Wellcentive Customers Named Winners of Dorland Health Case in Point Platinum Awards

Blanchard Valley Health System and Children’s Health Alliance honored for measurable outcomes in innovative population health programs

ATLANTA, Georgia – May 11, 2015 – Two Wellcentive customers, Blanchard Valley Health System and the Children’s Health Alliance, have been honored as winners in Dorland Health’s 6th Annual Case in Point Platinum Awards. Both organizations were recognized for implementing sustainable, value-based care strategies and population health programs using Wellcentive’s comprehensive solution and services. The Case in Point Platinum Awards honor organizations that best empower patients, improve adherence and wellness, manage quality care and contain healthcare costs.

Blanchard Valley Health System in Findlay, Ohio, was named the co-winner in the Disease Management/Population Health Programs category. Blanchard teamed up with a major local employer to establish a patient-centered medical home initiative that serves more than 4,000 enrollees. Designed to improve quality of care and to encourage enrollees to better manage their health, the medical home is driving better management of high-risk and high-cost patients, including an increase in preventive care compliance and a drop in unnecessary ER utilization. Enabled by Wellcentive’s PHM solution, the medical home nurse care navigator program has driven a documented return of $2.44 for every dollar invested in the program.

Children’s Health Alliance (CHA), a not-for-profit association of more than 100 independent primary care pediatricians in Oregon and southwest Washington, was named the winner in the Pediatric Case Management category. In conjunction with the Children’s Health Foundation, CHA has pioneered a pediatric-focused, technology-driven population health management (PHM) approach. This effort represents a new frontier in an industry that lacks well-developed evidence-based protocols for pediatric care.

The CHA team has achieved significant results to date, including dramatic improvements in asthma care and proactive care management, driven by a unique model for stratifying pediatric patients by risk based on both clinical and social factors. CHA has also developed a broad range of pediatric-specific protocols and quality measures. The group is collaborating with Wellcentive to incorporate alerts, guidelines and measures into a comprehensive approach to value-based care that will help pediatric care teams manage the health of their patients accurately and efficiently.

“We congratulate Blanchard Valley Health System and Children’s Health Alliance for their pioneering work to improve the quality and cost of care in their communities,” said Tom Zajac, CEO of Wellcentive. “These organizations are on the forefront of using technology and value-based care strategies to transform care delivery. We are honored to be a part of their efforts.”

The Case in Point Platinum Awards were presented May 7 at a luncheon held at the Hyatt Regency in Baltimore, Maryland as part of Dorland Health’s 7th Annual Care Coordination Summit.

About Wellcentive

Wellcentive’s solutions are built from the ground up to help our customers improve quality, optimize revenue, and transform the healthcare process. Our value-driven population health management solution combines our more than 10 years of population health management (PHM) experience with highly scalable cloud-based technology and transformative services to deliver clinical, financial and human outcomes for providers, health organizations, payers and employers. Wellcentive has gained recognition as a leader in population health management in reports by IDC Health, KLAS and Chilmark. We aggregate over one billion data points per month from more than 3,000 interfaces, improving 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 Named One of Three IT Companies to Embrace NCQA’s eMeasure Pilot Testing Program

eMeasure tests would streamline electronic health record reporting for quality measurement


NCQAlogo

WASHINGTON — (BUSINESS WIRE) — The National Committee for Quality Assurance (NCQA) announced today that three leading health care IT companies are participating in its electronic clinical quality measure (eCQM) pilot testing program, eMeasure. All three companies work with electronic health record (EHR) data. The program will test the ability to access and report data generated by EHRs for quality measurement purposes.

The pilot program, which includes 10 measures from the Adult and Child core set in the Meaningful Use program, serves as a starting point for what will become NCQA’s full eMeasure Certification program. The eMeasure tests will validate measure-specific software code that extracts data from EHRs. The program is modeled on NCQA’s Measure CertificationSM program that similarly validates software code used to extract data, but from health insurance claims. In both cases, NCQA validates the code by generating test data sets for each measure.

NCQA’s goal is to validate any electronic quality measures reporting ability to calculate the Meaningful Use measures and ensure the reliability of providers’ eCQM data transferred to health plans for Healthcare Effectiveness Data Information Set (HEDIS®) reporting. These tests will ensure that providers’ electronic health records data is accurately extracted and sent to be integrated into the data sets most often used to evaluate health care quality, HEDIS and Medicare Stars. IT companies, health plans, registries and providers that use certified software code are rewarded with reduced HEDIS audit requirements.

The three companies participating in the pilot program are:

  • Wellcentive, Inc., Alpharetta, GA
  • SpectraMedix SpectraMD USA, Inc., East Windsor, NJ
  • eClinicalWorks, LLC, Westborough, MA

For more information on the eMeasure Certification program, contact the NCQA Measure Validation Director, Anne Smith at 202-955-5154.

About NCQA

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers.

HEDIS® is a registered trademark of NCQA.
NCQA Measure CertificationSM is a service mark of NCQA. All rights reserved.

Contacts

National Committee for Quality Assurance
Andy Reynolds, 202-955-3518
reynolds@ncqa.org
or
Matt Brock, 202-955-1739
brock@ncqa.org

EvergreenHealth Partners Taps Wellcentive to Strengthen Ability to Coordinate Care with Patients

Atlanta, GA. April 8, 2015 —EvergreenHealth Partners announced today that it has signed an agreement with Wellcentive to empower the region’s first clinically integrated network of 500 employed and affiliated physicians to expand the way they provide coordinated care to more than 400,000 residents.

Wellcentive transforms providers’ operations to improve quality and efficiency of the care delivered by helping manage different at-risk patient populations needing enhanced and coordinated access to care.

Wellcentive will provide primary care and specialty physicians within EvergreenHealth Partners better-managed patient information, giving them access to a wealth of patient data including lab work and test results, while helping manage appointment schedules and patient follow-up visits.

“We know that the need to coordinate care does not end as the patient leaves a provider’s office or our hospital,” said EvergreenHealth CEO Bob Malte. “The talented providers behind EvergreenHealth Partners, along with their staff, have long been dedicated to providing that continuity, and the addition of Wellcentive’s industry leading solution will be a powerful tool to extend the reach of our care.”

Wellcentive also allows EvergreenHealth Partners to better identify high-risk patients by screening patients based on selected risk profiles, then focusing and customizing individual care management resources. Data analytics are available across several measures, including readmissions and chronic care management, to help the organization in its efforts to provide the highest quality care to its patients.

“The transformation from fee-for-service to value-based payments is happening quickly,” said Tom Zajac, Wellcentive’s CEO. “The aggressive timelines of federal, regional and commercial payer initiatives is driving that change. We are pleased to partner with EvergreenHealth’s progressive leadership and deliver the software and services they need for successful navigation of this transition.”

EvergreenHealth Partners is an independent clinically integrated network of physicians affiliated with EvergreenHealth. It selected Wellcentive after a comprehensive review of potential vendors.

For more information visit www.evergreenhealth.com and www.wellcentive.com

About EvergreenHealth

EvergreenHealth, a public hospital district and community-based health care organization established in 1972, offers a breadth of services and programs that is among the most comprehensive in the region. More than 950 physicians provide clinical excellence within more than 80 specialties, including cardiac, oncology, surgical care, orthopedics, a neuroscience institute, women’s and children’s services, hospice care, pulmonary care, a sleep disorders center and home care services.  EvergreenHealth serves more than 400,000 residents in its primary service area of northern King and southern Snohomish counties with EvergreenHealth Primary Care, a network of primary and urgent care practices, and its main hospital campus in Kirkland, Wash. EvergreenHealth also provides emergency care at two sites: its main hospital campus and the EvergreenHealth Redmond Medical Center.  In addition to clinical care, EvergreenHealth offers extensive community health outreach and education programs, anchored by EvergreenHealth Nurse Navigator & Healthline, a 24/7 nurse consultation service.

 About Wellcentive

Wellcentive’s solutions are built from the ground up to help our customers improve quality, optimize revenue, and transform the healthcare process. Our value-driven population health management solution combines our more than 10 years of population health management (PHM) experience with highly scalable cloud-based technology and transformative services to deliver clinical, financial and human outcomes for providers, health organizations, payers and employers. Wellcentive has gained recognition as a leader in population health management in reports by IDC Health, KLAS and Chilmark. We aggregate over one billion data points per month from more than 3,000 interfaces, improving 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.

Pioneer in Pediatric Population Health Management Shares Best Practice Approaches to Improving Outcomes at HIMSS15

WHAT:
Children’s Health Alliance (CHA), an award-winning pioneer in pediatric population health management (PHM), will share how it is operationalizing its innovative, community-wide solution for improving pediatric outcomes using Wellcentive’s technology at the Healthcare Information and Management Systems Society’s Annual Conference & Exhibition (HIMSS15) in Chicago. Demonstrations of CHA’s solution for population health management are available at the Wellcentive booth 8739.

PRESENTATON TIME/PLACE:
Monday, April 13, 2:30 to 3:30 p.m. CT, Room W196C, McCormick Place, Chicago.

TOPIC:
CHA’s Deborah Rumsey, executive director, and Julie Harris, director of quality programs, will outline the pediatric group’s quality improvement journey in a presentation titled Pediatricians Pioneer Population Healthcare Approaches. Topics include:

  • Drivers for physician-led, office-based care management
  • Program design for a community-wide population health solution
  • Demonstrating value to physicians, families and other community stakeholders
  • Methodologies for assessing the level of support patients need from their care team
  • Operationalizing a technology-driven, community-wide population health solution

CHA will share the specific, measurable results of its efforts, as well as how technology is bringing its quality program to life—activating data to provide insights, enable workflows and enhance management of high-risk populations.

WHY:
Few topics are more important for providers today than implementing programs and solutions to accelerate the transformation necessary to prosper in the new world of value-based care. CHA’s perspective on this topic is of particular interest since robust systems and models for population health management have not been standardized in pediatrics. Much of the effort nationwide in developing those models and methods has focused on adult populations and fails to take into account the unique developmental needs of children and their families.

INTERVIEW OPPTYS:
Julie Harris, Director of Quality Programs, and Deborah Rumsey, Executive Director, Children’s Health Alliance and Children’s Health Foundation. Interviews can be arranged post HIMSS15.

Wellcentive’s solutions are built from the ground up to help our customers improve quality, optimize revenue, and transform the healthcare process. Our value-driven population health management solution combines our more than 10 years of population health management (PHM) experience with highly scalable cloud-based technology and transformative services to deliver clinical, financial and human outcomes for providers, health organizations, payers and employers. Visit www.wellcentive.com; follow us on Twitter, LinkedIn and Facebook; or call 877-213-8456 to learn more.

Wellcentive Sponsors CMS Informational Webinar on Value-Based Payment Modifier and PQRS 2015 Policies

ATLANTA, Georgia – March 30, 2015

WHAT:
Daniel Green, M.D., F.A.C.O.G., medical officer for the Centers for Medicare and Medicaid Services (CMS), presents a complementary webinar titled “Maximize Your Efforts” that answers questions about 2015 policies for the Value-Based Payment Modifier and the Physician Quality Report System used to calculate differential payments for physicians under the Medicare Physician Fee Schedule. The free webinar is sponsored by Wellcentive, the industry leader in end-to-end population health management solutions and services.

Dr. Green will answer questions concerning:

  • What is the Value-Based Payment Modifier (VBM)
  • Who can elect to report as a group practice reporting option (GPRO)
  • How is VBM determined by PQRS participation
  • How can PQRS and VBM reporting drive improvements in the cost and quality of care

TIME/PLACE/REGISTRATION:
The webcast is Thursday, April 2, 12:00 PM – 1:15 PM EDT. Registration is available here.

 WHY: 
CMS is accelerating its timeline transitioning Medicare to a value-based reimbursement model. Providers need a clear understanding of participation criteria, how to receive maximum compensation by reporting the right quality and cost data, and other fundamentals of this new payment structure. They furthermore need direction on how value-based care affects current reporting initiatives, what will change and what will stay the same.

WHO:
Dr. Green of CMS’ Quality Measurement & Health Assessment Group has been involved with the PQRS and eRx initiatives since they began and today he leads both the registry and reporting for these programs. Prior to CMS, as a private practitioner he helped develop two separate electronic medical record systems.  
Wellcentive’s solutions are built from the ground up to help our customers improve quality, optimize revenue, and transform the healthcare process. Our value-driven population health management solution combines our more than 10 years of population health management (PHM) experience with highly scalable cloud-based technology and transformative services to deliver clinical, financial and human outcomes for providers, health organizations, payers and employers. Wellcentive has gained recognition as a leader in population health management in reports by IDC Health, KLAS and Chilmark. We aggregate over one billion data points per month from more than 3,000 interfaces, improving 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.

Two Healthcare Informatics Innovator Awardees Use Technology to Manage Population Health and Value-based Reimbursement

Children’s Health Alliance and Blanchard Valley Health System improve population health outcomes and lower costs with the help of Wellcentive

 ATLANTA, Georgia—March 24, 2015—Two Wellcentive clients, the Children’s Health Alliance and Blanchard Valley Health System, have been honored as winners of the annual Healthcare Informatics (HCI) Innovator Awards. Both organizations earned recognition for implementing value-based care strategies and proactively managing the health of their patient populations, using Wellcentive’s comprehensive technology and service solutions. The HCI Innovator Awards Program recognizes healthcare leadership teams who have effectively employed information technology to make a difference in their organizations and in the industry at large.

Children’s Health Alliance (CHA)—a not-for-profit association of more than 100 independent primary care pediatricians in Oregon and southwest Washington—was named the co-second place winning team. CHA has pioneered a pediatric-focused population health management (PHM) approach, representing a new frontier in an industry that lacks well-developed evidence-based protocols for pediatric care. The CHA team has achieved significant results to date, including dramatic improvements in asthma care and proactive care management, driven by a unique model for stratifying pediatric patients by risk based on both clinical and social factors.

CHA has also developed a broad range of pediatric-specific protocols and quality measures. The group is collaborating with Wellcentive to incorporate alerts, guidelines and measures into a comprehensive approach to value based care that will help pediatric care teams manage the health of their patients accurately and efficiently.

HCI recognized Blanchard Valley Health System in Findlay, Ohio, as an award semifinalist for teaming up with a large manufacturer to tackle the healthcare value challenge. Blanchard and the local employer established a patient-centered medical home initiative—enabled by Wellcentive’s PHM solution—to get more value from providers and to encourage employees to better manage their health. Serving more than 4,000 employees, the medical home is driving better management of high-risk and high-cost patients, including an increase in preventive care compliance and a drop in unnecessary ER utilization ─ driving a documented return of $2.44 for every dollar invested in the program.

“Blanchard Valley Health System and Children’s Health Alliance are two excellent examples of provider organizations transforming the process of healthcare in this country, driving measurable improvement in the quality, cost and proactive management of health for their customers,” said Tom Zajac, CEO of Wellcentive. “We congratulate them on this recognition and are honored to support their groundbreaking achievements.”

Leaders of these teams, along with the other award winners, will be recognized at the Healthcare Informatics Innovator Awards and Leading Edge Awards Reception to be held 6:30 to 10 p.m. Central April 13 in Chicago at the annual Healthcare Information and Management Systems (HIMSS) Conference.

About Wellcentive
Wellcentive’s solutions are built from the ground up to help our customers improve quality, optimize revenue, and transform the healthcare process. Our value-driven population health management solution combines our more than 10years of population health management (PHM) experience with highly scalable cloud-based technology and transformative services to deliver clinical, financial and human outcomes for providers, health organizations, payers and employers. Wellcentive has gained recognition as a leader in population health management in reports by IDC Health, KLAS and Chilmark. We aggregate over one billion data points per month from more than 3,000 interfaces, improving 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.

The Physician Alliance Expands Rollout of Wellcentive Solution to Improve Quality, Earn Value Based Care Incentives from Payers

Technology-enabled population health management maximized physician group’s pay-for-performance reimbursement

ATLANTA, Georgia—March 23, 2015—To enable its physicians to participate successfully in quality programs and risk-based contracts, The Physician Alliance, a group of more than 2,100 primary care and specialty physicians in southeast Michigan, has expanded its partnership with Wellcentive, the industry leader in end-to-end population health management solutions. Under the new agreement, The Physician Alliance will increase the number of physicians using the Wellcentive solution, roll out care management technology to empower care teams and adopt the company’s services for managing data quality.

Expanded use of Wellcentive’s population health management solution is a critical component of The Physician Alliance’s strategy for managing risk as the healthcare industry transitions to a value-based care delivery model. The physician organization has already experienced success using the Wellcentive solution to participate in Blue Cross Blue Shield of Michigan’s Physician Group Incentive Program (PGIP). The group’s physicians received the maximum pay-for-performance reimbursement under the program in both 2013 and 2014.

“We formed our organization with the express intent of creating a high-performing network of physicians who could work together to transform the care delivery model and participate more easily in value-based contracts with payers,” said Michael Madden, CEO and president of The Physician Alliance. “Wellcentive has already proven its value in helping us achieve value-based reimbursement. We are confident that we have the technology foundation in place to manage an increasing number of payer-led initiatives.”

“Our enhanced partnership with The Physician Alliance will empower physicians and staff to serve their patient population more efficiently and effectively,” said Tom Zajac, Wellcentive’s CEO. “Over the past few years, we have worked with the physician organization to optimize pay-for-performance success. We are honored to continue supporting them in managing an increasingly complex array of value-based contracts and to prepare for the rapid shift where physicians take on significant risk.”

Wellcentive’s platform enables healthcare organizations to aggregate data from all modalities of care, standardize best practices for managing care and continuously improve clinical and financial outcomes. Wellcentive’s care management solution, which The Physician Alliance will now incorporate into its existing Wellcentive solution suite, will help physician practices manage complex cases, support transitions of care, and empower nurses and providers with insights and workflow to drive optimal population health.

The new agreement also includes Wellcentive’s services for monitoring and improving data quality. Critical to accurately directing care processes, Wellcentive will monitor the physician group’s data to structure and ensure a complete longitudinal view of information that is consistent, accurate and actionable for physicians.

About The Physician Alliance
The Physician Alliance, LLC (TPA) is one of the largest physician organizations in Michigan. TPA works to establish a high performing network of physicians committed to evolving the care model strategy while remaining consistent with the principles of the Patient Centered Medical Home. Serving more than 2,100 physicians, TPA supports members through contracting and collaboration with third party payers, educational services, networking opportunities, discount product programs, public advocacy and collaboration with other stakeholders in Michigan healthcare. Membership is open to any board certified or board eligible physician with hospital staff privileges at an accredited acute care hospital. For more information and to join TPA, please visit www.thephysicianalliance.org or call (586) 498.3555.

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.

Children’s Health Alliance Presents “Pediatrics Population Health Management in Action” at IHI’s 16th Annual International Summit

ATLANTA, Georgia – March 13, 2015

PRESENTATION TIME/PLACE:
Tuesday, March 17, 9:30-10:45 a.m. CT, Gaylord Texan Resort and Convention, Dallas. Click here.

WHAT:
The Children’s Health Alliance (CHA) will present a detailed overview of its pediatrics population health collaboration among 100 private practice pediatricians in Oregon and southwest Washington that improves delivery of office based pediatric care management and population health management. These practices identified child/family needs to segment 81,000 children over a two-year period.  Their insights will be shared at the Institute for Healthcare Improvement’s (IHI) 16th Annual International Summit on Improving Patient Care in the Office Practice and the Community. CHA is a client partner of Wellcentive, the industry leader in end-to-end population health management solutions and services.

CHA’s Drs. Jay Rosenbloom and Albert Chaffin, both practicing pediatricians, will describe how the initiative expanded from a homegrown asthma care management program to a full-fledged population health management approach that engages community partners. The program included a pediatrics needs assessment and segmentation tool, common language and approach to pediatrics population segmenting, and an asthma registry along with meaningful measures and other tools. Findings from this pioneering work in pediatrics population health management can help organizations:

  • Enable physicians to segment patient panels based on level of support needed from the care team
  • Deploy core competencies and operational approaches, including how to identify, prioritize and track patients needing care management
  • Demonstrate methods to engage providers through shared learning and rapid-cycle development and implementation
  • Use meaningful pediatric care measures and analytics to sustain quality patient care coordination

WHY:
Children are experiencing chronic illnesses such as asthma, obesity and ADHD at record rates, a serious U.S. health concern that cannot be dealt with only at the individual level of care. By contrast, population health management offers enhanced approaches to make a meaningful reduction in these rates – especially when providers and their care teams are equipped with practical and actionable tools and analytics capabilities. The CHA presenters will offer valuable information about their approach and tools for proactive office-based care management and measures for care for their entire population, in particular children and youth with special health care needs.

INTERVIEW OPPTYS:
Jay Rosenbloom, M.D., Chair of Population Health Management, Children’s Health Alliance
Albert Chaffin, M.D., Medical Director, Children’s Health Alliance

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.