDS DEADLINE FOR MEDICARE ELIGIBLE PROFESSIONALS TO ATTEST TO MEANINGFUL USE

Eligible professionals now have until 11:59 pm ET on March 20, 2015, to attest to meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program 2014 reporting year.

CMS extended the deadline to allow providers extra time to submit their meaningful use data. CMS continues to urge providers to begin attesting for 2014 as soon as they can.

This extension also allows eligible professionals, who have not already used their one “switch”, to switch programs (from Medicare to Medicaid, or vice versa) for the 2014 payment year until 11:59 pm ET on March 20, 2015. After that time, eligible professionals will no longer be able to switch programs.

Medicare eligible professionals must attest to meaningful use every year to receive an incentive and avoid a payment adjustment. Providers who successfully attest for the 2014 program year will:
• Receive an incentive payment
• Avoid the Medicare payment adjustment, which will be applied January 1, 2016

Note: The Medicare extension does not affect deadlines for the Medicaid EHR Incentive Program. Additionally, the EHR reporting option for PQRS has been extended until March 20, 2015. Please be on the lookout for a separate listserv with information regarding the PQRS program extension.

How to Attest
Submit your data to the Registration and Attestation System, which includes 2014 Certified EHR Technology (CEHRT) Flexibility Rule options.

Tips for speed:
• Attest during non-peak hours, such as evenings and weekends
• Start now to:
o Check that your information is up to date
o Begin entering your 2014 data

To learn more, see the Educational Resources on the CMS EHR Incentive Programs website.

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MGMA MEMBERSHIP

Are you interested in joining an organization that provides healthcare management professionals the tools they need to stay current with the constantly changing environment, laws and regulations?

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FINANCIAL STRATEGIES FOR TODAY’S REALITIES

While individuals with substantial assets have often looked to multiple professionals to meet specific financial needs, financial management for most households has been strictly a do-it- yourself affair. Increasingly, however, investors want a lead advisor who can help them organize the various aspects of their financial lives.

Over the past decade, the wealth management model has evolved to meet these needs, combining traditional investment related services with guidance on the other aspects of an individual’s financial affairs. A linchpin of this new model is the position of lead advisor. Choosing an advisor, such as The Sigma Group at Morgan Stanley, with the time, knowledge and resources to address life’s changing priorities can play a critical role in helping to achieve short- and long-term financial objectives.

THE FINANCIAL LIFE CYCLE Life is about change. So is wealth management. As investors move through the stages of life, they face a succession of financial challenges. Some, like the need to prudently manage the relationship between investment risk and return, start early and never go away. Others, like estate planning, come later in life. These changing goals and priorities can be summarized as a cycle with four broad stages:
• WEALTH ACCUMULATION. During this phase, individuals are primarily focused on acquiring the assets they are likely to need to help meet their long-term financial goals.
• WEALTH PRESERVATION. As investors move into their peak earning years, their financial focus may gradually shift from asset growth to risk management—protecting their families and their portfolios from unexpected adversity or market volatility
• WEALTH UTILIZATION. At some point, most individuals will need to draw upon their accumulated resources to fund specific needs, such as college tuition costs or retirement expenses.
• WEALTH TRANSFER. Many, if not most, affluent individuals hope to leave a sizable legacy behind—for their children, their grandchildren or their communities.

A strong financial relationship requires more than just a strong financial advisor. Investors need to know their primary wealth advisor has access to the resources needed to create an effective wealth management strategy. This is where The Sigma Group at Morgan Stanley can help. Depending on your financial requirements, we may be able to act as your primary financial advisor—helping you coordinate the other members of your wealth management team. This could include working with your other advisors to lower tax liabilities, reducing debt-service costs, reviewing your personal or business insurance coverage and assisting with estate planning.

Wealth management is, in essence, a model for serving the increasingly complex needs of today’s individual investors—particularly those with substantial financial assets. Morgan Stanley is committed to providing the tools, resources and personalized service investors are looking for in an advisory relationship. For more information on the many services and programs available from Morgan Stanley please contact The Sigma Group at 850-470-8023, or email thesigmagroup@morganstanley.com, or visit our web site at www.morganstanleyfa.com/thesigmagroup.

The views expressed herein are those of the author and do not necessarily reflect the views of Morgan Stanley Wealth Management or its affiliates. All opinions are subject to change without notice. Neither the information provided nor any opinion expressed constitutes a solicitation for the purchase or sale of any security. Past performance is no guarantee of future results.


Morgan Stanley Smith Barney LLC (“Morgan Stanley”), its affiliates and Morgan Stanley Financial Advisors or Private Wealth Advisors do not provide tax or legal advice. Clients should consult their tax advisor for matters involving taxation and tax planning and their attorney for matters involving trust and estate planning and other legal matters.

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