2019 CAPP Annual Report

Our vision

Every person in the United States receives high-quality, affordable health care through a coordinated, value-based delivery system.

Our mission

Elevate the voice and experience of visionary physician leaders and their organizations to improve American health care through research, education, and communication.

About CAPP

A Message from the Chairman of the Board

During an election year, America’s attention always turns to our health care system. Voters across the country are experiencing first-hand what we at the Council for Accountable Physician Practices (CAPP) have long known to be the core problem: rising health care costs with poorer-quality outcomes. Political leaders are considering the public option and Medicare for All as solutions (if you need a primer, see CAPP’s explainer here).

Unfortunately, many of these policy conversations miss a larger point: universal coverage is important, but it’s equally important to improve the American delivery system so that it is coordinated, value-based, technologically forward, physician-led, and focused on quality improvements.

My fellow members of the CAPP board and I spent time this year discussing the future of our work in light of the current American health care landscape. In doing so, we realized that we needed to revisit certain notions that formed the foundation of our mission and vision.

One is around the use of the term “patient-centered.” We asked ourselves: Is the care we want to provide centered around the patient or the person? Many CAPP medical groups are focused on improving well-being outside of the exam room, and they are paving the way for care for the whole person, including addressing the social determinants of health.

Second, CAPP has always focused on the importance of physician leadership, but we understand that many of today’s best solutions can come from nonphysicians too. Our new mission statement reflects this inclusive view of leadership as we look to visionary physician leaders and their organizations to serve as change makers.

Our new vision statement now reads:

Every person in the United States receives high-quality, affordable health care through a coordinated, value-based delivery system.

And our mission statement:

Elevate the voice and experience of visionary physician leaders and their organizations to improve American health care through research, education, and communication.

Thank you for your support of CAPP and your work during this year — and every year — to exemplify what high-quality health care looks like for America.

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Stephen Parodi, MD
Chairman of the Board
Council of Accountable Physician Practices

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A Message from the Executive Director

For 18 years, CAPP has highlighted our affiliated medical groups across the country where coordinated and integrated care leads to better outcomes for physicians and patients.

In 2019, we introduced CAPP’s important message to a new important audience: self-insured employer purchasers. According to Kaiser Family Foundation, more than 150 million Americans receive health insurance coverage through their employers, and the average family premium rose to $20,576. CAPP seeks to address this worrisome trend by introducing ways that medical groups and employer purchasers can collaborate to achieve better outcomes more affordably.

Over the past several months, CAPP has partnered with the National Alliance of Healthcare Purchaser Coalitions to conduct five employer focus groups across the country, where we heard directly from purchasers about their health care pain-points. We look forward to sharing findings from those candid conversations with you this spring.

This work will continue in 2020, when we bring physician leaders and payers to the table to address challenges and opportunities for employers and medical groups. Together, we can improve the health of employees and patients across the country.

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Laura Fegraus
Executive Director
Council of Accountable Physician Practices

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Communications Projects

Employer Focus Groups

Employers and leaders of physician groups share a common goal: to achieve better health for their employees and patients while containing costs. Yet, employers and medical group leaders rarely communicate directly and work together to address common challenges. The goal of CAPP’s employer work is to better understand how the leaders of medical groups can communicate and work with purchasers to improve health care outcomes.

To advance this work, CAPP partnered with the National Alliance of Healthcare Purchaser Coalitions, a non-profit, purchaser-led organization with more than 12,000 public and private sector employers representing 45 million Americans.

With CAPP sponsorship, local coalitions convened their members and cohosted listening sessions facilitated by Public Values Research. CAPP conducted these focus groups in Chicago; Lehigh Valley, Penn.; Dallas–Fort Worth; Seattle; and Salisbury, N.C.

Early findings indicate that employers feel limited in their ability to modify benefit design and create custom provider networks due to a lack of transparency regarding cost and quality on the part of carriers and providers. Few are engaged in direct contracting or are testing entities such as accountable care organizations (ACOs) due to a lack of internal resources. Purchasers and their workers acutely feel the gaps in care delivery, the lack of up-front price information, and poor mental-health access.

The full results will be detailed in a public report this spring. Over the year, CAPP will advance this work through a series of webinars and regional roundtable discussions with employers and local physician group leaders.

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Value-based Payment Research

The individual and collective voices of the CAPP medical groups continue to matter, as the pace to value-based payment is uneven. In 2019, CAPP explored the experiences and perspectives of the CAPP medical groups in an effort to stimulate greater innovation and the spread of value-based payment models. Interviews with 10 physician leaders and key stakeholders found clear trends in the transition to value-based payment, including:

  • Medicare Advantage is an ideal model for most, but not all groups. Almost all support more incentives for beneficiaries to join Medicare Advantage. Several CAPP groups are doing both accountable care organizations (ACOs) and bundled payments, which can help engage specialists and drill down on costs.
  • Most CAPP groups engage in some kind of value arrangement with employers, and all would like more value-based arrangements and direct engagement with local employers.
  • Groups see their states beginning to promote value through Medicaid managed care and building all-payer claims databases.
  • All of the systems are adopting interventions or partnerships around the social determinants of health and are enthusiastic about the promise of addressing these for their members and communities.
  • Culture is a differentiating factor across CAPP groups. Many have a founder’s story that they build on, and they have maintained mission-driven cultures through leadership transitions.

CAPP leaders believe that the Centers for Medicare & Medicaid Services (CMS) must continue to lead and drive value-based payment forward. They look to the Center for Medicare & Medicaid Innovation (CMMI) to forge ahead in a leadership role, while listening to feedback from early adopters.

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CAPP Leaders on Stage

This year, CAPP supported board members who were featured at several major conferences, including:

World Health Care Congress: Norman H. Chenven, MD, founding CEO of Austin Regional Clinic, moderated a panel on accountable care and Medicare and participated in a video interview.

South by Southwest (SXSW): Ira S. Nash, MD, senior vice president of Northwell Health and executive director of Northwell Health Physician Partners, participated in the panel “Healthcare’s Digital Disruptors: Hope vs. Hype.”

Self-Insurance Institute of America, Inc.: Dr. Stephen Parodi, CAPP chair and associate executive director of The Permanente Medical Group, participated on a panel about the coordinated approach to cancer care for a self-insured employer audience. A CAPP-created video was screened showing the benefits of coordinated cancer care from the patient perspective.

National Alliance of Health Care Purchasers Annual Forum: Chelsea Pollet, director of direct-to-employer relationships for Henry Ford Health System, spoke on a panel about the health system’s contract with General Motors.

Dr. Chenven video interview
Dr. Nash at SxSW panel
Dr. Parodi addresses SIIA

2019 Media Relations

Media Placements:

In 2019, CAPP had 316 total mentions (number of news items tracked). Media placements (excluding the impact of press releases) reached an audience of 780,580 unique visitors per month. Articles were placed in the following publications:

Overall CAPP Media Coverage

(Jan. – Dec. 2019)

0
Total number of media mentions in 2018
0
Total audience, unique visitors per month

Association of Health Care Journalists

In May 2019, CAPP exhibited for the 5th time at the Association of Health Care Journalists annual conference to strengthen relationships with national and local health care reporters. CAPP administered an online survey and found that reporters continue to be interested in using CAPP as a news resource. The survey of journalists revealed their priority topics are mental health, social disparities in health care, and opioids.

Media Briefings

CAPP coordinated media briefings with The New York Times for Dr. Parodi in May. In July, Dr. Parodi and Dan Slater, MD, of Atrius Health engaged in a media day in Washington, D.C., with the following outlets:

  • CQ Roll Call
  • MedPage Today
  • Politico
  • Bloomberg Industry Group (formerly Bloomberg BNA)
  • Los Angeles Times

Digital Channels

Social Media: Between January and December, CAPP’s Twitter account (@accountableDocs) reached an audience of more than 2,069 with content about CAPP groups, policy, and industry news, as well as CAPP-created content.

Leadership

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Board of Directors

Chairman: 
Stephen Parodi, MD
The Permanente Federation and the Permanente Medical Group

Northern California

Vice-Chairman:
Norman Chenven, MD
The Austin Regional Clinic

Greater Austin, Texas

Secretary:
Steven Green, MD
Sharp Rees-Stealy Medical Group

San Diego, California

Treasurer:
Ira Nash, MD
Northwell Health

Greater New York Area

Members:
Margaret Ferguson, MD
Colorado Permanente Medical Group

Western Colorado

Alka Atal-Barrio, MD
The Everett Clinic

Northwestern Washington State

Philip Oravetz, MD
Ochsner Health System

New Orleans, Louisiana

Jerry Penso, MD
AMGA (American Medical Group Foundation) Foundation

Alexandria, Virginia

Staff

Executive Director: Laura Fegraus

Communications: Toyomi Igus

Operations: Mary Cappabianca

Media Relations: Joy Scott

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