Art Jones, MD
Art Jones, M.D. has 27 years of experience as a primary care physician and chief executive officer (CEO) at a Chicago area community health center. The health center has taken a population health approach from its beginning, addressing the social drivers of health as well as the medical needs of the community it serves. Art lived in this resource-challenged community for 34 years. The health center was an early adopter of managed care, successfully operating under a partial capitation payment system for all ambulatory and emergency room services and shared savings for inpatient services since the early 1990s. Starting with the Medicaid population, similar contractual arrangements were later extended to the Medicare and commercial populations. He was the architect for the first capitated Federally Qualified Health Center (FQHC) alternative payment methodology in the country in 2001. The health center earned recognition as a high performer under these advanced alternative payment models (APM), consistently scoring in the 99th percentile nationally when managed care margin with a uniformed data system metric.
Dr. Jones was one of the founders and continues to serve as the chief medical officer for Medical Home Network (MHN) accountable care organization comprised of ten FQHCs and three health systems serving 122,000 Chicago area Medicaid recipients. MHN is completely delegated for care management, and has successfully operated under a shared savings arrangement on total cost of care and transitioned to shared risk. His role at MHN includes assisting the CEO in proposing and negotiating advanced APMs with payers. MHN has generated $37 million in savings over its initial three years of operation and continues to create similar margins under shared risk.
Dr. Jones is a principal at Health Management Associates where he focuses on advancing clinically and financially integrated provider organizations. He helps them transition to outcomes-based payment and reap some of the downstream financial benefits from operating as well-functioning, patient-centered medical homes and integrated delivery systems. He currently serves as a subject matter expert for the Health Homes program of three states, helping them to work with high risk, high cost individuals to reduce potentially avoidable emergency department and inpatient services. He is a sought-after national expert in creating FQHC APMs. He was part of the HMA team who worked with the State of Idaho Medicaid Agency to develop their shared savings program. He has consulted with several other primary care associations, other FQHC integrated delivery systems and individual FQHCs nationally to negotiate alternative payment methodologies including shared savings and to improve performance on those value-based payment arrangements.
Dr. Jones is a graduate of the University of Illinois Medical School and completed internal medicine residency, chief residency and a cardiology fellowship at the University of Chicago.