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Transcripts For SFGTV 20140414

Digit increase, a second year in a role of double digit increase. In 2012 the board decided to go flex funded. The increase was actually when we looked at the utilization was only a 2. 5 percent increase. The rational for lower premiums is one that helps the aco accomplish their goals and lowers the overall cost because they set goals and they need to live within them and achieve them. To remind you an aco is an integrated net deliver Network Model where they and the hospital work together. They talk to each other electronically and in person and look at clinical best practices which are different from medical group to medical group. They integrate their data and they report it out. And the idea that they are even reporting it to aco but also reporting it to their board of directors and they know if the prescription rate is above 70 percent and below and they work with their particular pigsz physicians to go through that metric. Im not going through all of these. Its a long process to

Transcripts For SFGTV 20140418

And we say, based on this utilization, this drug cost, these catastrophic claims for your population, this is the status quo. Now, if you do these initiatives that they are going to talk about and we look at where your present bed day rates are etc and you bring them down 1015 percent, they that number now becomes 530 for instance. With that, we say if you hit that target, no. 1 that we talked about on page 1 and you go all the way to target no. 2, there is a 50 50 split. Hss for the money that goes down on a per member per month basis. That money is equally split between hss and brown and toll an and various facilities that are associated with brown and tolley. Then there is the stretch target. Say the initial target is x, then the next target is 10 percent below that and we have a stretch and sometimes the percentage allocation is higher or lower depending on if we are doing a 50 50 split. Thats what we are trying to show you on page 11. So that we want everybody to be aware that tho

Transcripts For SFGTV 20140419

With 2012 through november 2013. So while our admits per a 1,000 went up. The flu epidemic we had. Everybody in the city, there was a bed shortage for the first time in a long time. Our days per thousand, hospital days per 1,000. It speaks to the management to better coordination of their care in the outpatient setting. The average length of stay similarly. The average length of stay is down 10 percent which is remarkable. 30day readmission rate is down 7. 2 percent. We are not the only organization that has inspired the attention to readmissions. Medicare certainly had a lot to do with that but this means our members arent being discharged early, if they are being discharged, not early, but in the right amount of time, the medical group and hospital make sure that member has what they need at home and to stay home. The medications are filled, they have the right ament amount of help and they are not having to figure out things on their own. And medical and social workers are helping o

Transcripts For SFGTV 20140421

With 2012 through november 2013. So while our admits per a 1,000 went up. The flu epidemic we had. Everybody in the city, there was a bed shortage for the first time in a long time. Our days per thousand, hospital days per 1,000. It speaks to the management to better coordination of their care in the outpatient setting. The average length of stay similarly. The average length of stay is down 10 percent which is remarkable. 30day readmission rate is down 7. 2 percent. We are not the only organization that has inspired the attention to readmissions. Medicare certainly had a lot to do with that but this means our members arent being discharged early, if they are being discharged, not early, but in the right amount of time, the medical group and hospital make sure that member has what they need at home and to stay home. The medications are filled, they have the right ament amount of help and they are not having to figure out things on their own. And medical and social workers are helping o

FRIDAY CONVERSATION WITH Dr Jennifer Sinsebox

FRIDAY CONVERSATION WITH Dr Jennifer Sinsebox
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