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.
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.
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