Wellcentive Celebrates 10th Anniversary as Pioneer in Population Health Management Solutions

A decade of expertise qualifies Wellcentive to help providers meet the federal government’s aggressive timeline for the shift to value-based healthcare

ATLANTA, Georgia—February 24, 2015

Wellcentive, the industry leader in end-to-end population health management, celebrates its 10-year anniversary this month as a pioneer in delivering solutions that optimize value-based care delivery and reimbursement. Wellcentive credits its longevity to its singular focus on transforming population health, its outstanding and collaborative team of clinical, technology and service experts, and its partnership with its customers.

“I am proud to lead a company that has so accurately anticipated the needs of care teams and health systems to improve the efficiency and effectiveness of patient care,” said Tom Zajac, Wellcentive’s CEO. “Our company was a pioneer in developing solutions that enable quality improvement, revenue management, and process transformation throughout the continuum of care, and we will continue to provide that level of innovation for healthcare providers and their patients. We owe our success to our leaders, our employees and our loyal clients who believed in our vision of helping patients achieve life-long health.”

Wellcentive was founded in 2005 by practicing internal medicine physician, Paul Taylor, M.D., and healthcare technologist, Mason Beard.  Frustrated by the difficulty of managing pay-for-performance (P4P) initiatives and regulatory reporting using spreadsheets and other manual techniques, Dr. Taylor teamed with Beard to create solutions to help physician practices not only streamline their participation in P4P programs but also improve the quality of the care they provide.

“Compared to a decade ago, the number of value-based initiatives that providers have to juggle and the amount of risk they are being asked to assume is astounding,” said Dr. Taylor, who still practices medicine while serving as Wellcentive’s chief medical information officer. “Physician organizations need a solution that enables efficient management of multiple concurrent quality programs with varying objectives and outcomes of interest, and then helps them proactively take action to improve the care of the patients they serve.”

Given the U.S. Department of Health and Human Services (HHS)’s recently announced ambitious timeline, providers can no longer ignore the industry’s shift to value-based reimbursement.  Any provider with a Medicare population must be prepared for value-based purchasing within the next three years.  HHS announced its intention that 90 percent of traditional fee-for-service Medicare payments will be tied to quality driven, value-based reimbursement models by 2018.

“It has been extremely rewarding to witness the impact Wellcentive has made in the market and to help drive the success of this impressive team and company,” said Mason Beard, Wellcentive’s chief product officer. “We have grown to the point where we have providers in all 50 states and Puerto Rico who are using Wellcentive solutions to proactively manage the care for over 30 million people leveraging data received using over 3,000 interfaces exchanging data at a rate of more than 1.3 billion data points per month.  We’ve come a long way, and I am very proud of our team.”

Wellcentive’s solutions currently help physician organizations and health systems nationwide participate in accountable care organizations (ACOs), patient centered medical homes (PCMHs), PQRS, DSRIP and other value-based incentive programs. Providers use Wellcentive to improve chronic and preventive care, decrease readmission rates, better engage patients and physicians, institute nurse navigator programs to monitor high-risk patients, and manage multiple value-based contracts with employers and insurers.

The company has distinguished itself as a trailblazer in helping customers realize tangible results through population health management and value based care processes. In industry analyst KLAS’s latest report on population health management, 89 percent of Wellcentive’s clients claimed that they “realized tangible benefits” through the use of the company’s solutions.

About Wellcentive
Built from the ground up to help customers improve clinical, financial and human outcomes, Wellcentive’s population health management technology is cloud-based, scalable, and customized to meet the needs of providers, health organizations and payers. Wellcentive’s technology, insight and services help care teams measure and report performance and implement actionable workflow to drive value-based reimbursement and the transition from volume to value. Wellcentive has gained recognition as a leader in population health management in reports recently released by IDC Health, KLAS and Chilmark. Wellcentive aggregates data from more than 3,000 interfaces, and its solutions improve outcomes for over 30 million lives. Visit www.wellcentive.com; follow us on Twitter, LinkedIn and Facebook; or call 877-213-8456 to learn more.

Wellcentive to Support Clients in New CMS Initiative that Promotes and Incentivizes Care Management

CMS launches new payment for chronic care management in 2015

ATLANTA, Georgia—January 21, 2015— On January 1, 2015, the Centers for Medicare & Medicaid Services (CMS) will start paying physicians for delivering care management to their Medicare patients with two or more chronic conditions. For their efforts, eligible providers will be reimbursed at approximately $40 per patient per month – or up to $238,000 per provider per year.

Wellcentive, an industry leader in end-to-end population health management solutions, has the comprehensive care management tools to help healthcare organizations succeed with this valuable initiative. Wellcentive provides tools that not only track patient outreach efforts and all other non face-to-face services, but also integrates them all within a single, actionable patient record.

“Most health systems have a variety of EHRs in play, which makes it challenging to even identify patients that fit the criteria of this initiative,” said Tom Zajac, Wellcentive’s CEO. “Wellcentive’s enterprise-wide solution enables organizations to leverage the entire patient database, delivering a comprehensive view for providers to be able to improve clinical outcomes – the ultimate goal of CCM.”

The biggest change from previous Chronic Care Management (CCM) billing requirements is the renewed focus on patient collaboration and care coordination that comprise non face-to-face time. CMS created the new CPT code, (99490), to reimburse providers for doing what they likely already do – spend 20 minutes per month on non face-to-face care for patients.

“Though the new policy is not restricted to primary care physicians, the move toward care management in this population represents a profound shift in recognizing and rewarding high quality, coordinated care at the primary care level,” added Zajac, “This is because PCPs have the best ability to coordinate care across the continuum and spend much of their time doing so already.”

Data from CMS shows that in 2010, 63 percent of Medicare beneficiaries between 65 to 74 years had two or more chronic conditions.[1] The same year, Medicare spending totaled over $300 billion and increased significantly as the rate of chronic conditions increased.

With the high cost of Medicare spending and its large-scale impact on the U.S. healthcare system as a whole, investing in care management efforts in this population makes sense.

The strength of Wellcentive’s solutions for population health management has been recognized extensively in the last year by prominent industry analysts such as IDC Health Insights, KLAS and Chilmark Research. Wellcentive empowers health systems, providers, payers, employers and other organizations to drive improved outcomes by aggregating data across the continuum of care, applying analytics to identify and risk-stratify patients, and delivering action-based workflow to manage the health of populations.

 

About Wellcentive
Built from the ground up to help customers improve clinical, financial and human outcomes, Wellcentive’s population health management technology is cloud-based, scalable, and customized to meet the needs of providers, health organizations and payers. Wellcentive’s technology, insight and services help care teams measure and report performance and implement actionable workflow to drive value-based reimbursement and the transition from volume to value. Wellcentive has gained recognition as a leader in population health management in reports recently released
by IDC Health, KLAS and Chilmark. Wellcentive aggregates data from more than 3,000 interfaces, and its solutions improve outcomes for over 30 million lives. Visit www.wellcentive.com; follow us on Twitter, LinkedIn and Facebook; or call 877-213-8456 to learn more.

Wellcentive Unveils Proven DSRIP Solution to Improve Healthcare Quality and Reduce Costs for Medicaid Patients

ATLANTA, Georgia—January 13, 2015—Wellcentive, the industry leader in end-to-end population health management, today unveiled a solution package specifically designed to help healthcare organizations successfully participate with the federal government’s Delivery System Reform Incentive Payment (DSRIP) program. Wellcentive’s DSRIP solution enables these organizations to proactively manage and improve the performance measures on which DSRIP reimbursement is based.

Established by the Centers for Medicare & Medicaid Services (CMS), DSRIP is a new Medicaid funding (incentive) program that allows states with high uninsured and Medicaid populations to begin improving the quality of and access to care. State governments can utilize DSRIP funding to encourage providers to innovate and align Medicaid care delivery with the broader goals of healthcare reform: higher quality care, improved clinical outcomes and lower costs.

Wellcentive’s solution is currently helping healthcare organizations in New York and Texas meet DSRIP requirements for delivering and measuring quality care.

“We’ve had the privilege of working with early DSRIP participants, and that collaboration has enabled us to define the solutions and services required to meet the unique needs of the DSRIP program,” said Tom Zajac, CEO of Wellcentive. “To be successful with DSRIP, providers need to do more than just report on outcomes; they need tools to both track and improve care management and utilization. Our healthcare organizations have realized year-over-year improvements in the metrics used for DSRIP, and we look forward to helping other DSRIP organizations succeed as well.”

“Wellcentive got our solution up and running and our staff trained in record time so that we could start tackling the reporting required for transformation of care delivery,” said Sherry Wachtel, Executive Director of Clinical Research and Innovation at CHRISTUS Spohn Health System. “We are very pleased with the level of service Wellcentive has delivered and the way its solution is enabling better care delivery.”

Wellcentive enables providers to identify and engage at-risk patients, coordinate care across the continuum, close gaps in care and track how well they are managing Medicaid beneficiaries—from the individual patient all the way up to the community level. The company’s DSRIP solution includes high-impact services designated to help DSRIP organizations succeed, such as targeted data interface development, data quality services and proactive outcomes reporting.

“Whether our customers are just starting with PHM through DSRIP or simply adding DSRIP to their growing number of multi-payer programs, Wellcentive is well equipped to partner with them on their long-term population health management journey,” continued Zajac. “Our solution establishes an infrastructure for joining risk-sharing initiatives that include and expand upon the measure sets required by DSRIP. The federal government and private payers alike are moving the industry toward value-based care. Leveraging technology to analyze data and drive an effective workflow is essential to success in this new environment.”

About Wellcentive
Built from the ground up to help customers improve clinical, financial and human outcomes, Wellcentive’s population health management technology is cloud-based, scalable, and customized to meet the needs of providers, health organizations and payers. Wellcentive’s technology, insight and services help care teams measure and report performance and implement actionable workflow to drive value-based reimbursement and the transition from volume to value. Wellcentive has gained recognition as a leader in population health management in reports recently released by IDC Health, KLAS and Chilmark. Wellcentive aggregates data from more than 3,000 interfaces, and its solutions improve outcomes for over 30 million lives. Visit www.wellcentive.com; follow us on Twitter, LinkedIn and Facebook; or call 877-213-8456 to learn more.

Crain’s Detroit Business reports four Wellcentive hospital clients in Michigan receive millions in bonus payments from BCBS

Crain’s Detroit Business reports five healthcare systems—four of which use Wellcentive solutions to manage the health of their patient populations—earned a total of $50 million in shared savings from Blue Cross Blue Shield (BCBS) of Michigan. The five systems, including Wellcentive clients Trinity Health Michigan, Beaumont Health System, MidMichigan Health and Botsford Hospital, signed innovative, value-based reimbursement contracts with BCBS in 2011 and 2012. Read more here

Wellcentive Announces Addition of Industry Experts to Regional Leadership

ATLANTA, GA, January 9, 2015 – Wellcentive, the industry leader in end-to-end population health management, announced today that Bryan Ness has been appointed as Regional General Manager for the Western United States, and Jim Clifford has transitioned to the Regional Director role responsible for the Central and Midwest area of the country.

“Our company is growing rapidly as healthcare organizations recognize the need for solutions to help them manage their patient populations,” said Tom Zajac, Wellcentive’s CEO. “Bryan and Jim’s passion and expertise in population health solutions will be instrumental in meeting the needs of our customers and prospects in the market who are seeking to improve the quality and cost of care.”

 

Ness brings more than 20 years’ experience in the hospital, physician and payer markets—including responsibility for $300 million in sales—to his role as Regional General Manager. In his new role, he will head up market development including sales, customer relationships, and partnership development for the western half of the United States.

 

 

 

As a member of the Wellcentive team since its founding, Clifford has been instrumental to the growth and success of the company. He has worked in every facet of the company including implementation, user training, project management, product design and consulting. In his new role he will focus on sales and business development.

 

 

Wellcentive empowers health systems, providers, payers, employers and other organizations to drive significant value-based reimbursement gains by aggregating data across the continuum of care, applying analytics to identify and risk-stratify patients, and delivering action-based workflow to improve the health of populations.

About Wellcentive
Built from the ground up to help customers improve clinical, financial and human outcomes, Wellcentive’s population health management technology is cloud-based, scalable, and customized to meet the needs of providers, health organizations and payers. Wellcentive’s technology, insight and services help care teams measure and report performance and implement actionable workflow to drive value-based reimbursement and the transition from volume to value. Wellcentive has gained recognition as a leader in population health management in reports recently released by IDC Health, KLAS and Chilmark. Wellcentive aggregates data from more than 3,000 interfaces, and its solutions improve outcomes for over 30 million lives. Visit www.wellcentive.com; follow us on Twitter, LinkedIn and Facebook; or call 877-213-8456 to learn more.

Wellcentive Becomes First Solely Focused Population Health Management Vendor to Join CommonWell Health Alliance

ATLANTA, GA, December 16, 2014 – Wellcentive, an industry leader in end-to-end population health management (PHM) for healthcare organizations, today announced it is joining CommonWell Health Alliance (the “Alliance”) as a General Member.

CommonWell, a non-profit trade association, is dedicated to the simple vision that health data should be available regardless of where care occurs. Provider access to this data must be built into healthcare technology at a reasonable cost for use by a broad range of organizations and the people they serve. Wellcentive is joining CommonWell as the first solely focused PHM solution provider in support of this critical mission of improving interoperability.

“Each member of CommonWell brings a unique contribution to our team. Wellcentive will provide a fresh perspective on how to improve data flow to meet the PHM needs of healthcare organizations,” said Nick Knowlton, membership chair for CommonWell. “Data liquidity is integral to population health management, and managing populations is increasingly integral to the success of healthcare organizations.”

Wellcentive enables healthcare organizations of all sizes to better manage the health of their populations with the goal of improving care quality while reducing costs. It does this by helping these organizations analyze the data in their systems to identify and close care gaps, increase preventive and wellness care and better manage high-risk patients. By joining the CommonWell Health Alliance,
Wellcentive becomes a valuable member helping to enhance interoperability and participating in the conversation regarding the improvement of patient care.

“Since EHRs are one of the primary sources of data for PHM analytics, the two have always had a symbiotic relationship,” said Tom Zajac, Wellcentive’s CEO. “Improving data interoperability has a direct effect on our ability to deliver faster, more accurate insights that will help advance the delivery of care across the nation. As a leader and early innovator in the PHM space, Wellcentive fully supports the CommonWell mission and feels privileged to help these forward-thinking organizations shape the standards for the future. We view it as an important strategic step toward solving many of the healthcare industry’s most pressing issues.”

Wellcentive joins a diverse group of CommonWell members that have joined together to enable healthcare providers to manage patient identity, support consent management and facilitate better coordination along the broad care continuum. Today, CommonWell members are live with these services at more than 10 provider sites ranging from large acute hospitals to rural specialty practices. More than 20,000 people have enrolled since services launched in January 2014 and dozens of clinicians are leveraging these services daily. Membership is open to healthcare-centric organizations, systems and vendors—all those who share the Alliance’s vision for interoperability.

Wellcentive Recognized by KLAS as an Early Leader in Helping Healthcare Customers Realize Tangible Benefits

Wellcentive is helping customers see real improvements in outcomes, quality measures and care planning

ATLANTA, Ga.—December 16, 2014—Wellcentive has again distinguished itself as an early leader in helping customers see tangible results within the population health space. Among the top tier vendors in KLAS’s latest report, 89 percent of Wellcentive customers reported that they “realized tangible benefits” through the use of the company’s solutions.

In the Dec. 11th report by KLAS titled, “Population Health Performance: Emerging Market, Emerging Value,” customer respondents viewed Wellcentive as a partner who works alongside them to help deliver tangible benefits in improved quality and cost savings well above the competition. “There are incentives attached to all of those quality measures, so we get reimbursed for those too,” said one provider.

“Our customers recognize Wellcentive as more than just a technology play – but as a partner in helping them solve problems and deliver real value,” said Tom Zajac, Wellcentive’s CEO. “We believe that our focus on partnering with our customers and Wellcentive’s top rankings for realizing tangible benefits are directly linked, as substantiated in this report. We are proud to be named as a top performer in delivering clinical outcomes and quality measures.”

In the report, another customer affirmed that, “Wellcentive drives the most value for us.” Adding, “from an administrative, clinical and IT perspective we have not found a tool that exceeds the capability of Wellcentive, nor have we found a tool that has as much functionality.”

“With all the hype, noise and excitement in the industry around PHM, we feel like what matters most is which vendors are delivering real value,” said Zajac.

Wellcentive Named Finalist for 2014 Intel Innovation Award

Population health management solution provider recognized for innovation in the field of healthcare

ATLANTA, Ga.—November 20, 2014Wellcentive, the industry leader in end-to-end population health management (PHM) for healthcare organizations, announced today being named one of the four finalists for the 2014 Intel Innovation Award. Sponsored by Intel, the world leader in computing innovation, the award, in its fourth year, recognizes companies developing leading-edge technology and unique approaches to improving health and healthcare delivery processes.

Wellcentive’s Mason Beard, senior vice president of solutions and company co-founder, and Kirk Elder, chief technology officer, accept the finalist award plaque today at the 2014 Health IT Leadership Summit in Atlanta, Georgia.The Intel Innovation Award was presented to Jvion.

“We are greatly honored that such an innovative technology leader as Intel has recognized the unique value our solutions bring to the healthcare industry,” said Tom Zajac, Wellcentive’s CEO. “From the outset, we have focused on pragmatic solutions that meet healthcare organizations’ needs to improve patient care. At the same time, we work constantly to anticipate upcoming industry trends. Because of that vision, we’ve been able to deliver sophisticated technology and insight that help organizations focus on both the health and wellness of their population and manage the complexities of the healthcare environment.”

In October, a team of healthcare technology professionals selected Wellcentive as one of four finalists for the Intel Innovation Award. After a detailed evaluation of the companies’ offerings based on factors such as strength and selection of benefits, current and future impact, effect on workflow and implications for quality improvement, Wellcentive was named a finalist.

The strength of Wellcentive’s solutions for population health management has been recognized extensively in the last year by prominent industry analysts such as IDC Health Insights, KLAS and Chilmark Research. Wellcentive empowers health systems, providers, payers, employers and other organizations to drive improved outcomes by aggregating data across the continuum of care, applying analytics to identify and risk-stratify patients, and delivering action-based workflow to manage the health of populations.

Rio Grande Valley Health Information Exchange and University of Texas Health Science Center Select Wellcentive to Manage Health and Cost of Medicaid and Uninsured Populations

Population health management solution to support regional care coordination and reduce costs

ATLANTA, Georgia—November 18, 2014—Rio Grande Valley Health Information Exchange (RGV HIE), in partnership with University of Texas Health Science Center at Houston (UTHealth) School of Public Health campus in Brownsville, has selected Wellcentive’s suite of population health management solutions and services. Wellcentive will empower providers in a four-county area to partner with hospitals and clinics in the region to better manage the health of their Medicaid and uninsured patient populations, initially focusing on the care of patients with diabetes.

The project covers Cameron, Hidalgo, Starr, and Willacy counties. RGV HIE additionally serves patients in Jim Hogg, Webb, and Zapata counties. The project area has one of the highest rates of Type II diabetes in the U.S. — approximately 30 percent of its adult population suffers from the disease, and another 30 percent have prediabetes.

Under the direction of UTHealth, RGV HIE will implement the Wellcentive solution to establish a diabetes registry and deliver population health management tools to physician practices to identify and track co-morbidities, engage at-risk patients and reduce medical costs. The Texas region has a large Medicaid population and the highest uninsured rate in the state; both groups tend to have higher-than-
average incidences of diabetes and emergency room usage, making a diabetes registry and a population health management solution vital to controlling costs and improving clinical outcomes.

“Wellcentive’s solution will help physician practices deliver coordinated, targeted care to their diabetic patients. It will also allow us to track whether we are managing patients successfully—from the individual to the community level,” said Andrew Lombardo, executive director of RGV HIE. “This breadth of functionality was a key factor in our choice of Wellcentive. Physicians will have dashboards that help them prioritize and coordinate patient care, including alerts for patients who have not received recommended care. UTHealth and our HIE will have the analytics and workflow tools we need to refine the program and identify problem areas that require more focus and resources.”

RGV HIE’s Wellcentive solution will initially incorporate data from major health systems in Cameron and Hidalgo counties and will then expand to include health information from federally qualified health systems and accountable care organizations (ACOs).

“With population health management tools to standardize best practices, prioritize care management efforts and close gaps in care, physician practices in the Rio Grande Valley will be able to continuously improve clinical and financial outcomes,” said Tom Zajac, Wellcentive CEO. “We are proud to partner with RGV HIE and UTHealth in this important public health initiative.”

The UTHealth and RGV HIE diabetes initiative is a Delivery System Reform Incentive Payment (DSRIP) project to demonstrate innovation in care delivery to Medicaid beneficiaries. Texas is one of several states piloting these Section 1115 Research & Demonstration Projects to improve Medicaid management and reward providers for improving the cost and quality of care.

“The relative poverty of our region, combined with the high incidence of diabetes and other chronic conditions, creates an enormous social and economic burden,” said Joseph McCormick, M.D., regional dean of the School of Public Health, Brownsville Regional Campus, and director of this initiative. “We must take measures to relieve this burden. The Wellcentive population health management solution is foundational for helping us achieve our mission—starting with our diabetes population and then expanding to other conditions like heart disease, obesity and chronic liver disease.”

“Moreover, we are persuaded that this tool will help individual providers to spend more time talking to their patients by providing them with the key, timely information that they need, in a very efficient and usable format, with less time looking at computer screens and more time talking and counseling patients,” added Dr. McCormick. “Wellcentive will also provide tools for patients and other members of
the health team to provide better disease management.”

Wellcentive Establishes Inaugural Medical Scholarship for Veterans

Active or retired military veteran students can apply by March 15, 2015

ATLANTA, Ga.—October 11, 2014Wellcentive, the industry leader in end-to-end population health management (PHM) for healthcare organizations, proudly announced today the debut of its first Medical Scholarship for Veterans. This scholarship, which supports future healthcare professionals, will be awarded to one student intending to pursue a career in medicine.

“Inspired by our co-founder Mason Beard, who is a former United States Marine, Wellcentive proudly supports our armed forces who valiantly serve and protect our interests and citizens around the world, and especially those who wish to contribute to the field of medicine,” said Tom Zajac, Wellcentive’s CEO. “We are awarding $1,000 to one passionate veteran pursuing a doctor of medicine degree in 2015.”

To qualify for the Medical Scholarship for Veterans, active or retired military members representing the U.S. Army, Air Force, Navy or Marines must currently be enrolled or accepted at an accredited U.S. medical college or university in the coming academic year. Qualified candidates can apply by March 15, 2015. Wellcentive will announce the first scholarship winner on March 31, 2015.

The Medical Scholarship for Veterans online application and instructions can be found at http://www.wellcentive.com/medical-scholarship-for-veterans/

About Wellcentive
Built from the ground up to help customers improve clinical, financial and human outcomes, Wellcentive’s population health management technology is cloud-based, scalable, and customized to meet the needs of providers, health organizations and payers. Wellcentive’s technology, insight and services help care teams measure and report performance and implement actionable workflow to drive value-based reimbursement and the transition from volume to value. Wellcentive has gained recognition as a leader in population health management in reports recently released by IDC Health, KLAS and Chilmark. Wellcentive aggregates data from more than 3,000 interfaces, and its solutions improve outcomes for over 30 million lives. Visit www.wellcentive.com; follow us on Twitter, LinkedIn and Facebook; or call 877-213-8456 to learn more.

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