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TORCH Board Approves the Formation of a TORCH Community Care Organization (CCO)

This year we are very excited to be in the midst of a rollout of an important new initiative for TORCH and its members around population health. The Texas Community Care Organization ( TxCCO) is a joint venture between TORCH and Rural Solutions, LLC. This business and operating model achieves several key objectives and provides TORCH with access to:

  • A care management platform developed specifically for rural provider organizations encompassing the infrastructure necessary to create a statewide clinically integrated network;
  • A means to diversify business risk and offset start-up capital requirements;
  • Expertise with population health payment models and payer negotiations; and
  • A partner that acknowledges and honors the unique relationships developed by TORCH over the past 25 years.

Upon its formation, the TxCCO will assemble the infrastructure to function as both a statewide rural provider network (a Clinically Integrated Network, or CIN) charged with developing and implementing a care management platform, quality and cost standards, and analytics capabilities as well as a contracting entity to negotiate and manage performance-based service agreements with third-party payers. The work plan is composed of five phases:

  • Phase 1: Recruitment and Formation
  • Phase 2: Chronic Care and Transitional Care Management
  • Phase 3: Medicare Shared Savings
  • Phase 4: Clinically Integrated Network
  • Phase 5: Value-Based Provider Contracting and Alternative Revenue Sources

The Opportunity:

You have the chance to get in on the ground floor of this effort to move rural hospitals in Texas from a 'Fee-for-Volume' to a 'Fee-for-Value' system. Our hope is that our members will want to become a part of this groundbreaking effort to create a fully-integrated, population-based rural healthcare delivery system in Texas that is TORCH-led and Texas-specific.

The Timing:

Any facility that returns their Letter of Intent and initiation fee between now and December 31, 2015 will become a 'Founding Member' of the TxCCO. Becoming a Founder will ensure that you are involved in the initial decision making and also be included in our Chronic Care Management and Transition Care Management Programs at the earliest possible opportunity. Even if you did not join by December 31, 2015, you can still participate as a member of the TxCCO. Please contact the TORCH office at (512) 873-0045 for more information on how to join and participate in this program.

Want To Know More About the TxCCO?

Continue to be on the lookout for new information from the TxCCO. The TxCCO hosts a monthly membership call on the 3rd Monday of every month. To register for these calls, please click here. Click here for a brief white paper on the TxCCO.

TORCH Launches Education Campaign on Population Health

The TORCH Population Health Program will contain education and services to ensure rural hospitals and physicians are successfully making the transition from Fee-for-Service to Fee-for-Value in a deliberate, strategic and operationally sound manner - and that small and rural providers across our state collectively learn from one another. We have put together a series of education programs to assist your facility in this process.

TORCH Releases 8 Population Health White Board Videos

The Texas Community Care Organization (Texas CCO) is excited to release a brand new series of 'whiteboard' videos that were created specifically for TORCH and TORCH members regarding population health. The primary purpose of these videos is to address the need to educate hospital leaders, physicians and trustees on the steps involved in fully transitioning to a value-based payment system. The series is made up of eight videos. Each video is just a couple of minutes long and will provide a great opportunity to engage your staff and providers in a discussion about how to involve your community in true system transformation.

Intro to Population Health

Improve Quality & Efficiency

Align Primary Care Providers

Rationalize Service Network

ESHP & FFS Payment

Shared Savings Payment

Full Risk Payment

Population Health System Creation

Additional Population Health Education Webinars

"Introduction to Population Health"

A comprehensive review of the most rural relevant aspects of the US healthcare systemÔŅĹs transition from fee-for-service to fee-for-value reimbursement. Topics include recent industry trends and payment systems, strategies to align providers, service rationalization and transitional payment models.

Click here to download the recording.

"Developing a Population Health Infrastructure"

Understanding the competencies, skills and resources required to succeed under emerging reimbursement systems. Topics include rural relevant capabilities for Care Management, Data Analytics, Patient Centered Medical Homes and Value-based Credentialing.

Click here to download the recording.

"Improve Quality and Efficiency"

In a population health environment, the fundamentals of Quality and Efficiency improvement take on even greater importance. Learn about how operational processes such as cost management, staffing to volumes, point of service collections and transitions of care combine with clinical processes, outcomes and patient satisfaction to serve as building blocks for success.

Click here to download the recording.

"Align Primary Care Providers"

Healthcare delivery models will evolve from hospital-centric to primary care-centric as rural health systems assume greater risk and responsibility for the quality of care, patient engagement and overall costs of the communities they serve. Learn about how structural and contractual alignment between hospitals and primary care providers is an essential component of a comprehensive population health strategy.

Click here to download the recording.

"Rationalize Service Network"

The revenue centers of today (inpatient care, diagnostic services, specialty care) will convert to the cost centers of tomorrow as financial success increasingly hinges on care management and reduction of traditionally high-cost services. Learn about how rural health systems can organize and define delivery systems to build value.

Click here to download the recording.

"Fee-for-Service Payments with Incentives"

While the payment systems are evolving to pay-for-value, the majority of hospital care is still delivered through traditional fee-for-service arrangements. Learn how these volume-based payment systems are converting step by step to value-based reimbursement through the advent of innovative private- and public-led programs.

Click here to download the recording.

"Shared Savings Payments"

Under population health initiatives, the economic incentives for payers and providers align around increasing quality and reducing costs. Learn how new value-based payment models create opportunities for different actors to share savings from increased efficiency, more effective prevention and improved care management.

Click here to download the recording.

"Chronic Care Management Detailed Overview"

This webinar is brought to you by the Texas Community Care Organization(TxCCo), a joint venture between TORCH and Rural Solutions. In this educational session, we will provide an overview of the CCM program, participation and reimbursement information and how the TxCCO can help your facility get started.

Click here to download the recording.

"Full Risk Payment"

As providers develop their skills, infrastructure and capabilities to manage populations, the payment system will mature from fee-for-service into shared savings and then eventually full-risk arrangements. Learn how rural health systems can leverage their markets, capabilities and strategic position to succeed in a full-risk environment.

Click here to download the recording.

"Transitional Care Management Detailed Overview"

This webinar is brought to you by the Texas Community Care Organization(TxCCo), a joint venture between TORCH and Rural Solutions. In this educational session, we will provide an overview of the TCM program, participation and reimbursement information and how the TxCCO can help your facility get started.

Click here to download the recording.

"Medicare Shared Savings Detailed Overview"

This webinar is brought to you by the Texas Community Care Organization(TxCCo), a joint venture between TORCH and Rural Solutions. In this educational session, we will provide an overview of the MSSP program, participation and reimbursement information, 2016 deadlines for 2017 participation and how the TxCCO can help your facility get started.

Click here to download the recording.

Please click here to register for any upcoming educational events.

TORCH Population Health Readiness Assessment Survey

The Texas Organization of Rural & Community Hospitals is pleased to announce the implementation of a statewide initiative to bring awareness of vital industry trends and new information to the rural and community hospitals in Texas.

This project is the first step in a multi-phase process to ensure rural hospitals and physicians are successfully making the transition from Fee-for-Service to Fee-for-Value in a deliberate, strategic and operationally sound manner - and that small and rural providers across our state collectively learn from one another. Results of this project will provide the basis for future TORCH population health-related activities.

The confidential survey assessment, based on the Stroudwater Associates Transition Framework, is open through September 2. The Assessment will cover key content areas related to rural health delivery systems, population health infrastructure and payment models. Completion of this survey will take 15-30 minutes. Once you begin the survey, you will need to complete it in its entirety. You will not be able to re-access your survey once you have submitted it. Blinded results will be shared with you upon full completion of the survey.

Your hospitals' participation in this phase of the project is vital to establishing a clear strategy for TORCH's population health initiatives and we thank you in advance for your time commitment in completion of this survey.

Click here to download the survey. You can fax it back to our office at (512) 873-0046 attn: Carrie Ruiz.

Access Point

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