Several years ago Medical Network One introduced a multidisciplinary care management strategy to its physician members. Some primary care physicians welcomed the opportunity to include an RN, behavioral health specialist, certified diabetes edicator, or a dietitian as a member of the practice team while others were not enthusiastic about the concept. Perhaps this new opportunity made available by BCBSM will lead to an immediate change in your care management strategy.   BCBSM recently announced that Medical Assistants and Community Health Workers can now provide certain care management and care coordination services which are billable; however, specific planning, training and documentation requirements must be met.  Program metrics, measuring success have been identified by BCBSM.  They include improved outcomes such as lower emergency department use, fewer inpatient stays and consistent delivery of recommended services, such as cancer screening, hypertension and diabetes management plus the number of patients engaged in care management activities.   In order to engage your Medical Assistants and Community Health Workers in care management activitieswhich will be billable they must complete specific training and complete a post-training exam.  Please refer to the attached flier for training dates and training locations.  There is no cost for this learning opportunity but slots are filling up quickly. Care Coordination Training Flyer

To Physicians, Nurse Practitioners, and Office Manager: As part of an ongoing effort to provide you with transparent and timely communication, we strongly recommend you attend this 2019 Medical Network One Quality Improvement Focus Group Dinner Meeting scheduled on May 21, 2019 at the Holiday Inn Southgate Banquet and Conference Center, 17201 Northline Road, Southgate, Michigan.  A buffet dinner will be served beginning at 5:30pm.  The formal presentation and interactive meeting follows at 6:00pm.  A $25 honorarium will be provided to you at the end of the meeting. Your practice is part of a local group of Medical Network One primary care practices that will be identifying ways to improve overall quality scores. Your individual cost and quality report will be provided.  Additionally quality improvement coaches will be available to discuss your individual report; help design your 2019 quality improvement plan; and schedule future appointments with you. Topics to be addressed:

• Changes in 2019 HEDIS metrics
• Medicare Advantage, STARS Program and ongoing gap closure
• Care Management including new billing opportunities for physicians
• Payer Contracts including Narrow Networks
• Credentialing Activities
• Patient Centered Medical Home Capabilities
• Opioid Project

  Should you wish additional information or to confirm your attendance contact: Andrew Kurecka, MPH 248-475-4793 email akurecka@mednetone.net Kathryn Correll, MPH 248-475-4783 email kcorrell@mednetone.net Samantha Karson, MPH 248-475-4830 email skarson@mednetone.net