Art Jones, MD, FACP
Principal
Health Management Associates
Chicago, IL
[javascript protected email address]
(312) 641-5007
Dr. Art Jones has 27 years of experience as a primary care physician and chief executive officer at a Chicago-area community health center. He specializes in advancing clinically and financially integrated provider organizations, helping them transition to outcomes-based payment and gain the financial benefits from operating as well-functioning, patient-centered medical homes and integrated delivery systems.
Living in a resource-challenged section of Chicago for 34 years, Art spent much of his early career working with community residents in Chicago to establish a community health center, which took a population health approach from its beginning, addressing the social drivers of health and the medical needs of the community it serves. 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, as well as under a shared savings model for inpatient services since the early 1990s. Starting with the Medicaid population, similar contractual arrangements were extended to the Medicare and commercial populations in 1996. 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, consistently scoring in the 99th percentile nationally when managed care margin was a uniform data system metric.
In 2011, Art co-founded and still serves as the chief clinical officer for the Medical Home Network (MHN) accountable care organization, which comprises 14 FQHCs and three health systems serving 172,000 Chicago-area Medicaid recipients. MHN is completely delegated for care management and is successfully operating under a global risk arrangement for total cost of care. Several of these FQHCs are paid primary care capitation. MHN supports 80 FQHCs in eight states in the Centers for Medicare & Medicaid Services ACO REACH Program or the Medicare Shared Savings Program, serving approximately 50,000 Medicare-insured individuals. MHN has generated $103 million in profit over its initial six years of operation. They outscore every Medicaid managed care organization in Illinois on the 21-metric quality scorecard composite.
Art is a principal at Health Management Associates (HMA), where he focuses on advancing clinically and financially integrated provider organizations. He helps them transition to outcomes-based payment and benefit financially from operating as well-functioning, patient-centered medical homes and integrated delivery systems. In his work, he has consulted with state primary care associations and their clinically integrated networks (CINs) as well as other FQHC-led CINs and individual FQHCs in more than 30 states to negotiate alternative payment methodologies with managed care health plans, including shared savings and risk. He has also consulted with these associations and organizations on improving performance on those value-based payment arrangements. Art has helped develop Medicaid, capitated alternative payment models (APMs) for FQHCs in several states and has helped state Medicaid agencies develop their APM strategy. He served as the FQHC payment subject matter expert to the Center for Medicare & Medicaid Innovation for the Making Care Primary payment model. He also works with health systems and private physician independent practice associations to develop their value-based payment contracting strategy.
Art earned his medical degree from the University of Illinois Medical School and completed his internal medicine residency, chief residency, and cardiology fellowship at the University of Chicago.