Jeb Burrows, Director, Market Strategy

The information presented in this Webinar is current as of date of live airing – June 25, 2014

Driving Efficiency in Community

Health

Community health to athenahealth

Challenges unique to Community Health Centers

The Solution

Question & Answer

Agenda

Fewer C-Sections50%

Fewer days in NICU

40%

We are listening and learning

athenahealth Leadership InstituteConnecting health care leaders to innovative ideas

SPECIAL TOPIC:

Federally Qualified Health Centers

Athenahealth Growing FQHC Footprint

6

2009 2010 2011 2012 2013 20140

20

40

60

80

100

120

1 1 2 716 25

32 37 43

57

72

88

FQHC RHC

Data required for reporting is arduous – PCMH, MU, UDS

Maintaining financial viability and having access to cash is paramount

Techonology partners must enable clinical and financial success

.. And here is what we’ve heard

What is a Patient-Centered Medical Home (PCMH)?

PCMH is a model of primary care.

Personal physician:• Each patient has an ongoing relationship with a personal physician

trained to provide first contact, continuous and comprehensive care.

Physician directed medical practice:• The personal physician leads a team of individuals at the practice level

who collectively take responsibility for the ongoing care of patient.

Enhanced access:• Care is available through systems such as open scheduling, expanded

hours and new options for communication between patients, their personal physician, and practice staff

Payment:• The added value provided to patients who have a patient-centered

medical home is appropriately recognized

PCMH Recognition is Growing Rapidly

NCQA Annual Report 2012. http://www.ncqa.org/LinkClick.aspx?fileticket=svcb8LsMDpI%3d&tabid=675

PCMH Recognition is Becoming Part of the Reimbursement

Landscape

More than 25 health plans incorporate PCMH recognition into their own programs, and many will offer financial incentives.

Stage 2 has more core measures, fewer menu measures, and

higher thresholds

STAGE 1 STAGE 2

Higher thresholds

3 of 6 Menu

17 Core

5 of 10 Menu

15 Core

Known challenges of UDS reporting

3. Resource requirements are significant Managing the data, details, “running” the reports

1. UDS is not a canned report HRSA guidelines can (and will) be interpreted differently

Year over year consistency is highly valued during audit process

Switching practice management/EHR systems is difficult

Generate reports anticipating audit questions

2. Process and knowledge retention UDS report specification will change every year

Audit questions may be extraordinarily detailed

Submit, forget details, remember details, resubmit, repeat?

FQHC billing is complex

Identification of and creation of “wrap around

claims”

Flexible reporting system to

support UDS

Claim splitting “rules” reduce work for billing

staff

Poverty-based sliding scales

support indigent care

93% of FQHCs have adopted an EHR

Commonwealth Fund HER survey May 2014

Greek chorus DOMINATES exam room

72% of physicians say that EHRs distract from face time

Source: athenahealth’s 2012 Physician Sentiment IndexTM (http://www. athenahealth.com/PSI/meaningful-use-incentives.php).

• 52,000+ providers on athenaNet®

• Clients ranging from 1 to 5,000+

• 50 states and 92 medical specialties

• $13+ billion in client collections per year

• 30% annual growth since 1997

• Epocrates serving 330,000+ U.S. MD’s weekly; 1 million+ healthcare providers

“2013 Best in KLAS Awards: Software & Services,” January, 2014. © 2014 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com

#1 Overall

Software Vendor

#1 Overall

Physician Practice Vendor

#1 PatientPortal

#1 Practice

Management

System(1-10, 11-75 physicians)

#2 EHR

(1-10, 11-75 physicians)

2013 Best in KLAS

We are building the health care internet

25 FQHC clients with 409 locations across athenaNet

20

Perf

orm

an

ce &

V

isib

ilit

y

High

High

Connection to Outcomes

Software

ASP

SaaS

Cloud-Based Service

Cloud-based Service provides high performance, visibility and

connection to outcomes

The Cloud

Monthly billing as percent of collections

No up front

capital investment

UDS reporting,

PCMH accelerator

program are

available at no

additional cost

Paid as percent of collections

$ %

51 MILLION PATIENTS110,000 INTERFACES

50B WEB HITS / YEAR

1 BILLION ELECTRONIC TRANSACTIONS /

YEAR

In 2013, KLAS rated athenaClinicals as the most

usable EHR at go live and today

24

“Ambulatory EMR Usability 2013: More Nurture than Nature,” May, 2013. © 2013 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com

Athenahealth was first to undergo NCQA PCMH

Corporate Review

0

20

40

60

80

100

85

18.5

31.5

35

Minimum for NCQA Level 3

Practice Responsibility

athenahealth tools

athenahealth pre-validation

athenahealth covers about 60% of the points required for NCQA’s highest level of PCMH recognition

PCMH Accelerator Program

PCMH as one of the many models of care in our evolving healthcare

landscape

Meaningful Use as an HIT adoption,

utilization, and standards foundation

ACO as a

managemen

t and cost

savings

structure

PCMH focusing on Primary

Care

Population Health

as goal for improved quality, cost, and patient

outcomes

Each health initiative builds on a foundation that

supports subsequent programs,

eventually leading to outcomes and a

transformed health care

system

Our approach to Stage 2 Meaningful Use

athenaClinicals received 2014 Edition MU certification on 6/21/13

All athenahealth clients using a 2014 Edition MU certified EHR today

Any software changes to support MU will be pushed to all clients immediately

Centrally monitor the performance of every provider within your practice to tell them if they are ahead or behind in meeting MU criteria

Identify insights based on high and low performers nationwide and roll out to network

Coach on Meaningful Use program performance with intervention for poor performance

Take on the technical work required to satisfy health information exchange measures

Management of registration and attestation with CMS

Incentive payment tracking and processing

95.6% of our participating physicians attested to Medicare MU in 2013

athena’s approach to UDS

• Identify contents of the report• Build data structures to create report• Run and deliver large reports

Software

• Interpret all UDS report specifications• Provide single source documentation for

assumptions• Improve reports based on audit questions• Allow for additional data to combine EMR

systems

Knowledge

• Attend annual training, interpret new specifications

• Provide answers for detailed audit questions• Generate additional one-time reports for audits

Service

First of its Kind Dental Integration

ConsolidatedUDS

Reporting

And their performance is proof of our combined success

31

On average, 38 days in account

receivable

96% first pass resolved rate

$200,000 in average daily charges

Performance is measured for 2012:Q4-2013:Q1

A Success StoryHudson Healthwaters

“The data is at our fingertips. We can

pull UDS information. We can get gaps

in care reports related to quality

measures. We are now being seen by

the federal government as a very

efficient provider. - Cindy Reynolds

Vice President of Transformation and Clinical Quality

”

Prior to athenahealth: FQHC demands and needy

population nearly cause bankruptcy

Bills sitting in DAR for 85 days

Required federal data and business planning data painful to collect

With athenahealth: Reduced billing staff and still

reduced DAR to 39 days

Collections increased 79.32%

Patient visits increased 5.72%

No-show rate decreased 13.73%

Business and regulatory data instantly accessible

“We know that we will always be

taken seriously

and responded to

– by everyone we interact with

at athenahealt

h.”

– Joel Feinman, MD Valley Medical Group

Want to learn more about athenahealth?

Schedule a demo now by making a request in the Q&A box.

Or you can schedule a demonstration by:Calling athenahealth at 866.817.5739

Visiting athenahealth.com