Federally Qualified Health Centers

Population health management laboratories

Since the culmination in 2014 of CMS’ Federally Qualified Health Center (FQHC) Advanced Primary Care Practice demonstration project, the understanding of FQHCs as a viable proving ground for preventive care, population health management and care coordination has only grown.

Traditionally delivering care to underserved populations as safety net providers, the evolving FQHC model has framework elements for value-based care (VBC) success. The primary care demonstration project fine-tuned FQHC delivery of more than 400 centers into the types of medical home models now receiving broad VBC incentive payments.

In 2016, the CMS Physician Fee Schedule expanded chronic care management fees to FQHC providers, and current MACRA language is also seeking ways to include FQHC providers.

Philips Wellcentive and health center controlled networks

The growth of FQHCs as sophisticated delivery collaborations has been aided by Health Center Controlled Networks (HCCNs), which merge regional FQHCs to expand services and capabilities.

Philips Wellcentive works with HCCNs to network health IT products and services for data aggregation and analytics, care coordination, risk stratification, transitions of care and quality reporting.

Uniform data system quality reporting

Supported by federal funding through the Health Resources and Services Administration (HRSA), FQHC quality performance is submitted in part through Uniform Data System (UDS) measures.

Philips Wellcentive supports this measures reporting system as part of its platform offerings. Other capabilities match key needs of growing FQHC networks:

  • Enhanced interoperability: Aggregate, translate and analyze data across multiple systems to increase its use and improve quality reporting
  • Maximize payments: Ensure data is reported effectively and completely to capture all relevant payments, reimbursements, and bonuses—while avoiding costly penalties
  • Manage population health: Effectively monitor health trends among patient panels via analytics and alerts enhancing care management
“This is an exciting partnership for us as we grow our network and expand our focus on population health and care management for the lives we impact. Our mission includes providers and locations across 15 states, so it was critical to choose a partner that could both aggregate and normalize data across a diverse care delivery and technology network, and allow us to drive our vision for quality, care management, network integration and optimal patient care.”
Alejandro (Alex) RomilloPresident and CEO, HCN
Additional resources

Health Choice Network selects Philips Wellcentive to advance population health, care management and integration throughout U.S. health centers

Read press release

Key capabilities

Aggregation

Aggregation

Aggregate and normalize data from multiple clinical and claims systems

Analytics

Analytics

Provide actionable insight for any PHM or VBR program

Action

Action

Proactively improve clinical outcomes and optimize utilization

Accountability

Accountability

Submit data and outcomes directly to CMS and Commercial Payers