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

PCM Attribution Doubles with Diagnostic Clinic

PrimeCare Managers doubled in attribution lives with multi-specialty  group Diagnostic Clinic joining the ACO

Care Management Services Expand

Triad Physician Resources signed an agreement with Diagnostic Clinic of Longview to provide care management services

Therapy Center Acquired

Triad Physician Resources acquires Longview Outpatient Physical Therapy LLC, as part of its integrated pre-acute strategy

PCM Receives First MSSP Bonuses from CMS

PrimeCare Managers received its first Shared Savings Payment from CMS, achieving a 3% saving rating

Proprietary Cohort Manager Tool Launched

Triad Physician Resources implements its proprietary “Cohort Manager” stratification and workflow management tool

TeleHealth & Remote Monitoring Programs Launched

Triad Physician Resources implements its TeleHealth and Remote Monitoring programs

Accountable Care Organization Grows by 50%

PCM doubles in size as Collom & Carney Clinic joins the ACO. Attribution, as well as physician participants increase.

Care Management Services Continue to Offer Value to ACO Participants

Triad Physician Resources signs agreement to perform Care Management Services for Collom & Carney Clinic.

Hospice Joint Venture is Founded

Triad Physician Resources, in a joint venture with Collom & Carney Clinic and Diagnostic Clinic of Longview, found PrimeCare Hospice to expand our integrated strategy.

PrimeCare Home Health Grows by 300%

PrimeCare Home Health continues its success in the East Texas Home Health market and triples its census.

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