ACP IS THE PPS TO BEAT!
Network Is Opening for New Providers
Did you know that ACP has paid far more to physicians than any other PPS – $7.67 million (40.8% of total funds flow) to PCPs and $1.15 million (6.1%) to non-PCPs? The statewide average is 3.9% and .7%, respectively. ACP has paid an additional $4.4 million for the cost of PCMH certification for 354 practices.
As the only physician-led PPS in New York State’s DSRIP program, Advocate Community Providers (ACP) has a uniquely vested interest in ensuring that our network of independent physicians and providers receive financial incentives needed to transform your practices, deliver comprehensive, culturally-sensitive care, and thrive in a value-based payment environment.
The PPS Network will open in March for approximately 2 weeks to allow PPSs to add providers to their network.
Do you know a provider that would like to join ACP? Contact Luis Ramirez, ACP Director of Physician Engagement, at: 917-946-4812 or email@example.com.
Purchase PCMH License by March 31 to Avoid Losing Medicaid Income
To begin the process for full-three year PCMH certification, you must purchase a PCMH license by March 31! Practices are required to achieve PCMH Level 3 Certification by December 31, 2017 to continue participation in DSRIP.
As a benefit of participation in the ACP Network, ACP will pay for a PCMH Specialist to assist in the certification process.
PCMH certified practices earn $8 per Medicaid Patient per Month.
Mental Health Service Corps (MHSC) – an initiative of the N.Y. City Department of Health and Mental Hygiene (NYC DOHMH) and CUNY Hunter – will place a social worker in your practice at no cost to you. This initiative, which is part of the City’s THRIVE NYC program, supports the goal of integrating behavioral health services into primary care practice (DSRIP Project 3.a.i).
ACP can assist with the application, which is due by March 31, 2017. The program is scheduled to start in September 2017 and last three years. Highlights:
The MHSC clinician is a Master’s level social worker/counselor paid for by the City, selected to meet the cultural and linguistic requirements of the primary care practices.
Trained to use evidence-based interventions to screen and treat patients for mental health and substance use disorders, and support compliance for co-occurring medical issues.
Embedded in the PCP practice as a member of the practice team. Assigned full time, either at one practice or shared across two or more practices.
Supervised by an MHSC senior social worker or psychologist, with back up by an MHSC psychiatrist who will be available for clinical assistance and support. Covered for malpractice and liability insurance through NYC at no charge to the practice.
Interested? Click here for more information or contact Gabriel Rosario, ACP Integration of Primary Care and Behavioral Health Services Project Manager at 646-290-4766 or firstname.lastname@example.org.
Ricardo A. Rivera-Cardona Joins ACP as Head of Business Development
ACP announced the appointment of Ricardo A. Rivera-Cardona, who most recently served as Executive Director of the Puerto Rico Health Insurance Administration, as head of Business Development. As Executive Director of this $2.8 billion Government Health Plan, he was successful in reducing operational costs, targeting fraud, waste, and abuse, and maximizing revenue initiatives while developing an integrated approach to improving care of high-frequency users.
“Ricardo Rivera-Cardona’s experience integrating and improving care across health care providers, governmental agencies, and community-based organizations will be invaluable to ACP’s mission in transforming health care for Medicaid beneficiaries in the most underserved communities in the Bronx, Manhattan, Queens and Brooklyn,” said Dr. Ramon Tallaj, ACP founder and chairman. “It is a testament to ACP’s development as DSRIP’s only physician-led PPS that we are able to attract someone of Ricardo’s stature.”
ACP Chief Operating Officer Mary Ellen Connington, Harlem physician Dr. A.T. Adebayo, and his patient Zola Ivery were interviewed by NY1's Erin Billups for a special segment on ACP's efforts to improve care for New Yorkers through the DSRIP program. The segment, which aired yesterday morning, highlights ACP's team-based approach to supporting its physicians during the transition to a new model of coordinated care.
The DASH diet is ACP’s recommended nutritional plan, and we’re providing a number of tools to help your patients adopt healthier lifestyle choices. A DASH Nutrition Plan webpage is now live on the ACP website! The page features printable eating plans adaptable to the Latino and Chinese cultures, DASH-centered how-to videos, and a healthy lifestyle blog section written by ACP Director of Integrated Outreach Denisse Oller.
"Did you know that in the United States, heart disease is the leading cause of death for both men and women? In fact, about 800,000 people pass away each year due to causes related to heart disease, accounting for one in four deaths according to statistics from the Center for Disease Control. As a physician, I see patients every day who are at risk for heart disease, and they don’t even know it. For example, proportionately, heart disease is more deadly for women. Each year, nearly one in three female deaths can be attributed to heart disease. Comparatively, 1 in 31 women die from breast cancer, but only about half of women recognize that heart disease is their top health risk."