A Strategic Formation

John Ford had a legacy vision to “go deep” by reforming healthcare from the ground up. He identified East Texas to incubate a laboratory for an independent managed primary care model ” under the radar” with less competitive barriers to launch a captive regional delivery alternative. Long before the ACA or MACRA, John believed employers and taxpayers needed a meaningful cost and performance alternative to high-cost insurance offerings. Building and pivoting on a core staff model primary care group structure, Phynet, John has grown participation to include over 300 physicians in upper East Texas and Southern Arkansas region. John has integrated other “low cost-high skill” services including home health, hospice, outpatient rehabilitation, chronic care management, and 24/7 care using performance-driven data analytics to become an intelligent, efficient, and prevention-minded healthcare delivery system. In 2017, Prime Care Managers ACO was approved by the Center for Medicare and Medicaid Services (CMS) to provide total care management for 22,000 Medicare Beneficiaries in the region.

Timeline

Timeline
2000 – Triad Physician Resources, Inc (TPR), founded as a management support organization for physician practices
2003 – Phynet Inc, a Texas non-profit physician staff model was formed establishing its first primary care locations in East Texas
2005 – 2009 Phynet Inc expanded into San Antonio and in East Texas growing to 10 locations
2009 – Phynet closed its San Antonio operation to focus on vertical risk based delivery in East Texas
2010 – TPR established a home health agency in East Texas to expand access and primary care reach into the home
2013 – Phynet participated in its first Accountable Care Organization
2013 – TPR developed its Care Management division, Integrating clinic and home based coordinated pre-acute activity
2014 – PrimeCare Home Health  achieved a 100 census.
2016 – Triad combined Phynet with other idependent primary care to  successfully file as PrimeCare Managers, LLC ACO (PCM)
2017 – Triad funds the developnment of a proprietary data analytics and informatics platform
2018 – PCM  achieved its first positive savings for Medicare, a 1.8% savings rate
2018 – PCM doubled in attributed lives with the participation of the Diagnostic Clinic, an independent multi-specialty group in Longview, TX
2018 – Triad signed to perform Care Management servic es for the Diagnostic Clinic
2018 – Triad acquires Longview Outpatient Physical Therapy LLC, as part of its integrated preacute service strategy.
2019 – PCM received its first shared savings payment from Medicare, achieving a 3% savings rate
2019 – Triad implements its proprietary “Cohort Manager” stratification and workflow management tool
2019 – Triad implements its virutal and remote monitoring programs
2020 – PCM grew by 50% by adding the Participation of the Collom& Carney Clinic
2020 – Triad signed to perform Care Management services for the Collom & Carney Clinic.
2020 – Triad adds PrimeCare Hospice joint venture adding it to its clinical integration strategy
2020 – PrimeCare Home Health triples in growth
2020 – PCM doubles its shared savings impact exceeding 6% below benchmark, ranking in the top 18% of all ACOS PBPY
2022- Triad acquires Compass Hospice, LLC
2022 – Phynet expands into the greater Tyler, TX market
2022 – LOPT expands into the Texarkana, TX market

Timeline

Triad Physician Resources Founded

Triad Physican Resource, Inc. (TPR), founded as a management support organization for physican practices

Phynet Inc

PhyNet Inc, a Texas non-profit physician staff model was formed establishing its first primary care locations in East Texas

Phynet Expands Opening 10th Clinic Location

2005 – 2009 PhyNet Inc. opens its 10th location in San Antonio, Texas.

Home Health Agency Established

Triad Physician Resources establishes a home health agency in East Texas to expand access and primary care reach into the home-based setting

ACO Participation

PhyNet participated in its first Accountable Care Organization

Care Management Division Launched

Triad Physician Resource developed its Care Management Division, integrating clinic and home-based coordinated pre-acute managed care

Home Health Achieves 100 Census

PrimeCare Home Health’s success continues, growing to a 100+ patient census.

Accountable Care Organization Established

Triad Physician Resources, PhyNet and other independent primary care groups combine to form an Accountable Care Organization, PrimeCare Managers, LLC

Data Analytics Platform Established

Triad Physician Resources fund the development of proprietary Data Analytics and Informatics Platform in Longview, Texas Home Office

PCM Achieves first MSSP Rating

PrimeCare Managers achieves its first MSSP rating from Medicare of a 1.8 % saving rate

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