Medical Network Management Services of Delaware, LLC (MedNet)

“Enabling Physicians to Lead – Empowering Physicians to Serve”

Medical Network Management Services of Delaware, LLC (MedNet), established in 1995, is a subsidiary of the Medical Society of Delaware, providing administrative services to nearly 900 physicians who participate in one of the four Physician Organizations (POs) in Delaware.  MedNet works closely with payers and Manage Care Organizations (MCOs) to secure value-based care contracts for its growing list of members.  Added services include contract management and administrative assistance for network health plans within the Physician Organizations as well as practice transformation guidance.  

MedNet’s equity partner, HealthEC, a KLAS-recognized population health management company, works seamlessly to integrate data across multiple specialties and in a wide spectrum of Electronic Medical Records systems (EMRs) onto a single platform, enabling physicians to work collectively to improve patient care, decrease cost, and demonstrate value to the market.  This platform offers the ability to share clinical information on common patients and collectively drive population health management initiatives, positioning MedNet members to succeed under value-based care agreements.

 MedNet  Board of Directors: Click here

Delaware's Physician Organizations (POs)

Delaware’s Physician Organizations (POs), developed in the late 1990’s, were developed by MedNet as for-profit stock corporations, and owned by the participating stockholder physicians. The purpose for creating the POs was to advance the concept of physician-directed managed care, while promoting high quality, cost effective medical care in Delaware through highly integrated, multi-specialty organizations. The POs serve as a resource for Delaware physicians for the implementation of new strategies for the delivery of medical care as the market evolves. Each PO’s governing board consists exclusively of practicing physicians.

• The Central Delaware Physicians Organization (CDPO) is comprised of more than 120 physicians whose primacy practice is in Kent County.
• The Eastern Sussex Physicians Organization (ESPO) is comprised of approximately 250 physicians whose primary practice is in Lewes and the surrounding areas (Eastern Sussex County).
• The Nanticoke Physicians Organization (NPO) is comprised of over 80 physicians whose practice is in Seaford and surrounding areas (Western Sussex County).
• The New Castle County Physicians Organization (NCCPO) is comprised of nearly 450 physicians whose primary practice is in New Castle County.

Since their inception, the POs have held network contracts with various health plans including: Health Net Federal Systems (HNFS)/Tricare; Multiplan/Private Health Care Systems (PHCS) and Conifer Health.  MedNet of Delaware currently provides administrative services to each Physician Organization and their participating physicians for the ongoing maintenance of these contracts, as well as other support.
For CDPO, ESPO, NPO and NCCPO Board of Directors: Click here

Delaware Care Collaboration

MedNet and the Physicians Organizations, along with the Medical Society of Delaware, are currently working to help enhance the quality of care and patient satisfaction for Delawareans.  The Delaware Care Collaboration ™ (DCC) is a Medicare Shared Savings Program Accountable Care Organization (ACO) launched January 1, 2016, in affiliation with Saint Francis Healthcare/Trinity Health.   Physician members are provided an opportunity to contract with the DCC.  Please visit http://www.decarecollaboration.com for more information.

Partnering with HealthEC to Drive Growth and Revenue

Formation of a Clinically Integrated Network (CIN)

MedNet and HealthEC are in the process of unifying nearly 900 physicians across four provider organizations through the formation of a CIN. HealthEC is integrating data across multiple specialties Electronic Medical Records systems (EMRs) onto a single platform, enabling physicians to work collectively to improve patient care, decrease cost, and demonstrate value to the market. The ability to share clinical information on common patients and collectively drive population health management initiatives positions MedNet’s members to succeed under value-based care arrangements.

Pursuit of Value-based Care Contracts

As the industry transitions from fee-for-service arrangements to more advanced payment models, HealthEC and MedNet are working on behalf of physicians to secure value-based contracts that will enable members to remain competitive while managing higher levels of accountability for the care of Delawareans. Value-based contracts contain more sophisticated provisions than the traditional reimbursement structure including financial risk constructs, patient attribution, data sharing arrangements, and quality measures. HealthEC and MedNet are developing short and long-term plans for navigating the value-based care transition while ensuring financial health.

Merit-based Incentive Payment System (MIPS) / MACRA Reporting

The CMS MIPS program uses payment incentives to move providers to a performance-based care model. HealthEC’s MIPS reporting program simplifies the process and maximizes incentives for MSD members. Comprehensive data analysis identifies baseline performance and informs improvement initiatives across providers and practices. Dashboards help providers monitor their ongoing compliance with key metrics, and simplifies the data submission process. Register here, call today (732-902-0070) or email to learn more.

Revenue Enhancement for Annual Wellness Visits (AWV) and Chronic Care Management (CCM)

Many physicians are not taking advantage of revenue opportunities for services that, in many cases, they are already providing to Medicare recipients. MedNet and HealthEC are helping practices identify qualifying patients and coordinate their care.

• Annual Wellness Visits (AWV): Physicians delivering preventive care services and health risk assessment screenings on an annual basis may bill separately for the AWV service.
• Chronic Care Management (CCM): Designated clinicians who manage Medicare beneficiaries with two or more chronic conditions can receive a monthly, per beneficiary fee for time spent outside of office visits for tasks such as care coordination, patient communication, medication refills and care provided electronically or by telephone.

Call today (732-902-0070) or email HealthEC to learn more about AWV and CCM.

Optimizing Workforce Performance and Engagement with HealthTeamWorks®

In 2012, MSD/MedNet partnered with Highmark Delaware to support the state’s first physician-led Patient Centered Medial Home (PCMH) pilot. MSD/MedNet was provided a grant to provide practice transformation coaching to practices participating in the pilot. HealthTeamWorks® assisted MSD in charting a path to supporting practices in becoming PCMHs. MSD/MedNet and HealthTeamWorks®’ relationship has continued to build over the years, partnering in new ways to provide practices with the knowledge, skills, tools, materials and access to resources to prepare for the changing world of healthcare. Building off the success of the first state-wide PCMH program, MedNet and HealthTeamWorks® continued their partnership by contracting in November 2015, with the State of Delaware, Department of Health and Social Services, Delaware Health Care Commission (DHCC) to support primary care practice transformation in Delaware. Our program supports 22 primary care practice sites, including both adult and pediatric medicine, throughout the state of Delaware, we work with each practice individually, customizing the timelines and curriculum of the program to meet each practice’s needs.

Contact Us

MedNet is working to stay ahead of the curve, remaining actively engaged and well positioned to address the needs of physicians in Delaware’s evolving health care reform environment. If you have any questions, are interested in joining one of the physician organizations, or are a current PO member with changes to report, please contact:

Samantha Frazier, MedNet