EMHS

Beacon Health and Martin’s Point Health Care Partner to Bring Good Health to Maine Communities

6/13/2016
Beacon Health and Martin’s Point Health Care are announcing a collaborative agreement that will help approximately 9,000 of Maine’s Medicare beneficiaries receive more consistent, effective, and affordable healthcare across the state. Under their new “population health agreement,” the two entities will work together to maintain and improve the health of Martin’s Point Generations Advantage Medicare plan members by focusing on preventive healthcare and chronic illness management.

This agreement brings together two Maine organizations that are nationally renowned for quality. Beacon Health, a provider-led Accountable Care Organization (ACO) and member of EMHS specializing in population health, and was recently ranked second highest in quality out of 19 Medicare Pioneer ACOs nationwide. As Maine’s leading provider of Medicare Advantage health plans, Martin’s Point offers Generations Advantage, the only plan in Maine (and one of only 12 plans nationwide) to earn Medicare’s highest quality rating of 5 Stars for 2016.

Under the agreement, Martin’s Point Generations Advantage plan members with Beacon Health primary care providers (PCPs) will now have access to the services of Beacon Health’s Nurse Care Coordination program. The program links members with chronic conditions with a care team consisting of nurse-care and transition-of-care coordinators, health coaches, and social workers. The Beacon Health care teams will support all aspects of a Martin’s Point Generations Advantage plan member’s health—coordinating care, closely monitoring the member between visits, ensuring receipt of necessary follow-up care, and emphasizing the importance of yearly visits and preventive care.

This level of comprehensive care for members managing chronic conditions has been shown to help keep them healthier, improve quality of life, and reduce overall healthcare costs. Key to this work is making sure members see their PCP at least once each year so health conditions can be identified, documented, and treated.

“As we work towards tailoring care to meet the needs of populations and communities, we have to know what services and supports patients need to live their healthiest lives. This can only happen when we know what conditions our patients are living with,” explains Mike Donahue, MBA, president of Beacon Health. “Population health is about caring for one patient at a time, and the best way to do that is to know your patients, and know them well.”

The new collaboration highlights the importance of strong relationships between insurers and providers as both work together to ensure high-quality, affordable care for plan members with complex healthcare needs. Beacon Health, anchored for this agreement by EMHS and Central Maine Healthcare primary care providers, will share responsibility with Martin’s Point for both the cost and the quality of care delivered to plan members.

Pursuing more partnerships of this kind is a goal of both organizations. “Beacon Health’s aim,” says Donahue “is to positively affect patients’ health and better control expenses. We do this through improved communication and coordination among patients and the people involved in their care, including their doctors, hospitals, and insurance carriers. We are ambitiously pursuing a modern framework for population health management, aimed at community-based services targeting high-risk patient populations. This partnership with Martin’s Point is a great step in that direction.”

Larry Henry, COO at Martin’s Point agrees, “We believe we have a responsibility to develop a sustainable care system in Maine, especially for the aging population. Partnering with Beacon Health is a big piece of that. For healthcare to work, health plans and care systems need to be aligned and need to work in concert for the good of each individual they care for together. We see this as a real opportunity to improve the quality of life of the communities we both serve. And, we’re working to expand this model of collaboration with other provider groups to try to make sure care is affordable across Maine today, tomorrow, and in the future.”

The Beacon Health network includes 15 hospitals, 559 primary care providers from 114 practice locations working together across 63 Maine cities and towns to coordinate care, improve quality and patient experiences, and manage costs. Beacon Health’s Nurse Care Coordination program is the first healthcare provider-based program in the country to receive NCQA (National Committee for Quality Assurance) accreditation. Since 1990, NCQA has been considered the gold standard for improving healthcare across the country. According to patient surveys, 96 percent of patients who receive this support feel they are receiving very good to excellent care.

Martin’s Point Health Care is a progressive, not-for-profit health care organization providing direct patient care and health insurance plans. They offer primary and specialty care at seven health care centers in Maine and New Hampshire. They also offer Generations Advantage plans to MEDICARE beneficiaries in Maine and New Hampshire, and the US Family Health Plan (TRICARE Prime®) to military families in northern New England, New York, and Pennsylvania. More information is available at www.MartinsPoint.org

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