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Provider Organizations and Integrated Delivery Networks

As value-based care evolves, healthcare organizations will continue to implement strategies that optimize shared savings across multiple revenue streams and mitigate downside risk. Leaders focused on developing these approaches need the right technology in place to achieve success.

The platform’s data-driven approach provides value to any type of provider organization or integrated delivery network by:

  • Keeping patients healthy, engaged and loyal by creating a personalized health experience
  • Avoiding unnecessary care for at-risk patients by connecting members with risk modification services and the office-based care team
  • Managing rising-risk patients through medical home services and centralized care management

Here’s how HealthEC is helping organizations pave the way to long-term prosperity:

Accountable Care Organizations

Transition to value-based care, optimize contract negotiations with payers, and boost clinical and financial performance by closing gaps in patient care and developing targeted, personalized care plans and interventions.

  • Raise Medicare Shared Savings Program performance by leveraging platform functionality and reporting features
  • Easy-to-read dashboards that help close gaps in care
  • Deliver comprehensive reports to help providers understand performance and trends on contractual quality metrics
  • Integrate behavioral health and social determinants of health assessments
  • Streamline Chronic Care Management and Annual Wellness Visits for maximum reimbursement
  • Modules that support Comprehensive Primary Care Plus (CPC+), and the Oncology Care Model (OCM)
  • Submit data on behalf of participating providers for MIPS/MACRA
  • Submit GPRO data for the ACO

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Clinically Integrated Networks & Independent Practice Associations

The return on investment for a population health management platform should be more than financial. With HealthEC, physician-owned practices across the country are maximizing their ROI while maintaining their independence, despite an environment of acquisitions, to best serve the health of their communities.

  • Enter into value-based arrangements with payers while remaining independent
  • Prioritize quality measures and maximize incentive reimbursement under value-based contracts
  • Use analytics functionality for performance measurement, patient identification and stratification
  • Measure data against evidence-based standards
  • Reporting for over 250 measures including PQRS, GPRO, and HEDIS

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Medical Societies

Designed to help physicians navigate the ever-changing healthcare landscape, medical societies play a vital role in the industry’s transition to value-based care.

Among the most important tasks for today’s medical society is developing clinically integrated networks for their independent members, thereby allowing physicians to enter into value-based arrangements with payers while remaining independent.

In partnership with HealthEC, medical societies can facilitate physician access to data across the healthcare continuum and collaboration between practices – allowing independent practices to make fully-informed decisions while driving high-quality, cost-effective care.

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Primary Care Associations & FQHCs

HealthEC is committed to helping community health centers provide individualized care to the patients they serve, and grow their organizations by optimizing efficiencies, reimbursements and patient enrollment.

  • Implement care through work lists and dashboards for preventive care services, medication reconciliation, and care coordination with home and community based clinical service providers
  • Seamlessly integrate all EMR data on a single, centralized platform
  • Strategies that address barriers to treatment
  • Customize workflow to accommodate local and location-specific needs
  • Identify the most favorable quality measures at the patient, provider, location and FQHC levels

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Hospitals & Health Systems

The healthcare industry’s shift toward value-based care, increasing rates of chronic disease, and Affordable Care Act initiatives promoting collaboration and prevention, are creating opportunities for hospitals and health systems to drive results using population health management solutions.

  • Inform leaders with data outside the traditional hospital setting, including patient self-management of conditions and social determinants of health, to gain a complete view of patients for a more holistic approach towards care
  • Engage stakeholders across the healthcare continuum on a collaborative platform to identify gaps in care
  • Develop partnerships with community organizations to identify population health attributes that can be impacted through prevention, education and patient interventions

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