In virtually every forum where Mobile Integrated Health is presented as the future of Mobile Medicine (broadly defined as fire, EMS, non-emergency medical / interfacility transport, critical care, and community paramedicine), the question inevitably arises: HOW DO YOU PAY FOR IT? Many agencies have discovered that readmission avoidance is actually the weakest of all economic models to successfully compensate and sustain CP/MIH. So what models work better? How do agencies translate their efforts into economics and finance? How do they convince payers to fund their programs? What payers should agencies be targeting, and what language—including data, which is basically a mathematical language—should they use to convey value in a way that goes beyond tugging heartstrings, to opening checkbooks? We will cover all of these in this presentation, and attendees will leave with an understanding of at least four specific models that can be used to translate their efforts into fee-for-VALUE calculations that get their CP/MIH programs compensated to the point where they can sustain, grow, and even help their neighbors.
Learning Objectives:
Define what "ACTUARIAL RISK" is, and why it is critical to getting paid for Community Paramedicine in the long run.
Identify the FOUR top sustainable sources of Community Paramedic impact that can be measured, modeled, and compensated.
Describe the data needed to model actuarial risk and submit the "delta" (change function) to insurance companies to prove the impact of the CP/MIH program on patient prognosis over time.
