This past year marked HLN’s tenth in value-based care, and I’m very pleased to say it was another one for the books. We started the year by moving from MSSP Enhanced to the new REACH model, bringing us into a higher level of risk than we’ve ever taken on before. Within our MSSP Track B program we welcomed Neshoba General, who is participating with us in performance year 2025, and we saw the first financial returns under this model with the release of the performance year 2023 results.
Across our ACOs and CIN we now have more than 300,000 lives in our care—truly incredible when you think about what that means to the quality of life and longevity for each of those individuals. Our vision of spreading value-based care to as many people as possible remains unchanged:
We believe that value-based care provides the best outcomes for our patients and is the way of the future.
That said, after significant network growth in the last three years, we want to pause and ensure that all of our current members—new and old—have the support they need to achieve the highest level of quality and total cost of care performance. Extending this care to new communities is vital, but we must safeguard our identify as a high-performing network as we do it. This where we will be focusing efforts in the coming months, and I look forward to generating discussions where we can continue to learn from each other.
Thank you for your partnership and support, and here’s to the next ten years.
Christopher Funes, MD
The Franciscan Missionaries of Our Lady Health System Clinically Integrated Network and Accountable Care Organization, Health Leaders Network, represents a collaboration among independent and employed providers and FMOLHS. These physicians are focused on providing the communities we serve with high-quality, efficient healthcare that benefits patients and providers across Louisiana and Mississippi.
Over the past year, Health Leaders Network continued to see strong performance results across all key quality metrics. Most notably, HLN saw improvement in the total of Medicare Annual Wellness Visits (MAWVs). More than 72% of all eligible HLN patients received a MAWV in 2024, which exceeds the national average of 24%. Completion of MAWVs helps close quality care gaps and gives the provider an opportunity to ensure accurate HCC coding occurs. According to the American Journal of Managed Care, a first-time MAWV was associated with a 5.7% reduction in total healthcare costs in the 11 months following the MAWV, which is estimated to be a per-member per-month decrease of $81 in overall spending.
This year’s focus on patient experience improvement centered around the Timely Care/Appts/Info and Access to Specialists domains. Our teams were challenged to reconsider better ways of communicating across the team, proactively mitigating delays and effectively communicating with patients about what to expect with their specialist referrals.