Faced with declining reimbursements and escalating reporting requirements, providers are making tough decision about program and plan participation. A huge administrative burden is taking the physician’s time away from patients, yet understanding compliance with quality measures is critical to driving healthier populations.
HealthEC proactively prepares and aligns health management processes to optimize quality while ensuring compliance with various performance reporting requirements including MACRA/MIPS/GPRO/QCDR, ACI/CIA, HEDIS, HCC/RAF, TCPI/PTN, Comprehensive Primary Care Plus (CPC+), Oncology Care Model (OCM) Registry, State-based Health Homes and more.
The ability to integrate all data on a single platform, combined with a library of standard reports and a flexible reporting tool, ensures that providers can meet strategic, financial and regulatory reporting requirements with relative ease.
Accountable Care Organizations (ACOs) participating in Medicare Share Savings Program (MSSP), MSSP Track 1, Track 2 and Track 3, and NextGen ACOs
Group Practice Reporting Option (GPRO) for CMS MIPS data by ACOs
Reporting for the Merit-Based Incentive Payment System (MIPS) for Medicare Access and CHIP Reauthorization Act (MACRA)
CPC+ & OCM
CMS Innovation projects including Comprehensive Primary Care Plus (CPC+) and the Oncology Care Model (OCM)
Medicaid-based Health Homes program to coordinate care for people who have chronic conditions
Clinical Quality Reporting to Payers for Value Based Payments by Provider Entities (IDNs, CINs, Hospitals)