1. health and fitness

Press
Kit
CONTENTS INCLUDE:
Annual Report
Region Map
Testimonials
Awards
2011 Annual Report to the Community
Who We Are
Passport Health Plan is the operating name for University Health Care, Inc. (UHC), a
provider-sponsored, community-based managed care plan that serves over 170,000
Medicaid and Kentucky Children’s Health Insurance Program (KCHIP) members in 16
counties in the Commonwealth of Kentucky.
Our mission is to improve
the health and quality of
life of our members.
Passport Health Plan serves members in the
following 16 counties: Breckinridge, Bullitt,
Carroll, Grayson, Hardin, Henry, Jefferson,
Larue, Marion, Meade, Nelson, Oldham,
Shelby, Spencer, Trimble, and Washington.
Our offices are located in southern
Jefferson County, at 5100 Commerce
Crossings Drive, Louisville, KY 40229. We
have over 230 talented staff members who are dedicated to
living the mission, vision and values every day.
OUR PROVIDER PARTNERS
“Since I’ve come to work
at Passport, I’ve been
amazed and proud of this
high-performing team.
Our associates truly care
about our mission to the
members – and that’s
what really makes a
difference.”
– Mark B. Carter, CEO
Passport Health Plan was created on a
foundation that closely links the success of
the Plan – and the health of our members, to
a commitment to our providers. Since 1997,
we have delivered on our philosophy that the
Plan’s success and sustainability will hinge
largely on our ability to support the providers
who care for our members each and every
day. We have created an alliance with our
provider partners; the Plan values and reacts
to their direct feedback and decision-making,
and the resulting collaboration translates into
a nationally-ranked Medicaid health plan
offering superior care to its membership.
Passport Health Plan collaborates with 4,733
primary care providers and specialists, 37
hospitals, and 678 ancillary providers to focus
on caring for Kentucky’s Medicaid members.
“The claims department at Passport
Health Plan is friendly and
knowledgeable. It is truly great
customer service to have a consistent
team at Passport that both physicians
and patients can count on.”
– Mark Corbett, M.D., one of
Louisville Magazine’s Top Docs 2011.
What it means to be “provider-sponsored”
Local health care providers are directly involved by participating on committees to help Passport
make decisions that affect how quality care is delivered.
Over 230 local, talented associates are dedicated
to living the mission in our 16 counties of Kentucky.
2
The Result:
• Informed decisions that are better for Kentucky
• Innovative processes that improve member access to care
• High provider and member satisfaction
3
OUR COMMUNITY
Unlike most Medicaid managed care companies, Passport Health Plan
makes a true difference in the community because we were formed by
the community. We are a nonprofit company bringing people together
from all different fields to help improve not only the health, but the
quality of life of our friends and neighbors.
Our community sponsors are:
• The University of Louisville Medical School Practice Association;
• University Medical Center;
• Jewish Hospital & St. Mary’s HealthCare;
• Norton Healthcare; and
• Louisville/Jefferson County Primary Care Association.
What it means to be
“community-based”
Passport was formed by
Kentuckians, for Kentuckians.
We collaborate and actively
participate with local community
advocates every day.
OUR MEMBERS
The Result:
• Improved member access to
health care and important
community services
• Empowered, informed
members
• Better health outcomes and
quality of life
With the help of provider and community
partners, our combined expertise in
the Kentucky Medicaid system over the
past 14 years has resulted in very high
health outcomes and member/provider
satisfaction – proof that our delivery
model really makes a difference.
“Over the many years we’ve
worked together, Passport has
always provided the highest quality
services to individuals with physical
disabilities and older adults
from day one of their existence in
Kentucky. They are truly
national leaders.”
– Jan Day,
Executive Director,
the Center for
Accessible Living
We exist to serve our members.
This means doing more than simply
paying claims; it’s a calling to improve
local access to quality care, provide
personalized education and assistance,
and quickly resolve all issues for over
170,000 members.
What it means to be “mission-driven”
Always placing our members first – all our efforts
go to improving their health and quality of life.
“My nurse was taking her time;
[she is] very patient and understanding
of me. She explained everything and
taught me a few breathing techniques
that help a great deal. She has been an
angel with informative information.”
Ruby*, member since 2003
The Result:
• Nationally-ranked quality and health outcomes
• High member satisfaction rates
• Healthier communities
*Actual member quote. Names have
been changed to protect their privacy.
4
5
A Letter from Our Leadership
and Information Set (HEDIS®)** categories, such as “Appropriate Use of
Medications for People with Asthma,” Passport now ranks higher than
the national average for the top Medicaid and commercial health plans in
the country.
2011 was a year of transformation for Passport Health Plan,
and for our members, providers, and associates. The State Auditor’s
2010 Report of Passport Health Plan was the catalyst for change here at
Passport but, as with any business, after 14 years, change is needed and
necessary to grow. As the Commonwealth’s only provider-sponsored,
community based health plan, we take great pride in where we are today –
well positioned for an exciting future.
Our member and provider satisfaction rates continue to remain high.
We’ve developed new processes to better serve our members and
providers, while working to control costs and maintain our commitment
to quality and excellence.
PAVING THE WAY FOR INNOVATION
BUILDING ON THE PAST, BRIDGING TO THE FUTURE
As we forge ahead, Passport understands that we must
We began our transformation by recommitting to
continue to work closely with our provider and community partners to
focus on the key goals that brought about our history of excellence – a
commitment to quality, value, and innovation.
our mission, and by establishing a set of core values to direct our work and
decision making. We also used the audit as a wakeup call to recalibrate
our definition of success. 2011 was all about becoming more efficient and
innovating as a top-performing health plan.
We are very pleased to report early progress towards our goals, including
our responsibility to be cost effective for the Commonwealth. The latest
look at our projected costs indicate Passport Health Plan delivers quality,
member and provider satisfaction, and improved access in a sound and
clearly cost effective manner.
First, Passport’s governance was completely restructured. A new Executive
Leadership Team was appointed and the Board was reorganized to include
representatives from rural counties, the Partnership Council, and the
community at large. Next, we quickly met and in many cases exceeded all
recommendations for improvement, and worked collaboratively to build
relationships.
In July, we hired local associates from Passport’s third party administrator.
We increased our workforce to be able to take on new challenges and to
help improve service, and began transitioning all systems and processes
under Passport’s authority. We moved to a new location in Southern
Jefferson County and introduced a new logo that more accurately reflects
our commitment to future innovation and collaboration in health care.
William B. Wagner
CHAIRMAN OF THE BOARD
With this improved level of oversight and commitment
Throughout all of this change, Passport’s commitment to our mission
(to improve the health and quality of life of our members) has never
waivered. In fact, this year has only made us stronger. We’ve seen health
outcomes continue to rise; in important Healthcare Effectiveness Data
6
CHIEF EXECUTIVE OFFICER
Thank you for your continued support of Passport Health Plan, and for
allowing us to serve our neighbors in the community who need our help
the most.
IMPROVING HEALTH AND QUALITY OF LIFE ONE
MEMBER AT A TIME
to future success, Passport Health Plan was able to once again join a select
group of leading insurers as the #13 Medicaid health plan in the Country.*
Mark B. Carter
Passport’s future opportunities include possible expansion into other
areas of the State, creating commercial lines of business and forming
new and innovative methods of care for our members who are dually
eligible for both Medicaid and Medicare. Wherever our path may lead in
2012 and beyond, we know that Passport will be a leader in the future
of health care, thanks to the dedication and commitment of our talented
staff, provider partners, and friends in the community. Through our
combined effort, we will continue to make a difference in the lives of
each member we serve, one life at a time.
Sincerely,
* NCQA’s Health Insurance
Plan Rankings 2011-12 –
Medicaid
William B. Wagner
Chairman of the Board
Mark B. Carter
Chief Executive Officer
**HEDIS® is a registered
trademark of the National
Committee for Quality
Assurance (NCQA).
7
Driving Better Health Outcomes for Kentuckians
INNOVATION IN CLINICAL EXCELLENCE
COMMITMENT TO QUALITY AND IMPROVING HEALTH OUTCOMES
Despite this success, we know there is still a long road ahead for improving overall health outcomes for Kentuckians. To
make this goal a reality, in 2011 we placed a strong focus on innovation.
Passport Health Plan is committed to quality and clinical excellence, but we recognized early on that we can’t achieve or sustain either without provider commitment or diligence. Our mission, to improve the health and quality of life of our members,
is not something we take lightly. It’s our daily focus to make a difference in the lives of our members, friends, and neighbors.
We’ve grown from a mere concept to a proven system of success – the Passport model has led to increased health
outcomes in our Region. Here are just a few examples:
Use of Appropriate
Medications for People
with Asthma
100
92.92%
94.84%
88.37%
80
60
Chlamydia Screening in Women
Ages 21-24
100
80
Avoidance of Antibiotic Treatment
in Adults with Active Bronchitis
100
73.48%
72.46%
76.23%
60
80
60
62.30%
40
40
40
20
20
20
0
2009
2010
0
2008
2009
2010
0
*Note: NCQA’s Quality Compass provides comparative and descriptive performance information on hundreds of Commercial and Medicaid health plan submissions as well as national, regional and state benchmarks. Surpassing these
benchmarks means Passport Health Plan has rated higher than some of the top national, regional, and state plans!
40.83%
39.81%
37.44%
23.46%
2008
2009
Introduced the Care Connectors Team
We introduced a new team dedicated to quickly routing members to the correct case and
disease management programs.
HOW IT HAS HELPED
• Better customer service
• Increased enrollment in case and disease management programs by 56%
WHAT WE DID
Improved Pharmacy Processes
We started a new 90-day refill process for generic medications, and began a series of refill
reminder calls to 2,127 members.
HOW IT HAS HELPED
• Less work for retail pharmacies
• Improved member access to needed prescriptions
WHAT WE DID
Implemented New Systems
We moved to a new building to accommodate a growing staff and increase efficiency.
HOW IT HAS HELPED
• All new systems and the capacity to add new technology
• Technology experts offer real time support for members and providers
WHAT WE DID
Introduced Social Media
As we move into a new era of technology, it’s even more important for us to keep up with
the times. This year we introduced an industry news feed, Twitter account, and Facebook
pages.
HOW IT HAS HELPED
• Streamlines breaking health news to providers and community partners
• Informs and empowers members
WHAT WE DID
Launched a Community-Based Behavioral Health Committee
We formed a special advisory group of local behavioral health providers and community
advocates to seek provider input early in the process to analyze the current behavioral
health situation in our region.
HOW IT HAS HELPED
• Created innovative new strategies to link members and providers, close gaps and
improve access to timely medical care
• Developed a strategy to help the State control costs and improve care for its
behavioral health population
• Allows for care coordination across behavioral, medical, and social service needs
2010
2011 Quality Compass® Mean
The source for data contained in this publication is Quality Compass® 2011 and is used with the permission of the National Committee for Quality Assurance
(NCQA). Quality Compass 2011 includes certain CAHPS® data. Any data display, analysis, interpretations, or conclusion based on these data is solely that of the
authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass is a registered trademark of
NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
Leading the Nation in Clinical Excellence
Among ALL Medicaid Plans in the United States, here’s how Passport Health Plan
rates in some of our health outcomes:
• 4th highest rate for Use of Appropriate Medications for People with Asthma (total)
• 5th highest rate for Chlamydia Screening in Women ages 21-24
• 6th highest rate for Avoidance of Antibiotic treatment in Adults with Acute Bronchitis
*According to Quality Compass® 2011
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WHAT WE DID
“Passport has had the good vision to develop laudable and concerted efforts on effective preventive
health education for all their insured. Evidence of excellent health education about diseases have
alerted folks about early detection for correct diagnoses, early start of adequate treatment, and
prevention or reduction of complications from the diseases.”
– A. O’tayo LaLude, M.D., Westside Medical Center
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BRINGING PEOPLE TOGETHER
“In my 35+ year and
multi-state experience
with Medicaid patients,
I have come to immensely
appreciate the value that
Passport has afforded to
the citizens of Kentucky
that they serve. This type of
patient-centered partnership
should be a targeted
standard for all citizens.”
– Lynn Harrelson, RPh, BS,
FASCP, Senior Pharmacy
Solutions
Our goal is to focus on quality in all that we do. This doesn’t mean limiting
care – for us, it’s a unique opportunity to save healthcare dollars by investing in
preventive care up front, and working closely to bridge the gap between members,
providers, and others in the community.
The results are impressive – high member and provider satisfaction, improved
health outcomes, and shared success for everyone involved.
MEMBERS RATE PASSPORT HEALTH PLAN AND PROVIDER
NETWORK WELL ABOVE THE NATIONAL AVERAGE
Passport’s member-focused approach has proven results. According to the 2011
Quality Compass®, Passport Health Plan exceeded the national benchmark for
member satisfaction with their Medicaid health plan and specialist selection.
Rating of Health Plan
Rating of Specialist
100
100
83.30%
80
86.10%
85.40%
83.30% 84.60%
79.00% 78.00%
80
82.54%
78.20% 77.70% 78.40%
84.20%
86.00%
72.45%
60
40
40
20
20
2009
2010
2011
Adult Survey
2009
2010
2011
Child Survey
2009
2010
2011
Adult Survey
2009
2010
2011
Child Survey
2011 Quality Compass® Mean
2011 Practice Management Seminar:
Educating Providers About How to Create Patient-Centered Practices
In October, Passport Health Plan sponsored our annual provider seminar featuring National Practice Management
Consultant Elizabeth Woodcock, MBA, FACMPE, CPC. This year’s seminar was a huge success, receiving high marks of
praise from nearly 100 attendees. Provider partners were introduced to innovative concepts to help their office staff and
patients successfully transfer to a patient-centered practice ready to meet the future challenges of healthcare.
10
To succeed in our mission, we are dedicated
to finding new, innovative ways to control
costs in Kentucky’s Medicaid budget while
never compromising the quality of our
services. This year, we continued to focus on
administrative and medical expenses. The
fiscally responsible initiatives started in 2011
included streamlining processes, restructuring
our workforce, and further analyzing medical
cost management.
FOCUSING COSTS ON PATIENT
CARE
Part of the difference involves how we work
closely with physicians. Our emphasis on
preventive care allows us to shift taxpayer
dollars to helping members seek treatment
before their illnesses are advanced and more
costly.
0
0
FINANCIAL REPORT
For the past couple years, on average,
94 cents of every dollar we received went to
patient care. Other Medicaid managed care
organizations spend an average of 79 to 84
cents of every dollar.
82.14%
76.85%
60
Good Stewards of
Kentucky Taxpayer
Dollars
Also, Passport offers a Provider Recognition
Program, which in turn helps us keep a strong
provider network in place and improves member
access to quality care.
94 cents of every taxpayer
dollar goes to patient care.
Our full financial report can be accessed via our
website at www.passporthealthplan.com.
“Region 3 of Kentucky is one of the most difficult areas of Kentucky
to manage financially. Despite these odds, Passport has continued
to manage costs effectively without severe cuts to provider
reimbursement (as we’ve seen in other states).”
– Sharmila Makhija, M.D., University of Louisville Obstetrics
& Gynecology, Passport Health Plan Board Member
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Healthy Hoops Kentucky
Dramatically Improving
Asthma Health Outcomes
Built by Kentuckians,
For Kentuckians
COMMUNITY ENGAGEMENT
Passport has about 8,000
members with asthma, all
living in the “hay fever belt.” Our special disease
management program and vastly successful
community event, Healthy Hoops Kentucky, has
helped us educate children ages 7 to 13 and parents
about asthma care. We are now the nation’s 4th
highest ranked for the appropriate use of asthma
controller medications among children ages 5 to 11.*
*According to Quality Compass® 2011
Every day, Passport Health Plan works directly
with members of the community to improve the
overall health of every town and neighborhood
in our service area. We offer trainings,
presentations,
“My nurse helped
member education,
me a lot on how to
KCHIP application
assistance by trained
breathe when it’s
professionals, and
difficult. She is a dear
much more. Our
young lady and it
staff is involved on
means a lot to have
many local Boards
someone to be a help.”
and we volunteer
– Angela, member
with agencies who
support our mission.
since 2007
COMMUNITY OUTREACH
Here are some highlights from our community
engagement efforts in 2011:
Increased KCHIP
Enrollment
With the help of our
community partners,
thousands of formerly
uninsured Kentucky kids and teens now have
health insurance. Since signing on to support the
Governor’s initiative in October 2008, we have
enrolled over 19,000 additional kids and teens
into the Plan.
“Healthy Hoops is a wonderful program that
benefits the community in educating families about
asthma in a fun and educational way.”
– Mark Corbett, M.D.,
one of Louisville Magazine’s Top Docs 2011.
12
Participation in Chambers of Commerce
for all 16 Counties
Our outreach team attended 45 chamber events in
2011, to advocate on behalf of our members and
educate the general public.
Cultural & Linguistics Services Program
(CLSP) Efforts Expanded
Our CLS program worked to improve doctorpatient communication by decreasing language
barriers and increasing cultural awareness.
Sponsoring Important
Community Health
Initiatives
Every year, we fund a number of local pilot projects
that are implemented to improve the health and
quality of life of Medicaid members and uninsured
Kentuckians. It’s one way for us to give back to
the community that so loyally supports our efforts.
Improved Health Outcomes Program (iHOP) grant
recipients include:
Kangaroo Care – improvements in breastfeeding rates
in Kentucky birthing hospitals.
Americana Community Health – worked to determine
and fix barriers to health care access for low-income and
uninsured immigrants and refugees living in South-Central
Louisville.
Chronic Care Coordination Project – improved clinical
outcomes for Medicaid and underinsured individuals with
chronic illnesses such as diabetes.
Helping Parents Raise Healthy, Confident Children –
formed a coalition in the Bardstown, KY area to fight childhood
and adolescent obesity.
Passport Health Plan is also proud to support the University
of Louisville Department of Pediatrics Forensic Medicine
Unit through iHOP. This group of dedicated professionals work in
tandem with police and human services providers to investigate
reports of abuse and protect every child in the Commonwealth.
“Kangaroo Care began with grant support from Passport Health Plan. The breastfeeding rates
increased from 45% to 66% in 7 months. That’s huge, and that was our goal the whole time.”
– Denise Barbier, OTR, MOT, Kangaroo Care Coordinator
Nationally-Recognized Health Literacy Initiatives
All of our member education materials are specially developed by our trained, in-house health literacy professionals.
This year, we won 1st place in the 2011 Cardiovascular Advertising (CVA) Awards, and 2nd place in the “ReadsEasy”
Publication category for the 2010 National Health Literacy Innovator (HLI) Awards!
Specialized Outreach Events
Our outreach specialists attended 722 events in 2011, an all-time record! We traveled 77,647 miles to reach our
members in all 16 counties. We also sponsored our annual Zoofari for homeless families, Fall Safari for Grandparents
Raising Grandkids, and Healthy Hoops Kentucky for children with asthma.
13
Public health representatives, member advocates, members,
and community partners
WHAT THEY DO
Evaluate access to care issues, review member materials,
and assess quality of care plans
Quality Medical Management Committee (QMMC)
WHO THEY ARE
Participating providers and member advocates
WHAT THEY DO
Provide ideas and input for Passport Health Plan policies
related to clinical care and services
Partnership Council
WHO THEY ARE
Members, providers, physicians, nurses, hospitals,
health departments and ancillary providers
WHAT THEY DO
Provide input to the Board of Directors,
which help govern all Passport Health Plan
operations
CORPORATE STRATEGY
Passport Health Plan has truly a bright future. Our first priority will continue
to be our Medicaid members. As we continue to support the Medicaid
membership in Region 3, we are also looking into other opportunities
such as integrating Behavioral Health services, accountable care, employer
health insurance, and unique opportunities with dual-eligible populations.
NATIONAL LEADERS IN MEDICAID
Throughout our evolution, we continue to lead the nation in Medicaid
managed care. This year, the National Committee for Quality Assurance
(NCQA) ranked Passport Health Plan #13 among Medicaid health insurance
plans in “NCQA’s Medicaid Health Insurance Plan Rankings 2011-2012.”
This ranking is based on clinical performance, member satisfaction, and
NCQA Accreditation scores.
It’s not just idle rhetoric to say that our staff feel a true calling to live our mission, to improve the health and quality of life
of our members. This year, our Public Affairs Manager Marcelline Coots was presented with the “Making a Difference”
award from the Association for Community Affiliated Health Plans. This award recognizes an employee of an ACAP health
plan whose work clearly exceeds expectations and whose services exemplify the ACAP principles of Advocacy, Care,
Access and Public good. We are honored to work with dedicated staff like Marcelline every day.
PCP Workgroup
WHO THEY ARE
Participating providers appointed or
elected on an annual basis
WHAT THEY DO
Provide direction to Passport
Health Plan on issues
concerning primary care
physicians and their members
National Committee for Quality Assurance ranks
NS
UR
ANCE PLAN
NK
INGS
*NCQA is a private, nonprofit organization dedicated
to improving health care
quality. NCQA accredits and
certifies a wide range of
health care organizations.
It also recognizes clinicians
and practices in key areas
of performance. NCQA’s
Healthcare Effectiveness
Data and Information
Set (HEDIS®) is the most
widely used performance
measurement tool in
health care. NCQA ranked
ninety-nine (99) Medicaid
health plans based on a
combination of clinical
performance, member
satisfaction and NCQA
Accreditation status.
RA
14
“Passport Health Plan helps us
to help our families. By working
together, we have impacted and
continue to influence the health
outcomes of our children and
families, preparing them to learn.
Our voices unite to be heard.”
– Charlotte Wente, Ohio Valley
Educational Cooperative (OVEC)
Head Start
PASSPORT ASSOCIATE WINS NATIONAL “MAKING A DIFFERENCE” AWARD
I
WHO THEY ARE
Leading Accountable Care in Kentucky
H
Quality Member Access Committee (QMAC)
“Passport Health Plan
truly brings the community
together. Their committee
and board structures allow
concerned citizens like
myself to bring perspectives
to the table and work
collaboratively to find
innovative solutions that
work for everyone.”
– Steven C. Elder,
Leitchfield, Ky.
Elder Wealth Management
and Passport Health Plan
Board member
H E A LT
Seeking Community Input
- 2- 1
11
02
00
11
21
20
MPER
N
DI VI CAA
T EI DPPL LAAN
FOR ADDITIONAL INFORMATION, PLEASE VISIT
www.passporthealthplan.com
Passport Health Plan,
a provider-sponsored
Medicaid health plan
serving more than 170,000
members in Kentucky,
is ranked in the top 25
of all Medicaid Health
Plans in the country and
the top ranked Medicaid
plan in Kentucky based on
clinical quality, member
satisfaction and NCQA
Accreditation scores.
15
EXPLORING NEW OPTIONS IN ACCOUNTABLE CARE
PROVEN SUCCESS OF THE MEDICAL CARE MODEL
With the Affordable Care Act, the Department of Health and Human Services (HHS) and the Centers for Medicare &
Medicaid Services (CMS) are placing increased emphasis on the concept of accountable care. Accountable care is a
concept Passport Health Plan is already very familiar with – it involves focusing on member needs and linking provider
reimbursement to health outcomes to a defined geographical population.
Passport’s existing clinical programs involve a medical home aspect. We
pride ourselves on working collaboratively with members and providers
to close the gap and improve communication, ultimately improving health
outcomes and lowering costs.
As we look to the future, Passport Health Plan is poised to lead Kentucky and the nation in accountable care that will
truly improve the quality and safety of patient care, and lower health care costs.
Here are just a few examples of the long-term success of the medicial
home model:
Imbedded Case Management Program
This 2011 pilot program has successfully improved member compliance
by placing an onsite case manager in PCPs’ offices
to identify and resolve care gap issues.
Provider Recognition Program
Since 2006, Passport has been rewarding our provider
partners who demonstrate improvement and/or
excellence in performance in the categories of
cost containment, member satisfaction, access to
care, and health outcomes. In 2011, we worked
to completely transform and update our program
for 2012.
Emergency Room
Visits
Annual Dental Visits
Ages 2-21
Here are some examples of accountable care concepts we have already implemented:
100
100
80
80
60
53.15%
57.95%
61.02%
47.77%
40
60
70.35%
61.99%
40
20
0
72.27%
20
2008
2009
2010
0
2009
What is
Accountable Care?
• Reimbursing
providers based on
health outcomes
• Focusing on
preventive care and
member needs
• Practicing evidence
based health care
delivery
Passport Health Plan’s
high quality and health
outcome ratings prove
that this delivery model
can be truly successful!
2010
2011 Quality Compass® Mean
“Passport will be successful in the
long-term because we bring the
interests of many groups together.
The medical home model allows us
to make sure people get the kind of
care they need, when they need it –
eventually bringing about savings
that everyone can experience in a
real, tangible way.”
– Stephen J. Houghland, M.D.,
Vice President and Chief Medical
Officer, Passport Health Plan
16
17
Leading the Way
Mission:
Our mission
is to improve
the health and
quality of life of
our members.
PICTURED ABOVE: BOARD OF DIRECTORS
BOARD OF
DIRECTORS
Henry “Sonny” Altman
Altman Consulting
Representing Jewish Hospital
HealthCare Services
Mark B. Carter,
Secretary & Ex-Officio
Passport Health Plan
Gerald Deom, RPh
Retired Pharmacist
Representing the Region 3
Partnership Council
David L. Dunn, MD
University of Louisville
School of Medicine
Representing the University
of Louisville Medical School
Practice Association
Steven C. Elder
Elder Wealth Management
Representing the Community
At Large
Michael W. Gough
Norton Healthcare
Representing Norton
Healthcare
James Hedrick, MD
Physicians to Children, Inc.
Representing the Region 3
Partnership Council
Sharmila Makhija, MD
University of Louisville
Obstetrics & Gynecology
Representing the University
of Louisville Medical School
Practice Association
18
Edgardo N. Mansilla
Americana Community
Center, Inc.
Representing the Community
At Large
Gregory C. Postel, MD
University of Louisville
Department of Radiology
Representing the University
of Louisville Medical School
Practice Association
Gerard P. Rabalais, MD
University of Louisville
Department of Pediatrics
Representing the University
of Louisville Medical School
Practice Association
Manfred G. Reid, Sr.
Louisville Metro Housing
Authority
Representing the Community
At Large
Linda Sims
Lincoln Trail District Health
Department
Representing the Region 3
Partnership Council
Allan Tasman, MD,
Treasurer
University of Louisville
Department of Psychiatry &
Behavioral Sciences
Representing the University
of Louisville Medical School
Practice Association
James H. Taylor,
Vice Chairman
University Hospital
Representing the University
Medical Center
John Howard, MD
Park Duvalle Community
Health Center
SENIOR
LEADERSHIP
Ryan Irvine
Louisville Metro Dept. of
Public Health & Wellness
Jill Joseph Bell
Vice President and Chief
Communications Officer
PARTNERSHIP
COUNCIL
Dennis Johnson
Hardin Memorial Hospital
Mark B. Carter
Chief Executive Officer
Dan Bowersox, OD
Bowersox Vision Center
Thomas D. Kmetz
Kosair Children’s Hospital
David Henley
Vice President and Chief
Compliance Officer
Howard Bracco, PhD
Self-Employed
Gary Marsh
Masonic Homes of Kentucky
Jim Brill
University Hospital
Kristen Miller
Louisville Metro EMS
Jeannie Cundiff
Gentiva Health Services
Lucian Y. Moreman, II MD
Elizabethtown Physicians for
Women
Gerald Deom, RPh,
Chairman
Retired Pharmacist
Saundra J. Mucker
Children with Special Needs
Sofia Franco, MD
U of L Child & Youth Project
Elizabeth Monroe
Baptist Hospital East
Beverly Gaines, MD
Gaines & Associates
Jean O’Brien
Consumer Advocate
Renee Girdler, MD
U of L Family & Geriatrics
Medicine
Susie Riley, DMD
Louisville Dental Society
William B. Wagner, MSSW,
Chairman
Family Health Centers
Representing the Louisville/
Jefferson County Primary
Care Association
Umaara Hadley
Precision Health Delivery
Linda Sims
Lincoln Trail District Health
Dept.
James Haile, MD
Self-Employed
Tammy Thompson
Consumer Advocate
James Hedrick, MD,
Vice Chairman
Physicians to Children, Inc.
Mary Jane Williams
Consumer Advocate
Stephen J. Houghland, MD
Vice President and Chief
Medical Officer
Vision:
Our vision is to
be the leading
model for
collaboration
and innovation
in health care.
Values:
Integrity
Community
Collaboration
Stewardship
Mary Kay Jett
Vice President of Human
Resources
Peg Patton
Associate Vice President,
Provider Network
Management
Christie Spencer
Vice President of Clinical
Operations
David A. Stanley
Vice President and Chief
Financial Officer
19
5100 COMMERCE CROSSINGS DRIVE
LOUISVILLE, KENTUCKY 40229
Service Area Map
“We’re All About Caring” Richard K. Jones, Executive Director PARK DUVALLE COMMUNITY HEALTH CENTER March 04, 2010 Greg Stumbo Speaker of the House Kentucky Legislation Dear Mr. Stumbo: There have been a number of stories and letters in the newspaper recently about Passport Health Plan, a Medicaid managed care plan for 16 counties in Kentucky. As a public health professional, I’m always interested in articles like this because I see the sick and uninsured on a daily basis. I am equally interested as a consumer: I want to be assured that Medicaid funding is being used appropriately. I’ve worked in public health for 30 years, so I’ve witnessed the other attempts “firsthand” to manage Medicaid spending and maintain quality care. Passport Health Plan is the only one that has worked. Passport Health Plan members get care from a large pool of credentialed physicians, nurses, and other healthcare professionals, and they have access to a multitude of benefits and special programs. The Plan’s associates participate in events throughout their 16­county service area. Finally, they treat the members with dignity and respect. This is an approach to Medicaid that should be applauded and replicated! I am counting on your support. Sincerely, Saundra J. Mucker, MSSW, CSW Director of Social Service­ PDCHC Chair, Quality Member Access Committee Passport Health Plan
__________________________________________________________________________________________________________________________________________ ____ Primary care centers owned and operated by Park DuValle Community Health Center, Inc.
·Park DuValle Community Health Center · 3015 Wilson Avenue · Louisville, KY 40211 · 502/774­4401 · Fax 502/775­6195 ·
·Park DuValle at City View · 1015 West Chestnut Street · Louisville, KY 40203 · 502/584­2992 · Fax 502/584­3715 ·
· Park DuValle at Spencer County · 311 Reasor Avenue, Box 567 · Taylorsville, KY 40071 · 502/477­2248 · Fax 502/477­9356 ·
· Park DuValle at Newburg · 2237 Hikes Lane · Louisville, KY 40218 · 502/479­8930 · Fax 502/479­8934· March 4, 2010
Editor
Courier Journal
Louisville, KY
RE: Passport Health Plan
Dear CJ Editor:
I have many roles in life: mother, advocate, and grandparent to name a few. The role that consumes
much of my time and is incredibly important to me is grandparent raising my granddaughter
Shawna. She was born 19 years ago and I have been raising her since she was four, even though
there have been difficult times, I don’t regret it for a moment.
Shawna has suffered from several physical and mental disabilities that are challenging, but
manageable because of Passport Health Plan making good care possible. The truth is that I could
not have afforded to keep her if not for Passport. Their nurses and social workers have been an
unbelievable blessing to us, because they always go above and beyond what they are required to do.
Because of them and other people who work there, I have been able to get and afford all the
treatment Shawna needs to live a good life. We have been able to see the right doctors and get the
medicines she needs to be stable. Shawna’s case manager talks to me on the phone and helps me get
appointments and explains medicines and treatment plans as well as blood work results.
I am also a member of Passport’s Quality Member Access Committee (QMAC). I love participating
with this committee because we know our opinions are important and that we’re a voice for the
members! Any time we have questions the Passport staff answers them or will find the answer for
us. I know that what we say at these meetings will be respected and heard.
Shawna is alive today because she was one of the lucky children who had Passport Health Plan and
still does. I tell other grandparents raising their grandchildren to check to see if their grandchildren
qualify because I know from personal experience that it will make a difference.
Sincerely,
Anna W.
Communication Awards
2011
2008
Awards of Merit: Landmarks of Excellence
2010 Annual Report to the Community
What You Need to Know About Medicare
Honorable Mention: Landmarks of Excellence
Basic Diabetes Care: Staying Healthy with Diabetes
Honorable Mention Awards: Landmarks of Excellence
They Bring the World: Refugees in Louisville Yes, You Can! Quit Smoking Program Communication HERS: Health, Educate, Respect, and Survival
POIS: Provider Online Information System
Gold Award: Aster Awards
2011 Advocate Calendar
2007
Silver Award: Aster Awards
2011 Member Guide Gold Winner: Aster Awards
2007 Member Guide Bronze Award: Aster Awards
Member Gamebook
2006
2010
Gold Winner: Aster Awards
Annual Report to the Community
Gold Award: Aster Awards
Healthy Teeth and Gums
2005
Silver Award: Aster Awards
Diabetes: Be Healthy, Be Active, Be Educated Gold Winner: Aster Award
Cervical Cancer Campaign
Bronze Award: Aster Awards
You Can Control Your Breathing 2009 Annual Report to the Community
Bronze Winner: Aster Award
Diabetes Pocket Guide 2009
Gold Winner: Aster Awards
A Healthy Mind for You... 4 Series: Depression, Anxiety,
Schizophrenia, Bipolar Gold Winner: CardioVascular Awards
CAD Program Ad: Fighting the #1 Cause of Heart
Disease in Kentucky Silver Winner(s): Aster Awards
Rural Health Forum 2009 Member Guide Bronze Winner: Aster Awards
Make Sure Your Loved One is Covered
Bronze Winner: CardioVascular Awards
Take Control of Your Blood Pressure
Award of Merit: Landmarks of Excellence
Provider Kit
Website Redesign
2004
Award of Excellence: Landmarks of Excellence
Mommy & Me Basics: A Guide to a Healthy Pregnancy,
Delivery, and Baby Care Member Handbook: Your Guide to Passport Health Plan Annual Report to the Community Honorable Mention: Landmarks of Excellence
Cultural and Linguistics Conference
2003
Award of Merit: Landmarks of Excellence
Preventive Health Reminder Program