Acclaim Award honoree. The Acclaim Award, supported by
AMGA Foundation, the association’s nonprofit arm, is designed
to recognize and celebrate the successes that medical groups
and other organized systems of care have achieved in improving
the value—the quality and cost of care—of the healthcare
services they provide to their communities. It honors organizations that are meeting the Institute of Medicine (IOM) Aims for
Improvement and are taking the necessary steps to become
a High-Performing Health System™ as defined by the AMGA.
As part of the Acclaim Award application process, the
organization was asked to highlight narratives describing
the design and deployment of major components—projects,
phases, or tactical plans—that were part of their plan to
transform the way they deliver health care in order to more
fully achieve the AMGA High-Performing Health System™
attributes, improving both the quality and cost of care. Here,
we share one of Lexington Clinic’s narratives.
Direct-to-employer (DTE) arrangements are a unique but growing element of value-based reimbursement. By sharing risk, employers and provider organiza- tions are generating value through higher quality,
lower costs, and improved patient experience.
DTE arrangements between large organizations have
made the news. Cleveland Clinic’s arrangement with Lowe’s,
Henry Ford Health System’s agreement with General
Proven strategies for implementing direct-to-employer programs
2 and MemorialCare’s engagement with Boeing3
have received some significant attention due to the size and
scope of their agreements.
At Lexington Clinic, our model shows that the scope of the
agreement can be different yet still accomplish the values
espoused in the Triple Aim. We contract with regional and
national employers who employ thousands of people, who
have thousands more dependents, and we do so not only i S t