us family health plan: providing high quality, cost effective healthcare to military beneficiaries...
TRANSCRIPT
![Page 1: US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family](https://reader030.vdocuments.site/reader030/viewer/2022032517/56649c9d5503460f9495c18d/html5/thumbnails/1.jpg)
US Family Health Plan: Providing High Quality, Cost Effective
Healthcare to Military Beneficiaries
By: Marshall Bolyard, Executive Director, US Family
Health Plan, CHRISTUS Health
![Page 2: US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family](https://reader030.vdocuments.site/reader030/viewer/2022032517/56649c9d5503460f9495c18d/html5/thumbnails/2.jpg)
US Family Health PlanBackground & Historical
Perspective
![Page 3: US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family](https://reader030.vdocuments.site/reader030/viewer/2022032517/56649c9d5503460f9495c18d/html5/thumbnails/3.jpg)
Origins1981:• PL 97-34 transferred ten US Public Health
Service (PHS) hospitals and clinics to private, not-for-profit healthcare entities
• PL 97-99 designated these former PHS facilities as Uniformed Services Treatment Facilities (USTFs)
![Page 4: US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family](https://reader030.vdocuments.site/reader030/viewer/2022032517/56649c9d5503460f9495c18d/html5/thumbnails/4.jpg)
Origins1989:• Congress requests the development of a
managed care delivery system1993:• US Family Health Plan is born1997:• USTFs become designated providers and
made a permanent part of the MHS
![Page 5: US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family](https://reader030.vdocuments.site/reader030/viewer/2022032517/56649c9d5503460f9495c18d/html5/thumbnails/5.jpg)
Alliance of Designated Providers
![Page 6: US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family](https://reader030.vdocuments.site/reader030/viewer/2022032517/56649c9d5503460f9495c18d/html5/thumbnails/6.jpg)
Model, Measures & Reasons for Success
![Page 7: US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family](https://reader030.vdocuments.site/reader030/viewer/2022032517/56649c9d5503460f9495c18d/html5/thumbnails/7.jpg)
Model• Managed care / coordinated care• Capitation• Fully at risk• Commercial & Medicare population• Access to government prices for
pharmacy
![Page 8: US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family](https://reader030.vdocuments.site/reader030/viewer/2022032517/56649c9d5503460f9495c18d/html5/thumbnails/8.jpg)
MeasureThe best measure of our success is the
consistently high levels of patient satisfaction
![Page 9: US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family](https://reader030.vdocuments.site/reader030/viewer/2022032517/56649c9d5503460f9495c18d/html5/thumbnails/9.jpg)
Member Satisfaction87%85.5% 87.7% 86% 88.6% 86.1%
62%57% 56.7% 59.3% 61.8% 61.3%
0102030405060708090
100
2000 2001 2002 2003 2004 2005
USFHPHMOs
Comparison to national averages for member satisfaction with HMOs(all percentages = proportion highly satisfied, rating plan 8 through 10 on a scale from 0 to 10, where 10 is the best possible plan)
![Page 10: US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family](https://reader030.vdocuments.site/reader030/viewer/2022032517/56649c9d5503460f9495c18d/html5/thumbnails/10.jpg)
Reasons for Success
Prime contributors to high rate of acceptance:• Population based care• Provider based care• Full risk for care• Care Management & Disease Management• Primary Care Manager• Customer Focus
![Page 11: US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family](https://reader030.vdocuments.site/reader030/viewer/2022032517/56649c9d5503460f9495c18d/html5/thumbnails/11.jpg)
Why this Model is a Good Model for the American Healthcare
System
![Page 12: US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family](https://reader030.vdocuments.site/reader030/viewer/2022032517/56649c9d5503460f9495c18d/html5/thumbnails/12.jpg)
Summary
• Intimacy between patient and provider• Focus on population health, not
fragmented care• Patient centric• Members for life