Physician network and
accountable care organization

P3N Network and ACO

Pacific Private Practice Network was created to help doctors succeed in value-based care. Built on an infrastructure of technology, analytics, and clinical services P3N provides the scaffolding to support care coordination.

P3N is open to all private practices. Whether you are a primary care physician managing diabetes or an OB/Gyn doctor treating post-partum depression, a specialist treating chronic pain or a cardiologist managing CHF, one or more of our programs will provide support for your patients.

The Centers for Medicare and Medicaid Services (CMS) has announced their aim to have all Medicare fee-for-service beneficiaries and the vast majority of Medicaid beneficiaries in a care relationship with accountability for quality and total cost of care by 2030. In response to this declaration, P3N created P3N ACO.

The Problem

The US spends $3.7 Trillion/yr or 18% of the US economy. CMS, struggling to keep up with an aging population, and facing the challenge of improving quality care, is forcing change. CMS stated strategy is to transform from a fee-for-service to value-based payment structure and move beneficiaries into some form of accountable care organization that will be forced to take risk. Providers will be forced into new relationships.

Aging
Population

Challenge of Quality Care

ACO will be forced to take risk

Our Solutions

The P3N system helps doctors stay focused on whole-person, preventative care and identifies through data, actionable patient specific services. P3N provides a sustainable path to support primary care transformation. We offer solutions for MIPS reporting and Annual Wellness Visits. P3N ACO provides a sustainable path to support primary care transformation. Joining the P3N ACO will help your practice implement strategies to achieve quality improvement goals, reduce costs, and mitigate risk. By placing greater emphasis on care coordination, your patients will benefit from hands-on care that reaches far beyond the clinic walls.

Achieve Quality Improvement Goals

Reduce Costs

Mitigate Risk

What we offer

In addition to our Health Coaching programs, P3N is designing ways for practices to create and implement sustainable programs built on a reliable practice-friendly infrastructure.
We automate the identification and capture of data for Annual Wellness Visits and MIPS reporting. We offer a service to assist in the completion of the Annual Wellness Visit improve the accuracy of HCC risk identification and create an opportunity for the practice to focus on other important initiatives.
Joining the P3N ACO will help your practice implement strategies to achieve quality improvement goals, reduce cost and learn how to manage risk. By placing greater emphasis on care coordination, your patients will benefit from hands-on care that reaches far beyond the clinic walls.

Quality

Promoting interoperability

Improvement Activities

Cost

MIPS reporting is applicable to physicians, physician assistants, nurse practitioners, clinical nurse specialists who are charging Part B more than $90,000/year or have more than 200 Part B Beneficiaries for Medicare.

Positive payment adjustments and negative penalty of -9% will be levied in 2024 for Medicare part B payments related to the 2022 performance year. One may gain a neutral payment for earning 75 MIPS points and additional exceptional performance bonus for scoring above 89 points. A minimum of 75 points is required to avoid the negative penalty.

P3N collects and reports data for all providers in P3N ACO as well as non-ACO members who request assistance. An automated system is available to make data extraction simplified.

Annual Wellness Visit (AWV) program

The Annual Wellness Visit is a yearly checkup that Medicare covers for most enrollees.

The visit is intended to help people with Medicare maintain good health by catching signs of disease early on and taking a preventive approach to healthcare

The purpose of the Medicare Annual Wellness Visit is to establish and maintain a personal preventive care plan.

Record height, weight, blood pressure, other basic measurements
Assess functional ability and safety risks (hearing screening, falling risk, ability to complete activities of daily living, and home safety)
Review medical and family history
Document all medications
Screen for cognitive impairment (Alzheimer’s and dementia) and depression

P3N Accountable Care Organization (ACO)

An ACO is a group of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care. The goal of coordinated care is to ensure that patients get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. ACO’s have shown success both in delivering high-quality care and spending health care dollars more wisely. The ACO shares in the savings it achieves for the Medicare program.

The P3N ACO provides:

The Value

P3N ACO cultivates a relationship with the physician’s care team and is sensitive to their philosophy and strategy. Creating and automating the infrastructure to support the ACO and value-based programs expands the impact of the patient-physician care plan while reducing staff time and work.

P3N has developed a patient engagement strategy that begins with identifying potential problems and offers patient guidance and support through our health coaching initiatives to achieve the goals of care.
Employing virtual collaborative care in behavioral health and pharmacy, the patient experience and access are greatly enhanced while the physician workload is relieved.

Using data to build knowledge supporting care decisions and business insights Built in automation reduces staff time and work.

Achieve the CMS quadruple aim of:

MIPS Vlaue

P3N automates data extraction, making reporting much less cumbersome for the practice.

AWV Value

The P3N Annual Wellness program can assist busy practices in performing the AWV. The experienced NP’s reduce the practice workload, while accurately capturing/recapturing diagnoses that effect risk scores and benchmarks. The AWV also identifies appropriate patients for RPM, CCM, Psychiatric and Pharmacy Collaborative Care.

How Are We Different?

We alleviate the burden placed on a practice to build, collect, organize, implement, and analyze value-based initiatives and create an ACO model upon which we can refine a strategy that effectively manages risk and shares success with our physician participants.
We automate data capture from your electronic health record and billing systems and use analytics to help efficiently identify preventative care and quality data opportunities to help alert you and your staff to actionable services.

Joining P3N will offer your practice efficient workflows that will reduce the time and effort your practice spends on the business operation, giving you and your staff back time to spend on direct patient care.
By placing greater emphasis on identifying patient level opportunities to deliver population level health management, our system enables you to provide a more personal one-on-one experience with the valuable time you spend with your patients.

Physician network and accountable care organization