Robert Wood Johnson Foundation & ProPublica“Finding the Right Provider” Challenge

Informational Q&A Webinar

January 12, 2016

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On Today’s CallKatherine Hempstead, Director of Coverage

Robert Wood Johnson Foundation

Charles Ornstein, Senior ReporterProPublica

John Riney, Technical EvangelistPokitDok

Alicia Davis, Program ManagerHealth 2.0

Graeme Ossey, Senior Program ManagerHealth 2.0

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Agenda•Introductions from Katherine Hempstead and Charles Ornstein

•Overview of Challenge Details

•Additional Resources◦ CMS Physician and Supplier Data Set

◦ PokitDok API with John Riney

•Q & A

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Katherine HempsteadDirector, Robert Wood Johnson Foundation

Charlie OrnsteinSenior Reporter, ProPublica

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Focus of ChallengeConsumers have a variety of reasons for using online provider search tools. Some want to maintain existing relationships with doctors and rely on the tools to ensure the health plan they choose includes them. Others are looking for a new doctor. Consumers who are shopping for providers have many potential information needs, which are not currently addressed by existing tools.

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What we are looking forSubmissions for this challenge should use pertinent data to provide consumers with an easy to use provider search tool that will allow them to find the answers to any questions they have about a provider or practice.

Evaluation Criteria:◦ Creativity and Innovation

◦ Design, Usability and intuitiveness of application

◦ Potential to help informed consumer decisions on choosing a provider for their needs

◦ Sustainability model and realistic plans for community adoptions

◦ Quality and use of available data

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Criteria to Apply•Business & nonprofit entities must be formed and maintain a

principal place of business in the U.S.

• Individuals must be citizens or permanent residents of the U.S.

•Teams must have no more than 5 members

• Individuals must be of legal age of majority, at the time of entry, to form valid contracts in their respective jurisdiction of legal residence

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Submission RequirementsThe challenge will take place in two phases. Phase I will require teams to submit concepts and wireframes, while phase II will require working prototypes. The submission requirements for each phase can include (but not limited to):

Phase I:◦ A text description of the app or tool (no more than 1500 characters) including what data were used, how

they were used, need, solution and business plan for dissemination and use◦ Wireframes or similar design layout of the application◦ Slide deck of no more than 10 slides describing the app and operating plan (in PDF format)

Phase II:◦ Updated materials above◦ A video pitch (no more than 5 minutes) describing the app/tool and how it would be used by the public to

make better health plan purchasing decisions◦ Link to working application

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Prizes & TimelinePrizes

◦ Phase 1:◦ Five (5) finalist will receive $5000◦ Phase 2:◦ First Place: $50,000◦ Second Place: $15,000◦ Third Place: $10,000

Timeline◦ Challenge Launch: December 11, 2015◦ Phase 1 Deadline: Mach 11, 2016◦ Phase 1 Announcement: April 12, 2016◦ Phase 2 Launch: May 13, 2016◦ Phase 2 Deadline: August 12, 2016◦ Phase 2 Announcement : Health 2.0 10th Annual Fall Conference September 25-28, 2016

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Resources•CMS Data Set•PokitDok API•Vericred API•Medicare Datasets Tipsheet

http://bit.ly/FindProviderResources

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Data resources

•Charlie Ornstein’s tip sheet on Medicare datasets: www.bit.ly/newecosystem

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Demographic dataIn September 2015, CMS updated its Medicare Part B data release to include demographic and health information associated with each provider’s beneficiary panel. This provider level summary (i.e., one record per NPI) now includes aggregated information on beneficiary age, sex, race, Medicare and Medicaid entitlement, sixteen (16) chronic conditions and risk scores. More detailed information on each variable added to this summary file is provided in the Documentation tab of the data file. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Physician-and-Other-Supplier2013.html

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Questions

www.health2challenge.com

http://bit.ly/ProviderChallenge

Contact Alicia Davis at:

alicia@health2con.com

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