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Text Content

 * Messages
 * Communications Projects
 * Media
 * Leadership
 * CAPP Home Site





 * Messages
 * Communications Projects
 * Media
 * Leadership
 * CAPP Home Site





2019 CAPP ANNUAL REPORT









OUR VISION



EVERY PERSON IN THE UNITED STATES RECEIVES HIGH-QUALITY, AFFORDABLE HEALTH CARE
THROUGH A COORDINATED, VALUE-BASED DELIVERY SYSTEM.




OUR MISSION



ELEVATE THE VOICE AND EXPERIENCE OF VISIONARY PHYSICIAN LEADERS AND THEIR
ORGANIZATIONS TO IMPROVE AMERICAN HEALTH CARE THROUGH RESEARCH, EDUCATION, AND
COMMUNICATION.




ABOUT CAPP








A MESSAGE FROM THE CHAIRMAN OF THE BOARD



During an election year, America’s attention always turns to our health care
system. Voters across the country are experiencing first-hand what we at the
Council for Accountable Physician Practices (CAPP) have long known to be the
core problem: rising health care costs with poorer-quality outcomes. Political
leaders are considering the public option and Medicare for All as solutions (if
you need a primer, see CAPP’s explainer here).

Unfortunately, many of these policy conversations miss a larger point: universal
coverage is important, but it’s equally important to improve the American
delivery system so that it is coordinated, value-based, technologically forward,
physician-led, and focused on quality improvements.

My fellow members of the CAPP board and I spent time this year discussing the
future of our work in light of the current American health care landscape. In
doing so, we realized that we needed to revisit certain notions that formed the
foundation of our mission and vision.

One is around the use of the term “patient-centered.” We asked ourselves: Is the
care we want to provide centered around the patient or the person? Many CAPP
medical groups are focused on improving well-being outside of the exam room, and
they are paving the way for care for the whole person, including addressing the
social determinants of health.

Second, CAPP has always focused on the importance of physician leadership, but
we understand that many of today’s best solutions can come from nonphysicians
too. Our new mission statement reflects this inclusive view of leadership as we
look to visionary physician leaders and their organizations to serve as change
makers.

Our new vision statement now reads:

Every person in the United States receives high-quality, affordable health care
through a coordinated, value-based delivery system.

And our mission statement:

Elevate the voice and experience of visionary physician leaders and their
organizations to improve American health care through research, education, and
communication.

Thank you for your support of CAPP and your work during this year — and every
year — to exemplify what high-quality health care looks like for America.




Stephen Parodi, MD
Chairman of the Board
Council of Accountable Physician Practices










A MESSAGE FROM THE EXECUTIVE DIRECTOR



For 18 years, CAPP has highlighted our affiliated medical groups across the
country where coordinated and integrated care leads to better outcomes for
physicians and patients.

In 2019, we introduced CAPP’s important message to a new important audience:
self-insured employer purchasers. According to Kaiser Family Foundation, more
than 150 million Americans receive health insurance coverage through their
employers, and the average family premium rose to $20,576. CAPP seeks to address
this worrisome trend by introducing ways that medical groups and employer
purchasers can collaborate to achieve better outcomes more affordably.

Over the past several months, CAPP has partnered with the National Alliance of
Healthcare Purchaser Coalitions to conduct five employer focus groups across the
country, where we heard directly from purchasers about their health care
pain-points. We look forward to sharing findings from those candid conversations
with you this spring.

This work will continue in 2020, when we bring physician leaders and payers to
the table to address challenges and opportunities for employers and medical
groups. Together, we can improve the health of employees and patients across the
country.




Laura Fegraus
Executive Director
Council of Accountable Physician Practices








COMMUNICATIONS PROJECTS







EMPLOYER FOCUS GROUPS



Employers and leaders of physician groups share a common goal: to achieve better
health for their employees and patients while containing costs. Yet, employers
and medical group leaders rarely communicate directly and work together to
address common challenges. The goal of CAPP’s employer work is to better
understand how the leaders of medical groups can communicate and work with
purchasers to improve health care outcomes.

To advance this work, CAPP partnered with the National Alliance of Healthcare
Purchaser Coalitions, a non-profit, purchaser-led organization with more than
12,000 public and private sector employers representing 45 million Americans.

With CAPP sponsorship, local coalitions convened their members and cohosted
listening sessions facilitated by Public Values Research. CAPP conducted these
focus groups in Chicago; Lehigh Valley, Penn.; Dallas–Fort Worth; Seattle; and
Salisbury, N.C.

Early findings indicate that employers feel limited in their ability to modify
benefit design and create custom provider networks due to a lack of transparency
regarding cost and quality on the part of carriers and providers. Few are
engaged in direct contracting or are testing entities such as accountable care
organizations (ACOs) due to a lack of internal resources. Purchasers and their
workers acutely feel the gaps in care delivery, the lack of up-front price
information, and poor mental-health access.

The full results will be detailed in a public report this spring. Over the year,
CAPP will advance this work through a series of webinars and regional roundtable
discussions with employers and local physician group leaders.





VALUE-BASED PAYMENT RESEARCH



The individual and collective voices of the CAPP medical groups continue to
matter, as the pace to value-based payment is uneven. In 2019, CAPP explored the
experiences and perspectives of the CAPP medical groups in an effort to
stimulate greater innovation and the spread of value-based payment models.
Interviews with 10 physician leaders and key stakeholders found clear trends in
the transition to value-based payment, including:

 * Medicare Advantage is an ideal model for most, but not all groups. Almost all
   support more incentives for beneficiaries to join Medicare Advantage. Several
   CAPP groups are doing both accountable care organizations (ACOs) and bundled
   payments, which can help engage specialists and drill down on costs.
 * Most CAPP groups engage in some kind of value arrangement with employers, and
   all would like more value-based arrangements and direct engagement with local
   employers.
 * Groups see their states beginning to promote value through Medicaid managed
   care and building all-payer claims databases.
 * All of the systems are adopting interventions or partnerships around the
   social determinants of health and are enthusiastic about the promise of
   addressing these for their members and communities.
 * Culture is a differentiating factor across CAPP groups. Many have a founder’s
   story that they build on, and they have maintained mission-driven cultures
   through leadership transitions.

CAPP leaders believe that the Centers for Medicare & Medicaid Services (CMS)
must continue to lead and drive value-based payment forward. They look to the
Center for Medicare & Medicaid Innovation (CMMI) to forge ahead in a leadership
role, while listening to feedback from early adopters.





CAPP LEADERS ON STAGE



This year, CAPP supported board members who were featured at several major
conferences, including:

World Health Care Congress: Norman H. Chenven, MD, founding CEO of Austin
Regional Clinic, moderated a panel on accountable care and Medicare and
participated in a video interview.

South by Southwest (SXSW): Ira S. Nash, MD, senior vice president of Northwell
Health and executive director of Northwell Health Physician Partners,
participated in the panel “Healthcare’s Digital Disruptors: Hope vs. Hype.”

Self-Insurance Institute of America, Inc.: Dr. Stephen Parodi, CAPP chair and
associate executive director of The Permanente Medical Group, participated on a
panel about the coordinated approach to cancer care for a self-insured employer
audience. A CAPP-created video was screened showing the benefits of coordinated
cancer care from the patient perspective.

National Alliance of Health Care Purchasers Annual Forum: Chelsea Pollet,
director of direct-to-employer relationships for Henry Ford Health System, spoke
on a panel about the health system’s contract with General Motors.






2019 MEDIA RELATIONS







MEDIA PLACEMENTS:



In 2019, CAPP had 316 total mentions (number of news items tracked). Media
placements (excluding the impact of press releases) reached an audience of
780,580 unique visitors per month. Articles were placed in the following
publications:


 * MedCity News: “Telemedicine logistics: Network optimization using artificial
   intelligence,” included CAPP research, January 11
 * Managed Healthcare Executive: “How to successfully transition to value-based
   care,” by Norman Chenven, MD, January 31
 * Medical Economics: “A win-win approach to obtaining quality metrics and
   easing physician overload,” by Steven Green, MD, March 5
 * HealthLeaders: “CMS primary cares: 5 steps to assess your readiness,”
   interview with Norman Chenven, MD, May 9
 * Medical Economics: “Understanding the new CMS primary care payment models,”
   interview with Norman Chenven, MD, May 29
 * HiTech/HealthIT Answers: “New generations, digital expectations,” cites CAPP
   telehealth research, August 14
 * The Self-Insurer: “In search of health care’s holy grail,” interview with
   Stephen Parodi, MD, September 26
 * Healthcare Finance: “Coordinated care model leads to decreases in
   unscheduled, preventable hospitalizations,” cites CAPP Nielsen research,
   October 9
 * Physicians Practice: “How to screen for social determinants of health,”
   interview with Stephen Parodi, MD, December 5
 * Managed Healthcare Executive: “Systems approach improving outcomes in
   hepatitis C,” interview with Stephen Parodi, MD, regarding CAPP groups’
   hepatitis C programs, December 5



OVERALL CAPP MEDIA COVERAGE

(JAN. – DEC. 2019)




0
Total number of media mentions in 2018



0
Total audience, unique visitors per month





ASSOCIATION OF HEALTH CARE JOURNALISTS



In May 2019, CAPP exhibited for the 5th time at the Association of Health Care
Journalists annual conference to strengthen relationships with national and
local health care reporters. CAPP administered an online survey and found that
reporters continue to be interested in using CAPP as a news resource. The survey
of journalists revealed their priority topics are mental health, social
disparities in health care, and opioids.


The CAPP booth at the 2019 Association of Health Care Journalists conference.



MEDIA BRIEFINGS



CAPP coordinated media briefings with The New York Times for Dr. Parodi in May.
In July, Dr. Parodi and Dan Slater, MD, of Atrius Health engaged in a media day
in Washington, D.C., with the following outlets:

 * CQ Roll Call
 * MedPage Today
 * Politico
 * Bloomberg Industry Group (formerly Bloomberg BNA)
 * Los Angeles Times





DIGITAL CHANNELS



Social Media: Between January and December, CAPP’s Twitter account
(@accountableDocs) reached an audience of more than 2,069 with content about
CAPP groups, policy, and industry news, as well as CAPP-created content.





LEADERSHIP



[/vc_column]






BOARD OF DIRECTORS



CHAIRMAN: 
STEPHEN PARODI, MD
THE PERMANENTE FEDERATION AND THE PERMANENTE MEDICAL GROUP
NORTHERN CALIFORNIA

VICE-CHAIRMAN:
NORMAN CHENVEN, MD
THE AUSTIN REGIONAL CLINIC
GREATER AUSTIN, TEXAS

SECRETARY:
STEVEN GREEN, MD
SHARP REES-STEALY MEDICAL GROUP
SAN DIEGO, CALIFORNIA

TREASURER:
IRA NASH, MD
NORTHWELL HEALTH
GREATER NEW YORK AREA

MEMBERS:
MARGARET FERGUSON, MD
COLORADO PERMANENTE MEDICAL GROUP
WESTERN COLORADO

ALKA ATAL-BARRIO, MD
THE EVERETT CLINIC
NORTHWESTERN WASHINGTON STATE

PHILIP ORAVETZ, MD
OCHSNER HEALTH SYSTEM
NEW ORLEANS, LOUISIANA

JERRY PENSO, MD
AMGA (AMERICAN MEDICAL GROUP FOUNDATION) FOUNDATION
ALEXANDRIA, VIRGINIA



STAFF



EXECUTIVE DIRECTOR: LAURA FEGRAUS

COMMUNICATIONS: TOYOMI IGUS

OPERATIONS: MARY CAPPABIANCA

MEDIA RELATIONS: JOY SCOTT






© 2021 Council of Accountable Physician Practices. All Rights Reserved.


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