The Journal of Volume 15 • No. 1 • Spring 2021 COVER STORY: Member Spotlight Clive Fields, MD, p.18 Health Equity and Social Justice, p.24 The Latest on Alternative Payment Models, p.34 Serving those who provide care. IT’S IN OUR DNA. TDC Group is proud to be the exclusive sponsor of the podcast APG on American Healthcare. 7864_Journal_APG_Sponsor_Spr2021_0221_v4.indd 1 2/19/21 1:48 PM ON THE COVER 18 Clive Fields, MD The VillageMD Co-Founder explains how we can eliminate the barriers to advanced primary care. TABLE OF CONTENTS TABLE The Journal of DEPARTMENTS FEATURES 6 12 Publisher From the President New APG Manual Offers an Valerie Okunami Essential Guide to Risk Editor-in-Chief Contracting Don Crane 8 Editorial Advisory Board Lura Hawkins, MBA News and Events Dianne Glover, MPH Gregory Phillips 22 Managing Editor Improving Medication Adherence Lura Hawkins, MBA 10 During a Pandemic Contributing Writers From the BOD Chair Bill Barcellona Don Crane Lessons Learned From Sanjay Doddamani, MD the Pandemic Garrett Eberhardt 24 Clive Fields, MD New APG Collaborative Addresses Russ Foster Lura Hawkins, MBA Health Equity and Social Justice Jennifer Jackman 14 Dorothy Lockhart, MBA, MSN, RN Federal Policy Update Steve Neorr Gregory Phillips As COVID-19 Continues, 30 Valinda Rutledge Faith Saporsantos, MSN, MHA, RN, Physicians Still Need Relief Connecting Key Strategies CRRN to Promote Talent Management Sheila Stephens Bill Wulf, MD 16 Journal of America’s Physician Groups is published by Policy Briefing 34 Valerie Okunami Media California Bill Targets Health Is Wealth: The Latest PO Box 674, Sloughhouse, CA 95683 Healthcare Affordabilty on Alternative Payment Models Phone 916.761.1853 apg.org Please send press releases and editorial inquiries to [email protected] or 27 c/o Journal of America’s Physician Groups, APG Member List 915 Wilshire Blvd., Suite 1620, Los Angeles, CA 90017 For advertising, please send email to [email protected] Subscription rates: $32 per year; $58 two years; $3 single copy. Advertising rates on request. Bulk third class mail paid in Jefferson City, MO Every precaution is taken to ensure the accuracy of the articles published in Journal of America’s Physician Groups. Opinions expressed or facts supplied by its authors are not the responsibility of Journal of America’s Physician Groups. © 2021, Journal of America’s Physician Groups. All rights reserved. Reproduction in whole or in part without written permission is strictly prohibited. 4 l JOURNAL OF AMERICA’S PHYSICIAN GROUPS Spring 2021 Independent and Supported That’s what it means to be a Hill Physicians provider. As the largest IPA in Northern California, our physicians provide care to over 350,000 patients. We give you the support you need so you can remain independent and focus on what matters most: high-quality patient care. A leader in the industry, Hill Physicians offers: • A 30-year history of fiscal strength under the leadership of anall-physician Board of Directors. • A strong commitment to making technological investments, including a subsidized EHR, high performance claims system and patient registry. • Dedicated and exceptional support for you and your practice staff. • Health programs to support you such as case management, diabetes education, nutritional counseling and pharmacy consultations. • Fast, accurate claims payments. • Competitive reimbursement and meaningful performance bonuses. Learn more at www.HillPhysicians.com/JoinUs © 2018 Hill Physicians Medical Group, Inc. | HP-CSM18-016 From the President A MESSAGE FROM DON CRANE, PRESIDENT AND CEO AMERICA’S PHYSICIAN GROUPS Members and friends, Welcome to the Spring 2021 issue of the Journal of America’s Physician Groups. It’s hard to believe that it’s been more than a year since the beginning of the Don Crane, COVID-19 pandemic. Every facet of our day-to-day lives has been impacted. Yet America’s Physician Groups President and CEO we have persevered in the face of adversity, and there is finally light at the end of the tunnel with vaccination in full swing. I am pleased to present another outstanding lineup of editorial for you in this Spring issue. In particular, I would like to highlight the following articles: • Clive Fields, MD, Co-Founder and Chief Medical Officer of VillageMD, is this issue’s Member Spotlight. Dr. Fields explains how the COVID-19 pandemic exposed the underdevelopment of community-based primary care—and what we must do to continue to eliminate the barriers to implementing advanced primary care (APC) models. • In March, APG published the Value-Based Contracting Manual: An Essential Guide for Physician Organizations Intensive . This Manual is an indispensable resource for anyone who is in risk-based care or who is contemplating risk contracting. Learn more about this invaluable Manual and how to get your digital copy. • APG recently held its first meeting of the new Health Equity and Social Justice Collaborative. Co-Chairs Recovery. Alyssa Canter, Adrianne Wagner, Sheila Sudhakar, MD, and Pete Fronte explain why this group was established and how they will work together to address the systemic challenges that certain populations face in accessing quality, affordable healthcare. • Sanjay Doddamani, MD, and Steve Neorr, Co-Chairs of APG’s Alternative Payment Model (APM) Committee, describe the Committee’s discussions over the past year around payment reform, delivery reform, and digital transformation. Although we have decided to cancel this year’s Colloquium, I hope you plan to join us Dec. 9-11 in San Diego for the APG Annual Conference 2021 – Emerging From the Pandemic: The Path Forward. The Conference When patients are chronically and critically ill, COVID-19 has shown the importance of additional will be an in-person event at the Marriott Marquis San Diego Marina. APG will require that all Conference attendees they often need continued care after their stay in intensive care, particularly for those in respiratory attest that they have been fully vaccinated for COVID-19. Additionally, we will follow all CDC, state, and local an intensive or critical care unit. With physician- distress. Our ICU/CCU-level staffing, specially trained requirements that exist at the time of the Conference, such as social distancing, masking, etc. So please save the led acute-level care, Kindred Hospitals offer the caregivers and innovative care management have date and mark your calendar! recovery time these patients need to reach their proven to help alleviate maximum capacity in ICUs Lastly, if you have not already done so, please make sure to subscribe to APG on American Healthcare. Each bi- potential, while improving outcomes and reducing and help COVID patients return to their lives. weekly podcast episode features an unscripted conversation with a leading healthcare executive, policymaker, or costly readmissions. industry expert. If you are interested in national healthcare reform, budget-based prospective payment models, and risk-based capitation or other population-based payment models, this podcast is for you. Stay healthy. o If you have patients who can benefit from continued, aggressive, specialized care for an effective recovery, learn more at kindredmanagedcare.com. Daily Physician Oversight • ICU/CCU-Level Staffing • Reduced Readmissions Disease-Specific Certification from The Joint Commission 6 l JOURNAL OF AMERICA’S PHYSICIAN GROUPS Spring 2021 © 2021 Kindred Healthcare, LLC, CSR-WF226829, EOE WF226289 HD Media Print Ad JAPG MC V1 Ad 8.125 x 10.indd 1 4/2/21 10:14 AM Intensive Recovery. When patients are chronically and critically ill, COVID-19 has shown the importance of additional they often need continued care after their stay in intensive care, particularly for those in respiratory an intensive or critical care unit. With physician- distress. Our ICU/CCU-level staffing, specially trained led acute-level care, Kindred Hospitals offer the caregivers and innovative care management have recovery time these patients need to reach their proven to help alleviate maximum capacity in ICUs potential, while improving outcomes and reducing and help COVID patients return to their lives. costly readmissions. If you have patients who can benefit from continued, aggressive, specialized care for an effective recovery, learn more at kindredmanagedcare.com. Daily Physician Oversight • ICU/CCU-Level Staffing • Reduced Readmissions Disease-Specific Certification from The Joint Commission © 2021 Kindred Healthcare, LLC, CSR-WF226829, EOE WF226289 HD Media Print Ad JAPG MC V1 Ad 8.125 x 10.indd 1 4/2/21 10:14 AM News and Events 2021 APG Annual Conference Regional Meetings Emerging From the Pandemic: Northeast The Path Forward Tuesday, June 15 December 9–11 Hawaii Marriott Marquis, San Diego Marina Thursday, July 22 Northeast Webinar Wednesdays Tuesday, September 14 Wednesday, June 9 Northern California Wednesday, July 7 Wednesday, September 15 Wednesday, August 11 Northwest Regional Wednesday, September 8 Thursday, September 23 Wednesday, October 6 Southwest Wednesday, December 1 Tuesday, October 12 General Membership For information on all APG events, Wednesday, September 1 visit APG.org. o HEALTH EQUITY AND SOCIAL JUSTICE COLLABORATIVE1 New in 2021! Collaborative for APG Members and Partners Designed to create new alliances, discuss undertakings, and share projects and tools Discussions will Include: Health Equity’s Impact on Patient Care SDOH Organizational Culture Diversity in Staffing, Including Leadership Much more Upcoming Meetings: July 12 (webinar) Year-End Summit: