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Minnesota Medical Group Management Association
Advancing Leaders. Advancing Practices.™
E-News

MMGMA Fun Fact

2015 – Practices celebrating 35 years: MMGMA member practices celebrating this milestone include Eden Prairie Family Physicians P.A., Obstetrics and Gynecology Specialists in Minneapolis, and St. Paul Lung Clinic.

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January E-News

In This Issue:
 

Featured Articles

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MMGMA Adopts Legislative Priorities for 2015

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MMGMA’s Government Affairs Committee (GAC) has adopted the following priorities for the 2015 legislative session:
  • Reform payment methodology for ROI
  • Oppose the repeal or delay of the provider tax phase out
  • Oppose workers’ compensation and no-fault fee reductions
  • Proper notice to providers of changes to contract terms, policies, procedures and fee schedules
  • Any Willing Provider – network participation
  • Risk-sharing between insurers and providers in high-deductible products
  • Patient-focused initiative – Honoring Choices legislation
  • Simplify and streamline Health Care Homes and Keeping Primary Care Viable (MMA)
Please see the PDF document for details.

“Eggs and Issues” Legislative Breakfast Is Set for January 27

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For the third year, MMGMA has invited legislators who have influence in the health care community to join MMGMA members for a breakfast to discuss issues. Our “Eggs and Issues” breakfast is set for January 27 at the Kelly Inn in St. Paul.
The composition of Minnesota’s legislature is changing. The health care world is changing. Be part of the conversation by joining us on January 27. Details on participants and agenda are still being finalized. Watch for more information on the MMGMA website.

Clinics Meet with Congressman Paulsen to Discuss Independent Practices

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The Government Affairs Committee (GAC) is working with MMGMA’s lobbyist firm, Messerli and Kramer, to coordinate annual site visits with key Minnesota legislators and member MMGMA groups. On Tuesday, December 16, Congressman Erik Paulsen from District 3 visited three separate, independent clinics at one location. Lakeview Clinic, Minnesota Oncology, and OSR Physical Therapy each have clinic sites in the Lakeview Clinic building in Chaska and hosted the visit with Congressman Paulsen.
These groups had the opportunity to share the history of each practice and provide a tour of their clinics. There was also time to share feedback on the challenges faced by independent practices today. Topics included the high cost of EMR implementation and maintenance, the ongoing challenge and cost of providing data for initiatives such as MN Community Measurement, and barriers to network participation and provider reimbursement. Congressman Paulsen, who is a member of the House Committee on Ways and Means, was very interested in the feedback from the group.
If your clinic is interested in hosting a site visit, please contact Mike Foley at mfoley@applevalleymc.com.
 
Congressman Paulsen, Matt Gall, Dean Gesme
Congressman Paulsen with Matt Gall, MD, and Dean Gesme, MD, of Minnesota Oncology
Congressman Paulsen, Nate Stier, Rusty Wallman
Congressman Paulsen with OSR Physical Therapy owners Nate Stier, MPT, ATR, and Rusty Wallman, MPT, ATR

Registration Is Now Open for MMGMA’s Winter Conference

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Registration is now open for MMGMA’s 2015 Winter Conference, Visioneering: Forging the Future. Save $50 on your registration fee by taking advantage of early-bird rates through February 4. This year’s conference, scheduled for March 3 and 4 at The Depot Renaissance Hotel in downtown Minneapolis, promises to be an informative, entertaining two days. Sessions and breakouts include a variety of useful topics, including two sessions exploring the role of mentoring in a medical practice:
  • Mentorship – Effective Strategies to Develop, Support and Bring Out the Best in Emerging Leaders (panel discussion)
  • Maximizing Mentoring in Clinics and Hospitals – a Best Practices Workshop (breakout session)
For details on conference activities, including sessions on Practice Reports, ICD -10, Cyber Risks, and optimizing PAs & NPs in your practice, check out the pre-conference brochure.

Sponsorship Opportunities Are Still Available

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Sponsorship opportunities for the MMGMA 2015 Winter Conference are going quickly, but a few are still available. Talk to your business partners about the value of being at the conference, especially if you have a new job or new reporting relationship at work. MMGMA is actively working to fill exhibit booth space. Learn more and sign up online or call 651-999-5359 for the list of opportunities still available.

MN Community Measurement Releases Two Reports: Total Cost of Care Data and Health Equity of Care

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Total Cost of Care Data
In December, MN Community Measurement published a report for the first time that enables consumers to compare the cost of care from medical groups around the state. According to MN Community Measurement, costs from more than 1.5 million patients were included, making it the nation’s most comprehensive report on total cost of care. The report included information from 115 medical groups representing 1,052 clinics. It found the average monthly cost of medical care per patient was $435, with a range of $1,500 between patients. For a list of medical group results, visit www.mnhealthscores.org and click on “Managing Cost.” Read the complete December 18 news release from MN Community Measurement.
Health Equity of Care
MN Community Measurement has also released its first Health Equity of Care report, which features health outcomes in five key areas (diabetes care, vascular care, asthma care for adults and children, and colorectal cancer screening) segmented by race, Hispanic ethnicity, preferred language, and country of origin and is available at statewide and regional levels. The report is based on data collected from patients at medical groups across Minnesota, making it the first report to look comprehensively at health care disparities in Minnesota.
Previous efforts have evaluated disparities among segments of patients, such as patients on Medicaid, or have used higher-level public health data. This is the first time that health outcomes have been based on patients’ actual health records, patient languages/countries of origin have been broken out in detail, and regional information on health disparities has been available.

Input Wanted Regarding Prior Authorization Challenges

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The Minnesota Medical Association (MMA) is seeking input from clinics regarding prior authorization requirements. It would like to hear real-life examples of the challenges and problems prior authorization brings to a medical practice. MMA intends to make this one of its top priorities for the 2015 Minnesota legislative session. “The time we spend with patients is precious,” said Donald Jacobs, MD, MMA President. “Yet, more and more administrative burdens are being thrust on doctors, replacing patient time with paperwork. Our legislative team is striving to introduce legislation that will limit prior authorization on medication.” Please visit MMA to enter your clinic’s prior authorization concerns.

HFMA Healthcare Reform Symposium Is Set for February 17-18

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Plan now to attend the Healthcare Financial Management Association’s Healthcare Reform Symposium, February 17 and 18 at the Hilton Omaha in Omaha, Nebraska. The keynote presentation will be “Population Management… It DOES Take a Village” with Steve Berkowitz, MD, Founder and President of SMB Health Consulting. Download the Symposium brochure for a complete agenda.

Learn New Workers’ Compensation and Auto Transaction (270-271) Requirements

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The Administrative Uniformity Committee (AUC) unanimously adopted the AUC eligibility TAG recommendation to continue a current, very narrow exception from the state’s requirements for only the standard, electronic exchange of the eligibility (270-271) transaction. This applies only to payers not subject to HIPAA. MMGMA is a member of the AUC and participated in this vote. The Minnesota Department of Health published the notice to more than 3,200 subscribers announcing continuation of the exception for one year (through 2015), after which it will again be reviewed with the AUC’s assistance. Read the full notice here.

Analysis of 2015 Medicare Physician Fee Schedule Is Available to MGMA Members

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As a member benefit, MGMA developed a detailed analysis of the 2015 Medicare physician fee schedule final rule published on November 13, 2014. This in-depth analysis helps members understand critical changes to Medicare physician payments and quality reporting programs for next year. Among other issues, the analysis covers:
  • Expanded Value-Based Payment Modifier policies and penalties based on 2015 quality and cost performance
  • Details on newly billable Medicare chronic care management codes
  • Changes to PQRS reporting criteria to avoid future penalties
  • CMS’ planned transition of 10- and 90-day global surgery services to 0-day services.
A walk-through of the 2015 final fee schedule rule is available through MGMA’s General Medicare Update for 2015 webinar, now available on demand. MGMA member price is $129 and non-member price is $239. (Reprinted with permission from MGMA.)

Schowalter Named President, CEO of Minnesota Council of Health Plans

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The Minnesota Council of Health Plans (MCHP) named Jim Schowalter as the organization’s new president and chief executive officer, effective January 2015, replacing retiring Julie Brunner. Schowalter served as the commissioner of the Minnesota Department of Management and Budget prior to his appointment and has been with the Minnesota Department of Finance since 1994.
In the official announcement, Mary Brainerd, MCHP board chair and president and CEO of HealthPartners, said, “Jim is a thoughtful, respected leader with a proven record of driving results and building coalitions. His leadership, coupled with his extensive knowledge of public policy and state finance, will help shape the future of Minnesota’s changing health care system. We are excited to have Jim continue the work begun by Julie and help lead MCHP at this important time in health care.”
 

Committee Updates

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Communications Committee

Work on a redesigned website is nearly complete. Watch for the new design in the coming weeks. In 2015, we will be assisting MMGMA executives and committee leadership with a survey to gain information that will help MMGMA meet the changing needs of its membership. Please watch for more details and plan to contribute your insights.

Conference & Education Committee

The Winter Conference is rapidly approaching. Make plans to attend the March 3-4 event.

Exhibitor & Sponsorship Committee

There is still room for sponsorships of Winter Conference events. Learn more and sign up online or call 651-999-5359 to learn about sponsorship opportunities.

Government Affairs Committee

The Government Affairs Committee, working with MMGMA lobbyists, has finalized its 2015 legislative priorities (please see article above.) We will communicate with members via MMGMA e-mail blasts as needed to support or prioritize this session and as the need for action arises.

Membership Committee

The Membership Committee is working to implement a multi-year membership discount for regular members. Committee members are also reaching out to prospective affiliate members. We need all current members’ assistance with recruitment of new MMGMA members. Our committee is happy to speak to any individual or groups who have an interest in MMGMA.

Payer Relations Committee

Save the date! Our annual Day with the Payers will be Thursday, May 21, 2015, at the Earle Brown HeritageCenter.
 

Events Calendar

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January

  • “Eggs and Issues” Breakfast – Jan. 27 at the Kelly Inn (St. Paul, MN) (watch www.mmgma.org/events/upcoming for details and registration—coming soon)

February

March

May

June

  • Golf Event – June 11 at the Prestwick Golf Club (Woodbury, MN)

July

 

Job Listings

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  • Clinical Services Manager – posted 1/4/2015
  • Director of Financial Services – posted 1/3/2015
  • Nurse Manager – posted 12/9/2014
  • Patient Care Coordinator and Administrative Lead – posted 12/2/2014
Visit our job board to read more about these and other job postings.

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