Accomplishments

Fiscal Year 2020

• Expanded CarePartners of Connecticut, HHC’s joint venture Medicare Advantage plan, to Middlesex County and added UConn Health and Day Kimball Healthcare to the CPCT network for 2021.
• ICP continues to significantly improve quality ratings demonstrated by achieving a 4+ Stars performance within a number of value-based programs.
• Achieved a 97.44% ACO Quality score for the 2019 performance year.
• ICP ambulatory care managers completed over 27,000 interactions with more than 12,000 unique patients and initiated the expansion of Social Determinants of Health (SDOH) screening and intervention tool to inpatient care coordination at all HHC facilities.
• Continued with the Centers for Medicare and Medicaid Services (CMS) bundled payment programs (BPCI-Advanced) at The Hospital of Central Connecticut and MidState Medical Center. Additionally, ICP continued to manage performance for the CMS Comprehensive Joint Replacement bundled payment programs at MidState Medical Center and Backus Hospital with both hospitals yielding strong quality and performance outcomes.
• Led the HHC system response to COVID testing (drive-through and mobile) as well as COVID vaccinations (megasite clinic and mobile) operations.
• ICP practices are projected to receive $3.6 million in shared savings bonus payments across our commercial and Medicare Advantage value-based agreements.

Fiscal Year 2019

• Launched CarePartners of Connecticut, a Medicare Advantage plan, including a robust marketing plan to expand enrollment for 2020.
• Successful ambulatory quality initiative led to a 6% quality improvement score as well as a 100% ACO Quality score for the 2018 performance year.
• ICP ambulatory care managers performed nearly 40,000 transitions of care as well as chronic care management for more than 13,000 unique patients.
• Launched Centers for Medicare and Medicaid Services (CMS) bundled payment programs (BPCI-Advanced) at The Hospital of Central Connecticut and Hartford Hospital while continuing to manage performance for the CMS Comprehensive Joint Replacement bundled payment programs at MidState Medical Center and at
  Backus Hospital.
• ICP practices generated $3.7 million in savings across our commercial and Medicare Advantage agreements.

Fiscal Year 2018

• CarePartners of Connecticut received approval from CMS to offer a new Medicare Advantage plan in the state of CT with enrollment beginning fall of 2018.
• Successfully launched Healthy Planet Quality Dashboard which allows providers to monitor and manage quality performance.
• Successfully created and implemented a system wide care management governance and operating structure to promote standard work across the care continuum.
• Achieved the Premier High Performer award for the CMS Comprehensive Joint Replacement bundled payment program for work at Midstate and Backus Hospitals.
• Resolved Anthem contract impasse and resumed in-network status achieving key contract objectives and successfully negotiated a 3 year Cigna contract for the system and ICP community providers. ICP practices generated $3.4 M in savings across our commercial and Medicare Advantage agreements.

Fiscal Year 2017

• Created CarePartners of Connecticut, a JV Medicare Advantage plan with enrollment beginning fall of 2018
• Selected by Mohegan Sun to participate in a Direct-to-Employer partnership to deliver value based care
• Successfully launched Healthy Planet within our care management platform and redesigned Care Manager teams to allow for a solid workflow for transitions-of-care in partnership with HHCMG
• Reduced system wide readmission rate to 14.3%
• Generated $3.25M in savings in value based agreements
• Successfully negotiated United HealthCare and Aetna provider contracts for the system and ICP community providers
• Successfully contracted with all current payers for GoHealth Urgent Care
• Contracted Hartford HealthCare Community Pharmacy with another top payer for specialty which will open another revenue stream for the system
• Identified and recovered $1.4M in claim underpayments and another $1.0M in charge master revenue optimization (which included identifying and shepherding a coding change for neonates at HOCC – which alone was worth $0.5M)

Fiscal Year 2016

• Expanded population management care coordination across our clinically integrated network of community providers, to assist practitioners in coordinating patient care
• Improved collaboration across the Hartford HealthCare System, for improved patient care experience
• Implemented weekly LEAN huddles for the Care Management team focused on improving patient outcomes
• Implemented Clinical Audit tools to ensure adherence to standard care management workflows
• Participated and contributed to HHC CHF Kaizen project to address standard work and reducing readmissions
• Implemented the PatientPING platform which identifies ICP patients for collaboration and coordinated care transitions to HHC sites, from non HHC hospitals, nursing facilities and home health agencies
• Implemented Crimson Medical Referrals (CMR) platform across 90+ practice sites which improves the bi-directional communication of patient care among primary and specialty care practitioners
• Expanded the HHC ACO participation and kicked off MIPS/MACRA education for calendar year 2017, which impacts payments in calendar year 2019
• In collaboration with the Orthopedic council and key partners at Backus and MidState hospitals, kicked off the comprehensive care for joint replacement bundled payment program and defined governance structure
• Kicked-off the EPIC Healthy Planet Care Management platform training, for implementation in 2017
• Over 500 Practitioners credentialed through ICP to meet the NCQA regulations
• In collaboration with the Hartford HealthCare Behavioral Health Network, embedded behavioral health clinicians in over a dozen HHC MG and ICP affiliated primary care practices; Through increased access to behavioral healthcare, demonstrated improvement in patient health conditions, reduced Emergency Department utilization and inpatient admissions for this patient cohort

Fiscal Year 2015

• MSSP performance was in the top 20th percentile of participating MSSP accountable care organizations in the nation. ICP was 66th out of 334 ACO participants. In 2014, the total cost of care was reduced by $5.58 million.
• In commercial value-based agreements, ICP is distributing $1 million in shared savings, with 77 percent of primary care physicians and 74 percent of ICP specialists expected to receive full shares.
• Brought a new chief medical officer on board, Dr. Michael Pinnolis, who is focused on population health management and moving our system into the top decile in quality and outcomes.
• Implemented a partnership with the University of Connecticut School of Pharmacy to bring Dr. Sean Jeffery onto the staff a director of ICP Clinical Pharmacy Services. The goal is to help providers and patients more effectively manage medications to reduce readmissions and cost and improve quality of life.
• Increased the ICP care management team to more than 30 members, including nurses, social workers and health coaches. All team members are nationally certified in managing chronic diseases.
• Led the implementation of RightCare, a software platform, at all Hartford HealthCare hospitals (Backus, Hartford, the Hospital of Central Connecticut, MidState Medical Center and Windham) to reduce readmissions by identifying high-risk patients at admission and quickly begin planning those patients’ transitions to skilled-nursing facilities and home.
• Led the development of a pilot preferred provider network of 38 skilled-nursing facilities that have met high quality standards. These facilities are connected to RightCare and quickly communicate with hospital care coordinators.
• Led development of Congestive Heart Failure Bridge Clinics at HHC hospitals to reduce readmissions and help CHF patients and their families become more engaged in care. Clinics at Hartford Hospital, MidState Medical Center and Windham are modeled after the Hospital of Central Connecticut clinic, which has been successful in reducing readmissions of CHF patients.
• Began work to expand palliative medicine into outpatient settings, including physician offices.
• Continued work integrating behavioral health services into primary care.
• Implemented an Employee Population Health Management Program for 25,000 Hartford HealthCare employees and their family members, with ICP providers as Tier One providers.
• ICP primary care providers with Hartford HealthCare Medical Group successfully implemented the Epic electronic health record. Implementation of Epic through Community Connect is available to ICP providers.
• Came to an agreement with Aetna for the development of a cobranded insurance plan with Hartford HealthCare and the Value Care Alliance (Aetna Whole HealthSM – Hartford HealthCare & Value Care Alliance). ICP members will work with Aetna to coordinate healthcare services and demonstrate high-quality care.