G-Health 2018 Annual Report

GHealthEnterprises

G-Health 2018 Annual Report

WELCOME TO G-HEALTH ENTERPRISES

G-Health Enterprises is a health care organization which encompasses several affiliates: The

Greater Buffalo United Accountable Healthcare Network (GBUAHN), The Greater Buffalo United

Accountable Care Organization (GBUACO), Urban Family Practice and The Greater Buffalo United

Independent Physician’s Association (GBUIPA) facilitated by CEO and President Raul Vazquez, MD.

G-Health Enterprise’s mission is to cultivate hope and quality healthcare in children, families, and

communities.

Starting out as a simple Family Practice on Buffalo’s lower West Side, G-Health Enterprises has

evolved into an ambitious entity bringing about positive change at the neighborhood and state levels.

It is within this multi-faceted organization that we believe change is possible and unconditional,

holistic care is realized. This report is a compilation of the key activities and outputs during 2018.

Looking back, we are proud of the work accomplished but fully recognize that the journey from

“Dreams Into Action” is just beginning.


CONTENTS

Urban Family Practice

• Urban Family Practice Opens Primary Care on Buffalo’s East Side

• GBUAHN and Urban Family Practice introduce electronic self-check-ins

• The American Heart Association has awarded Urban Family Practice a

Target BP Award

• RevSpring Grading

3

GBUACO

• GBUACO metrics show value-based payments are working

• YourCare Partnering with the ACO Produces Two Important Grants to

Help Vulnerable Patients

• Grant Funds Medication to Assist in Opioid Related Deaths

• GBUACO the only ACO in NY state to receive NCQA accreditation

Quality in the Value Based Pilot

• Agreed-upon quality metrics

• Results

6

9

GBUAHN

• GBUAHN Receives 5-star Rating from NY State Department of Health

• GBUAHN Nationally recognized for excellence in case management

• GBUAHN and Tyto Team Up for a unique Telehealth Program

• G-Health now using MEDENT for face-to-face patient and care

coordinator meetings anytime, anywhere

• RevSpring Grading

12

Wellness

• G-Health Member Wellness Report

20

YourCare

• Better Together

22

G-Health Enterprises

23

Events

24


3

URBAN FAMILY PRACTICE

Urban Family Practice’s main site on Niagara Street on Buffalo’s West Side. “It’s hard to

get providers around here,”.

Urban Family Practice Opens

the Jefferson facility. The practice is led by Dr.

Primary Care on Buffalo’s East Side Chet Fox, formerly with UBMD Family Medicine

and a former faculty member of UB’s Jacobs

A Buffalo primary care medical practice has

School of Medicine & Biomedical Sciences. The

opened a second site in the city, taking over an

opening comes just months after the shutdown

East Side practice previously operated by UB

of another City of Buffalo clinic. Lifetime

from D’Youville Family Medicine. College That will site shuttered start in in February. June of

Healthcare closed its clinic at the William E.

2017 citing difficulties in attracting new family

Mosher Health Center in late December. “The

medicine physicians to the clinic in its decision

The practice also added three medical assistants closing of and two a city coordinator, clinics six months all of has whom led

to close the site after 12 years, eliminating

trained at the West Side clinic and are now seeing to increased patients at volume,” the Jefferson states Vazquez. clinic.

the urban component of its family medicine

residency program.

faculty member of UB’s Jacobs School of Medicine "It's been & Biomedical swamped. Now, Sciences. we'll

Difficulty finding providers to staff the site was

The opening comes just months after the shutdown be able of to another shift some City of of Buffalo them clinic:

also an issue for Urban Family Practice, leading

Lifetime

to

Healthcare

a six-month

closed

delay in

its

its opening.

clinic at

Urban

the William back E. Mosher to the east Health side Center clinic in late

Family Practice reopened the site Jan. 22, 2018 closer to home. It’s right in the

practice at sites. Jefferson and West Utica. The location will

community and it’s easier or

“The closing complement of two Urban city Family clinics Practice’s in six main months site has led to increased patient volume,”

on Niagara Street on Buffalo’s West Side.

them to get there.”

Still, Vazquez was successful in recruiting and training seven nurse practitioners to the

region, including individuals from Pennsylvania and the Carolinas, of whom five stayed.

They also had to wait for insurance and licensing information to be finalized, a process

that can take 90 days. Additionally, two new physician assistants recently graduated

The practice is led by Dr. Chet Fox, formerly with UBMD Family Medicine and a former

December after a decision by its Rochester-based parent to close all of its primary care

states Vazquez.

“It’s been Dr. swamped,” Vazquez was successful he said. in “Now, recruiting we’ll and be able to shift some of them back to (the

East Side training clinic), seven so Nurse it’s Practitioners closer to to their region, homes. It’s right in the community and it’s easier

for them including to get individuals there.” from Pennsylvania and

The practice the Carolinas. expects Urban to Family see close Practice to assisted 50,000 patients in 2018, nearly double the volume

from 2017.

the practitioners

Vazquez

with

has

obtaining

also implemented

insurance and

new technology to ease entry, using

licensing information, a process that can take 90

computer kiosks reception areas. The kiosk allow patients to check-in, update their

days. Additionally, two new physician assistants

information in the electronic record system, sign consent forms, upload patient photos

recently graduated from D’Youville College and

and even make co-pays with a credit card.

have joined the practice.

“We’re trying to innovate new ways of streamlining the process,” states Vazquez.

The practice also added three medical assistants

and a coordinator, all of whom trained at the

West Side clinic and are now seeing patients at

The practice expects to have close to 35,000

patient visits in 2018, nearly double the volume

from 2017. Vazquez has also implemented new

technology to ease entry, using computer kiosks

in reception areas. The kiosk allows patients

to check-in, update their information in the

electronic record system, sign consent forms,

upload patient photos and even make co-pays

with a credit card.

“We’re trying to innovate new ways of

streamlining the process,” states Vazquez.


6

GBUACO

GBUACO metrics show

value-based payments are working

It has been more than three years since the New

York State Department of Health gave the Greater

Buffalo United Accountable Care Organization

(GBUACO) the green light to operate as the first

Medicaid ACO in the state. GBUACO is a pioneer

in the movement from a treatment system – a

system that responds when someone is ill – to

a prevention system that focuses on keeping

people healthy. GBUACO operates a valuebased

payment system for the providers in its

network, emphasizing the triple aim of health

care – improved population health, improved

patient care, and decreased costs. Value-based

care models center on patient outcomes –

outcomes based on clearly defined metrics that

demonstrate how the providers within the ACO

network are doing in keeping patients healthy.

Value-based payments compensate providers

based on the quality versus the quantity of

services rendered. As a result, expensive

duplicative medical tests are reduced, as are

unneeded, costly and inconvenient repeat office

visits.

Some of the health metrics used

to measure quality in a Medicaid

accountable care organization

include:

• Behavioral health medication

management effectiveness

• Nephropathy treatment of

diabetic patients

• Sexually Transmitted Infection

(STI or STD) screening rates

• Breast cancer screening rates

During a six-month timeframe during year one

of the pilot value-based payment program,

GBUACO was able to successfully meet six of

the required quality metrics and came in at

just 5% over the estimated medical loss ratio

budget (the proportion of insurance premium

revenues spent on clinical services and quality

improvement; or, how much of a premium dollar

is a loss to the insurance company in the form

of paying for medical benefits). Achievements

include 91% compliance for nephropathy

treatment of diabetic patients and 71%

compliance in chlamydia screening for women

ages 16 – 20. “Through focused attention on

the medical loss ratio within GBUACO, analysts

were able to determine that GBUACO patients

are on average more complex and riskier

than other comparable patients,” states Raul

Vazquez, M.D., President and Chief Executive

Officer of GBUACO.

“Ostensibly, it should be more

expensive and challenging to

keep these individuals well.

However, GBUACO’s network

of providers is still able to keep

costs low, while improving the

most serious chronic conditions

applying a value-based care

model.”

In fact, GBUACO has improved further in budget

containment for pilot year two by providing

quality care at only 74% of its medical loss

ratio budget. Decreased costs are achieved

by utilizing techniques such as choose wisely,

prescribing generic medications rather than

name brands, and avoiding costly hospital visits.


7

The second is a New York State AIDS Foundation

Through the implementation of a valuebased

care model, GBUACO has leveraged grant to help people with HIV – AIDS to be more

its relationship with Greater Buffalo United engaged in their disease management. Through

Accountable Healthcare Network (GBUAHN) to this grant, patients are closely monitored to

provide care coordination services and assist in increase medication compliance. This was

decreasing avoidable emergency room visits. In supposed to be a six-month program, but it

fact, GBUACO has decreased avoidable ER visits was so successful statewide, that it has been

by over 30% during 2018 compared to the same extended for at least one more year.

time frame during 2017.

Grant Funds Medication to Assist in

“Physicians in the past did not work together as Opioid Related Deaths

a rule,” states Vazquez. “ GBUACO is changing

ovide care coordination services and assist in decreasing avoidable emergency Project room is a partnership of Monroe Plan, GBUACO,

its. In fact, GBUACO that has because decreased providers avoidable know ER visits they by over can 30% give during and 2018 Endeavor Health Services to expand access

mpared to the same better time care frame working during 2017. together to keep their

to MAT treatment for Medicaid recipients The

hysicians in the patients past did not as work healthy together as as possible, a rule,” states and Vazquez. they will “GBUACO Substance is Abuse and Mental Health Services

anging that because rewarded providers know for doing they can so.” give better care working together to

ep their patients as healthy as possible, and they will be rewarded for doing Administration so.” (SAMHSA) hasawarded a threeyear,

$1.5 million grant to Monroe Plan for Medical

YourCare Partnering with the ACO

Produces Two Important Grants to

ge (10)

Care, a not-forprofit Medicaid managed care

Help Vulnerable Patients:

organization, to enhance access to medicationassisted

treatment (MAT) services for Medicaid

urCare Partnering Because with the of ACO the partnership Produces Two of Important this Value-Based Grants to Help

lnerable Patients:

cause of the partnership Payment, of YourCare this Value-Based was able Payment, to obtain YourCare two was major able to recipients obtain with opioid use disorder (OUD).

o major grants. grants. The first was The a first $1.5 was million a three-year $1.5 million SAMHSA three-year grant that is

The

a

Greater Buffalo United Accountable Care

llaboration between YourCare, GBUACO, and Endeavor Behavioral Health to provide

dication Assisted SAMHSA Treatment grant (MAT) that for people is a collaboration with opioid use between disorder. Endeavor Organization (GBUACO) and Endeavor Health

havioral Health YourCare, is now co-located GBUACO, in Urban and Family Endeavor Practice. Behavioral

This will provide primary

Services (Endeavor) will work in partnership

re and substance abuse services to over 500 people who have been unfortunately

ught up in the current Health opioid to provide crisis.Medication Assisted Treatment to help deliver the project titled, “Addressing

(MAT) for people with opioid use disorder. Buffalo’s Opioid Epidemic with Medicatione

second is a New York State AIDS Foundation grant to help people with HIV – AIDS

be virus free. If Endeavor they continue Behavioral to take the Health medicine is as now prescribed, co-located they in will be Assisted Treatment.” GBUACO is a New York

ectively cured of Urban AIDS. Family This was Practice. supposed This to be will a six-month provide program, primary but it was so

ccessful statewide, that it has been extended for at least one more year. state-authorized Medicaid accountable care

care and substance abuse services to over 500

organization and Endeavor Health Services is a

people who have been unfortunately caught up

private, not-for-profit organization that provides

in the current opioid crisis.

a wide array of behavioral health services.

The project will expand access to MAT services,

including the medications buprenorphine and

naltrexone, to primary care doctors in the GBUACO

network and their patients with OUD. The goal

of the program is to reduce opioid misuse and

overdose deaths among Medicaid beneficiaries in

Erie County. According to the Erie County Health

Department, 268 county residents died of a

confirmed or suspected opiate overdose in 2017.


8

“Long-lasting changes in brain chemistry can

cause difficulty with abstaining from opioid

use; withdrawal symptoms and cravings can

be overwhelming,” states Raul Vazquez, M.D.,

Chief Executive Officer of GBUACO. “MAT can

help reduce withdrawal symptoms and curb

opioid cravings that can lead to relapse. In fact,

studies show that long-term MAT has an 85%

chance of reducing mortality among people

with OUDs. The importance of this SAMHSA

grant cannot be overstated.”

Among other objectives, the program is

designed to drop the incidence of illicit opioid

use and prescription opioid misuse among

project participants from a baseline of 56%

to 45% by the end of 2019; to 42.5% in 2020;

and to 40% by the end of 2021. By the end of

each project year, 90% of GBUACO’s primary

care doctors will have completed trainings

and adopted consistent evidence-based MAT

treatment guidelines. A full 100 percent of

GBUACO’s primary care physicians will have

daily access to support from addiction medicine

practitioners. By the end of September 2019,

70 percent of all GBUACO practices will have a

primary care doctor certified to prescribe MAT

pharmaceuticals.

GBUACO the only ACO in NY state to

receive NCQA accreditation

The National Committee for Quality Assurance

(NCQA) has presented the Greater Buffalo United

Accountable Care Organization (GBUACO)

level two accreditation as an Accountable Care

Organization (ACO).

GBUACO is dedicated to delivering coordinated

patient-centered care and is accountable for

improving clinical quality, enhancing the patient

experience and reducing cost. The NCQA sets its

standards high to encourage Accountable Care

Organizations like GBUACO to continuously

enhance the quality of services they deliver.

“This NCQA accreditation is a huge honor

for GBUACO, which in its very first year of

existence,” states GBUACO CEO Raul Vazquez,

M.D. “We are changing the way health care is

delivered in Buffalo and Western New York.

GBUACO’s quality performance measures

prove the success. The NCQA sets its standards

high, making this accreditation very difficult

to achieve, with only five other ACOs in the

entire country holding this honor.” The NCQA

Accountable Care Organization Accreditation

not only involves a rigorous review of an

organization’s structure and processes, but also

requires organizations to collect data on key

clinical and service measures (e.g., preventive

screenings, comprehensive diabetes care;).

(MORE) “By earning NCQA ACO Accreditation,

GBUACO has demonstrated to payers and

other purchasers that it has met challenging

requirements designed to show the efficiency,

integration and high quality expected of an

accountable care organization,” states NCQA

President Margaret E. O’Kaner.” Accreditation

also shows patients and providers that GBUACO

is prepared to deliver on the promise of better

care on all these dimensions.”

GBUACO is currently the only ACO in New

York State to receive the accreditation and

one of only four ACOs in the U.S. to receive

this distinction. Earning NCQA accreditation

as an Accountable Care Organization

shows that


9

QUALITY IN THE

VALUE-BASED PILOT

The Value-Based Payment Plan is a new way to monitor and reward doctors for providing higher

quality healthcare services. In a value based payment model, metrics are monitored for a more

individualized approach to population health management. Doctors are evaluated based on the

ability to meet quality metrics, reduce emergency room and inpatient utilization, and provide

preventive screenings to all eligible patients. GBUACO is one of the first New York State Value-

Based Pilot programs. Our partnership is with YourCare Health Plan. As part of this arrangement,

15 quality metrics were agreed upon to help improve care. If care was improved and cost reduced,

the ACO would be deemed successful.

Total Quality Score

(Maximum of 15 Points Available)

12 or greater

10 to 11

8 to 9

6 to 7

Below 6

Reduction in Shared Savings

No Reduction - full Shared Savings

25% Reduction

50% Reduction

75% Reduction

100% Reduction

AGREED-UPON QUALITY METRICS

Antidepressant Medication Management - Acute

Asthma Medication Ratio - Age 5 - 18

Asthma Medication Ratio - Age 19 - 64

Adolescent Well Care Visits

Breast Cancer Screening

Controlling High Blood Pressure

Comprehensive Diabetes Care - HbA1C Test

Comprehensive Diabetes Care - Eye Exams

Comprehensive Diabetes Care - Nephropathy

Comprehensive Diabetes Care - Blood Pressure Control < 140/90

Comprehensive Diabetes Care - Good HbA1C Control < 8.0

Chlamydia Screening - Age 16 - 24

Colorectal Cancer Screening

Statin Therapy for Patients with Cardiovascular Disease - Statin Adherence 80%

Well Child Visit in the 3rd, 4th, 5th, and 6th Years of Life


10

GAPS IN CARE RESULTS

Urban Family Practice was the leader in accomplishing this: meeting 15 out of 15 measures.

Group Measures Met

GBUIPA 13

JERICHO 10

KALEIDA 8

ECMC 7

WNY MED 3

QUALITY METRIC RESULTS 2018

120%

100%

80%

60%

40%

20%

0%

* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

UFP

GBUIPA

GBUACO

YourCare

75.53%

64.55%

59%

60%

83.04%

76.73%

67%

65%

65.18%

65.41%

60%

57%

69.23%

63.64%

68%

70%

69.65%

65.27%

53%

55%

90.12%

81.52%

75%

64%

96.43%

94.34%

91%

92%

93.75%

94.34%

92%

89%

82.14%

77.36%

67%

67%

71.01%

65.91%

62%

49%

77.78%

70%

66%

79%

64.29%

62.33%

66%

66%

92.31%

92.31%

83%

84%

85.26%

85.44%

74%

69%

85.45%

87.69%

81%

69%

Source: QARR

* 1 Controlling High Blood Pressure

2 Comprehensive Diabetes Care - Blood Pressure Control < 140/90

3 Comprehensive Diabetes Care - Good HbA1C Control < 8.0

4 Statin Therapy for Patients with Cardiovascular Disease - Statin Adherence 80%

5 Colorectal Cancer Screening

6 Asthma Medication Ratio - Age 19 - 64

7 Comprehensive Diabetes Care - Nephropathy

8 Comprehensive Diabetes Care - HbA1C Test

9 Comprehensive Diabetes Care - Eye Exams

10 Antidepressant Medication Management - Acute

11 Asthma Medication Ratio - Age 5 - 18

12 Adolescent Well Care Visits

13 Well Child Visit in the 3rd, 4th, 5th, and 6th Years of Life

14 Breast Cancer Screening

15 Chlamydia Screening - Age 16 - 24


11

GAPS IN CARE

RESULTS COMPARISON

The ACO Outperformed both State and National Averages

• The ACO did better than the Nation in all 12 measurable metrics

• The ACO did better than the New York State in 9 of 15 metrics

EVIDENCE BASED METRICS

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0%

* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

59%

61%

57%

67%

61%

63%

60%

58%

49%

68%

66%

63%

53%

62%

0%

75%

57%

0%

91%

93%

90%

92%

91%

88%

67%

67%

57%

62%

52%

54%

66%

64%

0%

66%

68%

53%

83%

85%

73%

74%

71%

58%

81%

75%

59%

Source: QARR

* 1 Controlling High Blood Pressure

2 Comprehensive Diabetes Care - Blood Pressure Control < 140/90

3 Comprehensive Diabetes Care - Good HbA1C Control < 8.0

4 Statin Therapy for Patients with Cardiovascular Disease - Statin Adherence 80%

5 Colorectal Cancer Screening

6 Asthma Medication Ratio - Age 19 - 64

7 Comprehensive Diabetes Care - Nephropathy

8 Comprehensive Diabetes Care - HbA1C Test

9 Comprehensive Diabetes Care - Eye Exams

10 Antidepressant Medication Management - Acute

11 Asthma Medication Ratio - Age 5 - 18

12 Adolescent Well Care Visits

13 Well Child Visit in the 3rd, 4th, 5th, and 6th Years of Life

14 Breast Cancer Screening

15 Chlamydia Screening - Age 16 - 24


12

GBUAHN

GBUAHN Receives 5-Star Rating

From NY State Department of

Health

Western New York’s largest Health Home

continues to excel with top scores. The Greater

Buffalo United Accountable Healthcare Network

(GBUAHN) has been given a 5-star score from

the New York State Department of Health

on the 2018 Health Home Report Card. The

honor comes as GBUAHN continues to grow

and expand throughout Western New York,

currently engaging with well over 10,000

members. We rank in the top ten for health

homes in the entire state. The recognition

reinforces GBUAHN’s dedication to serving

our community and solidifies that healthcare

management of the highest standard is close to

home for thousands of residents of WNY and

Erie County.

“We are very proud to be recognized not only

for the hard work our organization puts in, but

for the benefit it provides to our members and

the community,” states GBUAHN CEO Dr. Raul

Vazquez. “We will continue to keep growing

and working to positively impact healthcare in

Western New York. We have a vision of where

we want to go and what we can do – and we will

continue to strive to achieve that vision at the

highest levels possible.”

Receiving high marks across the board,

GBUAHN also received 5-star ratings in Health

and Recovery Plan (HARP) conversions as

well as member retention. These rankings

help to cement GBUAHN as the health home

of choice in WNY and directly align with our

mission to transform healthcare by removing

social determinants of health in underserved

communities. Our organization works hard

to assist members with their health issues

and concerns and to help Medicaid recipients

receive the health coordination services that

fully address their needs.

Established under the Affordable Care Act

of 2010, GBUAHN was founded in 2013 as a

health home that coordinates care for people

with Medicaid who have two or more chronic

conditions, have a serious mental or behavioral

health condition, and/or HIV/ AIDS. This free

service integrates all primary care, acute,

behavioral health and longterm services and

supports to treat the whole person. Care teams

work closely with members to get them all the

services they need in the community.

Rated 5-star health home

by New York State

Department of Health


15

GBUAHN NCQA Case Management

GBUAHN nationally recognized for

excellence in case management

The National Committee for Quality Assurance

(NCQA) has announced that GBUAHN has

received Level Two NCQA Case Management

Accreditation. GBUAHN is the first and only health

home organization in New York State to achieve

NCQA recognition for Case Management.

Earning NCQA’s Case Management Accreditation

shows that GBUAHN’s Case Management

program is dedicated to care coordination,

patient-centeredness and improving quality of

care: getting the right care to patients. NCQA

sets its standards high to encourage case

management organizations like GBUAHN to

continuously enhance the quality of services

they deliver. NCQA Case Management

Accreditation is the only program that focuses

on care transition.

GBUAHN CEO, Raul Vazquez, M.D. states, “This

NCQA accreditation in case management

for GBUAHN is huge in our organization’s

commitment to providing smart, coordinated

health care for the Medicaid patients we

serve...Our Patient Health Navigators (PHN), or

care coordinators work tirelessly to organize

the right services for our members through

the development of individualized care plans

tailored to the individual needs of the patient.”

To accomplish accreditation,

GBUAHN had to meet particular

standards set by the NCQA:

• Staying up to date on evidence

based care management

techniques

• Develop personalized, patient

centered care plans

• Monitor care plan goals so that

goals are reached and adjusted

as needed

• Coordinate resources and

share information to ensure

safe transitions

• Give patients access to

knowledgeable, well-qualified

case management staff

• Keep personal information

secure

NCQA Accreditation standards are developed

with input from researchers in the field, the

Case Management Expert Panel and standing

committees, employers, both purchasers and

operators of Case Management programs, state

and federal regulators and other experts.

“Case Management Accreditation moves us

closer to measuring quality across population

health management initiatives,” states

President, NCQA, Margaret E. O’Kane. “Not

only does it add value to existing quality

improvement efforts; it also demonstrates

an organization’s commitment to the highest

degree of improving the quality of their

patients’ care.”


17

United States. Those who suffer from conditions

that make getting to the doctor challenging will

now have unprecedented access to specialists

from the comfort of their homes.”

G-Health now using MEDENT for

face-to-face patient and care

coordinator meetings anytime,

anywhere

G-Health Enterprises has teamed up with its

electronic health record MEDENT, to make faceto-face

meetings between its members and

patient health navigators (PHNs) easier. Utilizing

a tele-health system from MEDENT, GBUAHN

members can schedule a time to meet with

their patient health navigators digitally. With

the MEDENT patient portal, video-visits are

scheduled to accommodate a smart phone or

laptop (or desktop) computer. Once the meeting

time is set up, the member and patient health

navigator will be able to engage in a face to face

interaction from remote locations.

“Having this connection through MEDENT

directly to our GBUAHN members is another

fantastic way G-Health is tearing down barriers

to care created by the social determinants of

health,” states Raul Vazquez, M.D., Chief Executive

Officer of G-Health Enterprises. “Now, members

have the power right in their hands to schedule

face-to-face contacts with their PHNs, and they

won’t have to deal with barriers such as finding

transportation and child care.” Through the

use of MEDENT telehealth capabilities and other

innovative strategies, G-Health Enterprises will be

able to address the social determinants of health

and clinical needs with a 360-degree approach.

“Physicians staying connected to their patients

is essential for positive outcomes... with

telehealth, that communication piece has

never been easier.... ultimately keeping people

healthier,” states Barbara E. Cuthbert, MEDENT

vice president of sales and marketing.”


19

GBUAHN Affects Social

Determinants of Health

Health Home Supportive

Housing Program

In 2018, GBUAHN, through its partners at Hispanos Unidos de Buffalo – (HUB), and also the Delivery

System Reform Incentive Program (DSRIP) and Person Centered Services Care Coordination

Organization (PCSCCO) was awarded a Medicaid Redesign Team Supportive Housing Health Home

Project grant. Through the use of targeted vouchers and housing retention assistance this will enable

up to 40 eligible Health Home beneficiaries to secure safe, permanent housing in market –rate units

close to their primary care medical homes.This grant is a five-year program with shared responsibility

among eligible individuals and case managers to ensure stability.

GBUAHN - In Collaboration With United Health Care

Also in 2018 GBUAHN was approached by United HealthCare with a proposal to make available up to

12 one bedroom permanent and affordable housing in scattered sites to place referred members. The

program will allow for full participation in benefits such as sleeping quarters, nutrition, transportation,

support programs for employment training as well as navigation to health/ behavioral services and

case management. In home visits during the first three months will include daily living and Life Skills

coaching, financial skills management and household budgeting, utilization of social and health

related services, as well as family motivation, connections with natural supports and enrollment and

monitoring participation in employment skills training programs.


20

WELLNESS:

G-HEALTH MEMBER WELLNESS REPORT

2018 brought the continuation and expansion

of G-Health’s successful Employee and Member

Wellness programs. Located in the lower level

at 564 Niagara Street, the program is comprised

of a gym and teaching kitchen to help G-Health

employees and members improve their health.

Providing services free-of-charge five days per

week, Member Wellness has become a staple

of how G-Health cares for the population

we serve. The Member Wellness program

focuses on medication (if needed), exercise,

nutrition, and cooking classes to get results. All

GBUAHN wellness employees are certified in

health coaching which allows them to develop

customized treatment plans for each member.

The nutrition classes were designed by our

Registered Dietitian using evidence based

practice. This technique was used for chronic

disease management and allowed for the

translation of the material into simple and easyto-remember

tools. This translation has enabled

participants to easily employ new habits in their

daily lifestyle. In addition, exercise classes are

customized for each member by our certified

personal trainer. In conjunction, the nutrition

classes and gym sessions arm participants with

the skills to improve their diet and lifestyle one

step at a time.

To add to the Member Wellness services, a

partnership with Roswell Park began this past

year to provide in-house smoking cessation

education groups. Past, current, or neversmoker

members can attend the monthly

classes to learn the risks of smoking and benefits

of quitting. Wellness staff are also available to

help members develop a quit plan when they

are ready.

The benefits of the program extend past lifestyle

changes. Many members attend G-Health


22

YOURCARE:

BETTER TOGETHER

Time flies when you’re working hard to ensure vulnerable populations have healthcare coverage,

collaborate with organizations to provide access to essential resources for members, significantly

improve healthcare quality, and ultimately, better the communities you serve. That’s exactly what

GBUACO and YourCare Health Plan have accomplished together since their historic partnership

began.

In September 2016, YourCare became the first Medicaid health plan to join forces with the first

As of early 2019, both organizations have agreed to a three-year extension with regard

Medicaid Accountable Care Organization, GBUACO. The two-year pilot program was the first of its

to the value-based payment arrangement. Looking forward, GBUACO and YourCare

kind in New York State. The major goals of the collaboration were to improve healthcare quality and

envision countless opportunities for growth. Increasing community presence and

reduce costs for Medicaid recipients enrolled in YourCare Health Plan through the value-based

awareness as partners is a major key to our success. We must continue to

payment system; yet, so much more has been accomplished by bringing YourCare and GBUACO

demonstrate that we’re all in – all in for members, all in for patients, all in for providers,

together.

all in for the Western New York community, all in for better healthcare outcomes, and all

In fact, we’re all in.

in for one another! Follow elements of our transformative partnership on social media -

@yourcarehealthplan or @gbuahn.

Not only have both teams committed investments, they’ve also dedicated time – leading

ideas into action. The myriad of ways the two organizations have collaborated since the

partnership’s inception is listed below:

• YourCare Facilitated Enrollers

embedded at G-Health locations

• Quality improvement initiatives

• Co-hosting/co-sponsoring

events

• Co-branded marketing items

• Co-branded media campaigns

• Communications collaboration

• “Feet on the street” initiatives

As of early 2019, both organizations have agreed to a three-year extension with regard to the

value-based payment arrangement.

Page (20)

Looking forward, GBUACO and YourCare envision countless

opportunities for growth. Increasing community presence and awareness as partners is a major

key to our success. We must continue to demonstrate that we’re all in – all in for members, all in for

patients, all in for providers, all G-Health in for the Enterprises

Western New York community, all in for better healthcare

outcomes, and all in for one another! Follow elements of our transformative partnership on social

Awards:

media - @yourcarehealthplan or @gbuahn.

• NAACP’s Medgar Evers Award of Distinction -Trailblazer

• Lupus Alliance LEAN Forward Award

• Business First of Buffalo “Who’s Who in Health Care” – Dr. Raul Vazquez


23

G-HEALTH ENTERPRISES

Awards:

• NAACP’s Medgar Evers Award of Distinction -Trailblazer

• Lupus Alliance LEAN Forward Award

• Business First of Buffalo “Who’s Who in Health Care” – Dr. Raul Vazquez

• Business First of Buffalo “Who’s Who in Health Care” – Dr. Chet Fox

• Peter Sheehan Diabetes Care Foundation Recognition of Excellence Award

• Spotlight on Population Health (SOPHi Award) – GBUAHN

• Bryant and Stratton 2018 Community Partners award – Urban Family Practice

• Business First Health Care Champions – Dr. Fox

• Business First Western New York’s Healthiest Employer – Finalist (GBUAHN)

• UFP the Target BP Award from the American Heart Association.

Greater Buffalo United IPA

Raul Vazquez, M.D. F.A.A.F.P.

President & CEO

Kenneth L. Gayles, M.D.

F.A.A.C.C.

Vice President

Dwight Lewis, M.D.

Secretary

Winston Douglas, M.D.

Treasurer

Frances Ilozue, M.D.

Riffat Sadiq, M.D.

Ted Triana, D.O.

Kenton Forte, M.D.

Jesslyn Perry, M.D.

George Haddad, M.D.

GBUACO Board of Directors

Raul Vazquez, M.D. F.A.A.F.P.

President & CEO

Kenneth L. Gayles, M.D.

F.A.A.C.C.

Vice President

Frances Ilozue, M.D.

Secretary

Riffat Sadiq, M.D.

Treasurer

Kenton Forte, M.D.

Jesslyn Perry, M.D.

George Haddad, M.D.

Winston Douglas, M.D.

Dwight Lewis, M.D.

Faizan Haq

Joseph Serghany, M.D.

Nicolas P. Saikali, M.D.

Rohith Saravanan, M.D.

Roan Reynolds

Phenerson Chillis

G-Health Enterprises

Executives

Raul Vazquez, M.D. F.A.A.F.P.

President & CEO

Toni Vazquez

Chief Systems Officer

Chet Fox, M.D.

Chief Medical Officer

Ivan Agosto

Chief Operating Officer

Luis A. Santiago

Chief Financial Officer

Ava White

Senior Vice President of

Outreach

Nadia Vazquez

Senior Director of Value

Based Payments

Nina Vazquez

Director of Value Based

Payments

Jason A. Isbrandt

Director of Marketing/

Provider Relations

G-Health Enterprises 2018

Annual Report

Photographers:

Christian Casillas

Communications Specialist/

Multimedia Producer

Pablo Colon

Graphic Designer

Writers:

Christian Casillas

Communications Specialist/

Multimedia Producer

Chet Fox, M.D.

Chief Medical Officer

Nadia Vazquez

Senior Director of Value

Based Payments

Diane Livingston

Member Services

Annual Report Designers:

Christian Casillas

Communications Specialist/

Multimedia Producer


24

EVENTS

“Soft” opening of Urban at Jefferson

Urban Family Practice Health Fair

Corporate Challenge

Puerto Rican Day Parade and Festival

Jefferson Open House (June 2)

GBUACO 4th Annual Golf Tournament

Juneteenth

Thanksgiving Turkey Giveaway

More magazines by this user
Similar magazines