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Slide 1 FastFacts Feature Presentation October 12, 2012 To dial in, use this phone number and participant code… Phone number: 888-651-5908 Participant.

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Presentation on theme: "Slide 1 FastFacts Feature Presentation October 12, 2012 To dial in, use this phone number and participant code… Phone number: 888-651-5908 Participant."— Presentation transcript:

1 Slide 1 FastFacts Feature Presentation October 12, 2012 To dial in, use this phone number and participant code… Phone number: 888-651-5908 Participant code: 182500 To participate via VoIP… You must have a sound card You must have headphones or computer speakers © 2012 The Johns Hopkins University. All rights reserved.

2 Slide 2 Todays Topic Well be taking a look at… Kaiser Permanente HMO Changing the conversation to what matters

3 Slide 3 Todays Presenter Jeff J. Fisher, Senior Account Manager, Kaiser Permanente Mid-Atlantic Region

4 Slide 4 Session Segments Presentation Jeff will address the changes to the plan structure and provide suggestions for saving on your out of pocket expenses. During Jeffs presentation, your phone will be muted. Q&A After the presentation, well hold a Q&A session. Well open up the phone lines, and youll be able to ask questions. Jeff will answer as many of your questions as time allows.

5 Slide 5 Contact Us If you would like to submit a question during the presentation or if youre having technical difficulties, you can email us at: fastfacts@jhu.edu fastfacts@jhu.edu You can also send us an instant message! GoogleTalk – HopkinsFastFacts@gmail.comHopkinsFastFacts@gmail.com AOL Instant Messenger – HopkinsFastFacts MSN – FastFacts@jhu.edu

6 Slide 6 Survey At the end of this FastFacts session, well ask you to complete a short survey. Your honest comments will help us to enhance and improve future FastFacts sessions.

7 Slide 7 How To View Full Screen Click Here

8 Kaiser Permanente HMO Changing the conversation to what matters Johns Hopkins University 2013 Plan/Benefit Overview Kaiser Foundation Health Plan of the Mid-Atlantic States 2101 E. Jefferson Street Rockville, MD 20852

9 Typical U.S. health care Emergency Room DM Vendors Rehabilitation Call Center Advice Center Skilled Nursing Facility Urgent Care Pharmacy Laboratory Specialty Care Office Primary Care Office Hospice Home (Self-Care) Radiology Media/Web Health Plans Hospital Delivery System: Fragmented, uncoordinated Result: Poor quality, frequent duplication of efforts, low efficiency, difficult to navigate

10 Why is it better at Kaiser Permanente?

11 11 With Permanente physicians, KP members have faster access to care Data source: Kaiser Permanente HealthConnect Scheduling System and Diamond Claims System; Data based on referrals initiated during February 2012 comparing the date a member is referred to a specialist and the date they are seen by a specialist (data is for KP members only reflecting the experience of internal care versus utilizing a network specialist; may or may not reflect specialty access for members of other health plans)

12 12 Using a tool called E-consult primary care physicians can instantly schedule patients to see specialists while the patient is in the exam room -- no more waiting on the phone to schedule appointments. Frequently, specialty appointments are even available the same day. Print outs for Patient and Referring Physician With Kaiser Permanente – Permanente doctors can deliver market-leading access to specialists thanks to the unparalleled resources and technology they have at their fingertips

13 13 From any computer with an internet connection, Permanente physicians can securely view Kaiser Permanente members x-rays (or any other radiology image) moments after the film is taken*. With Kaiser Permanente theres no need to carry around your x-rays, remember your medical history or fill out the same forms…over and over again *The above statements primary applies to Kaiser Permanente members who seek care through Permanente physicians.

14 14 Members are able to choose their Permanente primary care doctors online, assisted by the information contained in the comprehensive home pages of every Permanente physician. With Kaiser Permanente you get to choose your doctor based on detailed information, not on who finally returns your call

15 15 Only with Kaiser Permanente can you get the kind of online convenience we offer From any computer with an internet connection, at any time (day or night), Kaiser Permanente makes it fast, easy, and convenient for members – Email a Permanente doctor office – Schedule appointments – Refill prescriptions – View lab test results – Print immunization records – Get a list of your medications – And more! Including the NEW kp.org Mobile App

16 16 With Kaiser Permanente – patients have fast and convenient access to services offered at our new multi-specialty hubs What members get at hubsWhat this means for them 24/7/365 Urgent CareBy offering around-the-clock urgent care, members are able to avoid unnecessary, inconvenient and time-consuming visits to the emergency room 24/7 Pharmacy, Lab and RadiologyIn the Mid-Atlantic, most non-KP members are accustomed to traveling to various locations, with limited hours, to receive these services. With KP, you may visit a specialty hub to receive these services all at one location. A vast array of primary and specialty care – all connected and in one place Kaiser Permanente offers fast and convenient access – most KP members can satisfy all their care needs under one roof. Multiple locations in Mid-Atlantic (and more coming!) Members can visit whichever location is most convenient * *Please note that all specialties are not available at all hub locations. Check the KP directory on kp.org to verify which services are available at the desired location.

17 17 More physicians and services coming to your area: South Baltimore County Medical Center HUB Kaiser Permanente is building a state-of-the-art multi-specialty facility in Halethorpe, set to open in April of 2013. The four-story, 130,000-square-foot South Baltimore County Medical Center is under construction on the 1700-block of Twin Springs Road and will include primary care, urgent care, ambulatory surgery, advanced diagnostic imaging, pharmacy, and a variety of specialty services. One of the innovative features of the new facility is a 14-bed Observation and Clinical Decision Unit where patients can be held for observation for up to 24 hours. In the Clinical Decision Unit, members can avoid emergency room visits for evaluation of conditions, or for brief therapy such as IV antibiotics or medications to treat asthma. Services and hours When the new center opens, you will have the added convenience of 24/7 urgent care, laboratory, radiology, and pharmacy. And, youll find a number of specialties new to the Baltimore area. Some services will be moving from area medical centers to the new South Baltimore County Medical Center. You will have the added convenience of 24/7 urgent care, laboratory, radiology, and pharmacy.

18 18 New services to the Baltimore area Ambulatory Surgery Center/PACU (post-anesthesia) Endoscopy Unit Observation and Clinical Decision Unit Pain Management Sleep Medicine Vascular Surgery Youll also have access to a number of new providers offering these services: Adult Medicine Ob/Gyn Pediatrics Primary Specialty services Allergy Cardiology Dermatology Endocrinology Gastrointestinal General Surgery Head and Neck Surgery Infectious Disease Nephrology Neurology Orthopedics Podiatry Pulmonology Rheumatology Urgent Cart Urology

19 19

20 We are saving lives at Kaiser Permanente 2011 HEDIS** Measures **Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service. Because so many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the performance of health plans on an "apples-to-apples" basis. 2011 HEDIS Year represents plan performance during the 2010 Calendar Year. All information can be found at http://mhcc.dhmh.maryland.gov/healthplan/Pages/healthplanquality/default.aspx. Pages 18 - 52 and 56 - 86 of the report (pages 35 - 68 and 72 - 102 of the PDF ). http://mhcc.dhmh.maryland.gov/healthplan/Pages/healthplanquality/default.aspx

21 HealthKeepers, Inc. Kaiser Permanente Mid-Atlantic CIGNA Mid-Atlantic M.D. IPA CoventryDE Carefirst BlueChoice Aetna MD/DC/VA Breast Cancer Screening** Data Source: **2011 HEDIS, information found on slide 10

22 Data Source: 2011 HEDIS United Healthcare Mid-Atlantic Optima Health Plan OCI M.D. IPA Kaiser Permanente Mid-Atlantic HealthKeepers, Inc. CoventryDE CIGNA Mid-Atlantic Carefirst BlueChoice Aetna MD/DC/VA Data Source: **2011 HEDIS, information found on slide 10 Cervical Cancer Screening**

23 United Healthcare Mid-Atlantic Optima Health Plan OCI HealthKeepers, Inc. Kaiser Permanente Mid-Atlantic CIGNA Mid-Atlantic M.D. IPA CoventryDE Carefirst BlueChoice Aetna MD/DC/VA Data Source: 2011 HEDIS *DTaP, IPV, MMR, HiB, Hep B, VZV, PCV, Hep A, RV, Influenza Childhood Immunization Status**Combo 10^ Data Source: **2011 HEDIS, information found on slide 10. ^DTaP, IPV, MMR, HiB, Hep B, V2V, PCV, Hep A, RV, Influenza.

24 United Healthcare Mid-Atlantic Optima Health Plan OCI HealthKeepers, Inc. Kaiser Permanente Mid-Atlantic CIGNA Mid-Atlantic M.D. IPA CoventryDE Carefirst BlueChoice Aetna MD/DC/VA Data Source: 2011 HEDIS Data Source: **2011 HEDIS, information found on slide 10 **

25 Data Source: 2011 HEDIS United Healthcare Mid-Atlantic Optima Health Plan OCI M.D. IPA Kaiser Permanente Mid-Atlantic HealthKeepers, Inc. CoventryDE CIGNA Mid-Atlantic Carefirst BlueChoice Aetna MD/DC/VA Data Source: **2011 HEDIS, information found on slide 10 **

26 Data Source: 2011 HEDIS United Healthcare Mid-Atlantic Optima Health Plan OCI M.D. IPA Kaiser Permanente Mid-Atlantic HealthKeepers, Inc. CoventryDE CIGNA Mid-Atlantic Carefirst BlueChoice Aetna MD/DC/VA Data Source: **2011 HEDIS, information found on slide 10 **

27 United Healthcare Mid-Atlantic Optima Health Plan OCI HealthKeepers, Inc. Kaiser Permanente Mid-Atlantic CIGNA Mid-Atlantic M.D. IPA CoventryDE Carefirst BlueChoice Aetna MD/DC/VA Data Source: **2011 HEDIS, information found on slide 10 **

28 Data Source: 2011 HEDIS Optima Health Plan United Healthcare Mid-Atlantic Plan OCI M.D. IPA Kaiser Permanente Mid-Atlantic HealthKeepers, Inc. CoventryDE CIGNA – Mid-Atlantic CareFirst BlueChoice Aetna MD/DC/VA Data Source: **2011 HEDIS, information found on slide 10 **

29 United Healthcare Mid-Atlantic Plan Optima Health Plan OCI M.D. IPA Kaiser Permanente Mid-Atlantic HealthKeepers, Inc. CoventryDE CIGNA – Mid-Atlantic CareFirst BlueChoice Aetna MD/DC/VA Data Source: 2011 HEDIS Data Source: **2011 HEDIS, information found on slide 10 **

30 1 50 100 150 200 250 2011 33 2010 2009 73 81 NCQA Health Insurance Plan Ranking Rank – nationally among private (commercial) plans KPMAS CIGNA Aetna CareFirst United NOTE: The NCQAs (National Committee for Quality Assurance) Health Insurance Plan Rankings is based on combined scores for health plans in Healthcare Effectiveness Data and Information Set®, commonly called HEDIS; the Consumer Assessment of Healthcare Providers and Systems®, or CAHPS, and NCQA Accreditation standards scores. http://www.ncqa.org/tabid/1243/default.aspx Quality & Service – NCQA Ranking

31 Data source: 2011 Comprehensive Health Benefit Plan Performance Report. Page 89 or (105 of 158 in the PDF)http://mhcc.dhmh.maryland.gov/healthplan/Pages/healthplanquality/default.aspx

32 KPMAS is the highest rated plan in Maryland for Preventive Care Measures Data source: 2011 Comprehensive Health Benefit Plan Performance Report. Page 17or (33 of 158 in the PDF) http://mhcc.dhmh.maryland.gov/healthplan/Pages/healthplanquality/default.aspx

33 KPMAS is the highest rated plan in Maryland for Treatment and Management of Care Data source: 2011 Comprehensive Health Benefit Plan Performance Report. Page 55 or (71 of 158 in the PDF)http://mhcc.dhmh.maryland.gov/healthplan/Pages/healthplanquality/default.aspx

34 It really is better at Kaiser Permanente – Heres what our members had to say CAHPS^^ ^^The Consumer Assessment of Healthcare Providers and Systems (CAHPS) program is funded and administered by the Agency for Healthcare Research and Quality (AHRQ), which works closely with a consortium of private and public organizations. These organizations are responsible for conceiving, developing, testing, and refining the CAHPS survey products. Public organizations that have supported and worked with the Consortium include the Centers for Medicare & Medicaid Services (CMS), which provides additional funding to support the development of specific surveys, the Centers for Disease Control and Prevention, and the National Institute for Disability and Rehabilitation Research. http://mhcc.dhmh.maryland.gov/healthplan/Pages/healthplanquality/default.aspxhttp://mhcc.dhmh.maryland.gov/healthplan/Pages/healthplanquality/default.aspx. Data can be found on pages 87 - 103 of the report (pages 103- 119 of the PDF ) of 2011 Comprehensive Health Benefit Plan Performance Report

35 Kaiser Permanente is #1 in members rating their care as the best care possible Data source: ^^CAHPS information located on slide 24 ^^

36 Kaiser Permanente is #1: Overall Health Plan The competition ^^ Data source: ^^CAHPS information located on slide 24

37 The outside sources agree with Kaiser Permanente members too..

38 38 Accolades for Kaiser Permanente in the Mid-Atlantic States

39 39 J.D. Power and Associates: "Highest Member Satisfaction among Commercial Health Plans in the Virginia-Maryland-D.C. Region, Four Years in a Row."* *Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., received the highest numerical score among commercial health plans in the Virginia-Maryland region in the proprietary J.D. Power and Associates 2012 U.S. Member Health Insurance Plan Studies.SM 2011 study based on 32,868 total member responses, measuring 6 plans in the Virginia- Maryland-D.C. region (excludes Medicare and Medicaid). Proprietary study results are based on experiences and perceptions of members surveyed December 2011–January 2012. Your experiences may vary. Visit jdpower.com jdpower.com Kaiser Permanente is not responsible for the content or policies of external Internet sites.

40 Johns Hopkins University 2013 Benefit Changes

41 41 Faculty / Staff Changes effective for 1/1/2013

42 42 Bargaining Unit Changes Effective for 1/1/2013

43 Slide 43 Conclusion Largest multi- specialty group practice in the Mid-Atlantic Region, supported by state-of-the-art technology, Kaiser Permanente offers our members: #1 Clinical Quality Care in Mid-Atlantic Region Highly Coordinated Care with sophisticated largest civilian Electronic Medical Records System #1 Member Satisfaction rated by J.D. Powers Convenience, Convenience, Convenience, - most services located within one of Kaisers 32 medical centers throughout MD, DC & VA

44 Slide 44 Were going to open the phone lines now! There will be a slight pause, and then a recorded voice will provide instructions on how to ask questions over this conference call line. Well be answering questions in the order that we receive them. Well also be answering the questions that were emailed to us during the presentation. If theres a question that we cant answer, well do some research after this session, and then email the answer to all participants. Q&A

45 Slide 45 Thank You! Thank you for participating! We would love to hear from you. Are there certain topics that you would like us to cover in future FastFacts sessions? Would you like to be a FastFacts presenter? Please email us at: fastfacts@jhu.edu

46 Slide 46 Survey Before we close, please take the time to complete a short survey. Your feedback will help us as we plan future FastFacts sessions. Click this link to access the survey… http://connect.johnshopkins.edu/fastfactssurvey/ http://connect.johnshopkins.edu/fastfactssurvey/ Thanks again!


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