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US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family.

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Presentation on theme: "US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family."— Presentation transcript:

1 US Family Health Plan: Providing High Quality, Cost Effective Healthcare to Military Beneficiaries By: Marshall Bolyard, Executive Director, US Family Health Plan, CHRISTUS Health

2 US Family Health Plan Background & Historical Perspective

3 Origins 1981: PL transferred ten US Public Health Service (PHS) hospitals and clinics to private, not-for-profit healthcare entities PL designated these former PHS facilities as Uniformed Services Treatment Facilities (USTFs)

4 Origins 1989: Congress requests the development of a managed care delivery system 1993: US Family Health Plan is born 1997: USTFs become designated providers and made a permanent part of the MHS

5 Alliance of Designated Providers

6 Model, Measures & Reasons for Success

7 Model Managed care / coordinated care Capitation Fully at risk Commercial & Medicare population Access to government prices for pharmacy

8 Measure The best measure of our success is the consistently high levels of patient satisfaction

9 Member Satisfaction 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)

10 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

11 Why this Model is a Good Model for the American Healthcare System

12 Summary Intimacy between patient and provider Focus on population health, not fragmented care Patient centric Members for life


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