Innovative and successful health care businesses are created by innovative and successful health care oriented people. The founders of Health Care Practice Partners (HCPP) were pioneers in Disease Management. Martha Sutton and Barbara Hendon were the founders of, and creative minds behind, AirLogix, Inc., a National Respiratory Health Management Company. Peter J. Solomon Company LP, a leading New York based investment banking company, referred to AirLogix as “a best-of-breed Disease Management Company”. Through compassion and dedication, the AirLogix team delivered effective, patient-centric Asthma and COPD programs to over 400,000 people. Through their specialization in respiratory management, AirLogix used self-care therapies, in-home interaction and powerful informatics processes to deliver effective clinical results and high patient-provider satisfaction. AirLogix repeatedly earned National Health Information Awards in Member Education Information for its COPD self-management guide and workbook. The company received full accreditation by NCQA for its asthma and COPD programs, and was the first company to receive NCQA/JCAHO Privacy Certification for Business Associates. As the most experienced and trusted leader in chronic respiratory management, AirLogix was a natural choice for acquisition and was purchased by Centene Corporation in 2005.
Having influenced a shift in thinking from reactive medical care to proactive medical care with their first successful business venture, the founders remained disconcerted about the traditional relationship between patient care and reimbursement. With their “out-of-the box” thinking, Ms. Sutton and Ms. Hendon saw an enormous need for modernization of the medical reimbursement services industry; not only in the technology sector, but how providers perceive and manage their medical billing/coding and its impact on the cash flow of their business. “This is truly an area where you can’t see the forest for the trees,” says Ms. Sutton, referring to how medical coding and billing has taken place over the last 25 years. “Medical practices are so busy trying to keep up with all the changes in reimbursement it is very difficult for them to renovate their entire reimbursement system.”
HCPP was established in 2005 with the acquisition of a twenty-year old billing company. This company provided the ideal platform to convert a medical billing company into a comprehensive revenue cycle management organization. As a result, HCPP tripled in size due to the demand for revenue cycle management. Recently, in a primary care physician survey conducted by the Physician’s Foundation, an alarming 49 percent of respondents said they would consider leaving medicine because they are overwhelmed with their practices. Additionally, according to the National Center for Policy Analysis, it was predicted that about 32 million additional people are expected to enroll in some type of Health Plan by 2014. In an effort to address these issues, HCPP is dedicated to replicating innovative and proprietary processes via an expanded service area model and believes that this is the best way to make the largest impact on the industry thus allowing physicians to do what they do best; provide quality patient care.