According to the American Medical Group Association’s (AMGA) 2007 Medical Group Compensation and Financial Survey, in 2006, medical groups were operating at an average loss of $119 per physician. This may lead some to believe that investments in technological advances and improved care coordination and quality are not warranted.

However, many experts, including Donald W. Fisher, PhD, AMGA president and chief executive officer, disagree. As stated by Dr. Fisher in an August 20, 2007 AMGA press release, “In the face of the current economic climate, medical groups are rising to the challenge of delivering the highest quality, coordinated care to the patients they serve.”

With the U.S. national readmission rate for heart failure patients alone at 40% to 50%, many payers are now demanding reporting of 30-day readmission rates from providers and are moving to reduce or eliminate payments for readmissions. While motivating adequate support of the transition of care from hospital to home is commendable, this reimbursement change places another financial pressure on practices that could result in estimated losses of $1,000 or more per case on heart failure readmissions.

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“By using Tel-Assurance, we improved the quality of care we can provide and reduced the number of our patients admitted to the hospital. And, for every dollar that we spent on this program, we save Medicare five to six dollars. It’s a remarkable return on investment."

- David Abelson, MD
Senior Vice-President &
Chief Medical Information Officer,
Park Nicollet Health Services

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Physician Groups

Physician Groups  <  Providers  <  Customer Focus  <  Home

Partnering with Physician Practice Groups for Clinical and Financial Performance Improvement

Financial losses plague physician group practices nationwide. They are increasingly facing serious challenges related to generating revenue and achieving financial success. This may lead some to believe that investments in technological advances and improved care coordination and quality are not warranted. However, many experts, including Donald Fisher, PhD, the American Medical Group Association president and CEO, disagree.

More and more, payers are paying attention to hospital readmission rates and basing reimbursements on those rates. Solutions that address physician group practice needs to improve care quality, enhance the physician/patient relationship and increase revenue are needed.

The Pharos Solution

Through thoughtful implementation of our enabling technology platform that improves care coordination and processes and decreases operational burden, we help physician practice groups improve care quality to ensure proper revenue generation and financial success. We do this by reducing operational expenses; expanding the reach, efficiency and effectiveness of staff and programs and improving patient satisfaction.

There is no other remote monitoring solution like the Pharos Solution. Our difference includes:

Device-free, technology-based, enabling platform

Tel-Assurance is a cost-effective, technology-based platform solution that does not use special equipment. Participants use any available telephone (land line, cell phone or payphone) or internet connection and basic health measurement tools, such as a generic bathroom scale or glucometer, to gather and report basic symptom information. This means that system access remains high, the cost remains low and your care managers do not have to deploy or retrieve any equipment, or worry about equipment infection control issues or special equipment to accommodate language, vision or literacy impairment challenges.

A recent article in eweek.com reported that remote monitoring can save money (an estimated $4 billion per year in heart failure expenses alone) and lives, but that the equipment that most remote monitoring companies use is difficult to operate and too expensive, at an estimated $150 per month.

Supports provider engagement in care coordination and facilitates physician/patient communication

Delivering better care coordination through a new model called the Medical Home is drawing increased attention as a potential “fix” for our healthcare system: The medical home model demands frequent, efficient communication between patients and providers to allow for timely treatment plan effectiveness assessment, access to services and intervention, thus preventing more costly utilization, such as hospital or Emergency Department admission. The Tel-Assurance system cost-effectively provides a simple and flexible mode for this critical communication.

Fosters loyalty

Tel-Assurance remote-monitoring is designed to help provider systems foster patient loyalty as each interaction patients have with the system is custom branded with your logo, messaging and marks. This includes our phone system, website and all printed communications. In today’s challenging healthcare environment, revenues can be increased by improving patient loyalty.

Tel-Enrollment turn-key enrollment and retention (optional program)

Unlike other remote monitoring companies, Pharos partners with you to maximize the success of your program through a Pharos-managed enrollment and retention campaign to encourage maximum program participation.

Proven

Our solution is the most proven solution in the market today. Below are highlights of results realized by two Physician Group Practices as part of the Centers for Medicare and Medicaid Service’s (CMS) Medicare Physician Group Practice (PCP) demonstration.

Park Nicollet Health Services, an integrated delivery system headquartered in Minneapolis, Minnesota achieved the lowest heart failure mortality at 30 days in the state of Minnesota, and the lowest 1% nationally. Other notable results include:

  • Between 40 to 50 averted hospital admissions each month
  • Medical cost savings for Medicare of $2.6+ million annually
  • 59% reduction in hospitalization of enrolled heart failure patients

The Billings Clinic Heart Failure Clinic (The Clinic) in Billings, Montana reported:

  • 44% reduction in hospitalization of enrolled heart failure patients
  • Total cost savings of $3+ million, including $2.4+ million reduction in Medicare billings, between January 2006 and July 2007
  • More efficient case management by leveraging the technology to care for an additional 100 to 200 patients with current staffing

Learn More
Collaborative Forum

Visit Pharos' new blog on the issues that will get us closer to transforming our healthcare delivery system.

Virtual Pharos

Commonwealth Fund Briefing: "Pathways to Payment Innovation in a Post-Health Reform Era" View video of the May 10 briefing on the impact of healthcare reform on our healthcare delivery and payment system.

Chicago Business Today Features Pharos Innovations on Healthcare Reform View video news clip of Lisa Leiter's interview with Pharos' CEO on shaping healthcare delivery system reform.

Pharos Findings

South Jersey Healthcare Seeks to Reduce Readmissions, Improve Quality - Preliminary results show an 83% reduction in avoidable admissions and .5 day decrease in average length of stay per admission.

Henry Ford Health System Reduces Costly, Avoidable Admissions - Results show 36% admissions reduction in HF program participants and return of 2.3:1 vs. program costs.

Inova Mount Vernon Hospital Reduces Hospital Admissions - Admissions reduced in HF program participants by 75%; includes preliminary results using Tel-Assurance®

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