Healthcare Management Services Organization supports care for more than one million patients across national network of FQHC, ACO and group practice settings
Atlanta, GA – April 11, 2016 — Wellcentive, a leader in value-based care solutions, today announced that Health Choice Network (HCN) has selected the company’s population health management products and services to drive integrated care management and quality reporting across HCN’s 46 health centers nationwide.
HCN’s network includes federally qualified health centers (FQHCs), physician practices and accountable care organizations (ACOs) serving more than one million children, families and seniors in need of affordable and quality healthcare.
“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,” said Alejandro (Alex) Romillo, HCN president and CEO. “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.”
The partnership will also include a collaborative effort for expanding quality measures, value-based insurance design (VBID) and financial analytics to track and demonstrate approaches to treating complex chronic care patients within underserved communities.
“Health Choice Network has been innovating the management of care across a highly critical and historically underserved segment of the population, and we are honored to work with such a forward-thinking organization,” said Tom Zajac, Wellcentive CEO. “The expanse of their network, and the needs of their provider organizations and partners requires a comprehensive focus on data aggregation, data quality, analytic insight, reporting and actionable workflows. That focus will drive improved reimbursement, coverage and outcomes, and we are excited to both support HCN’s vision and jointly define innovative approaches to value-based insurance for the entire industry.”
Innovating Quality Measures and Insurance Design Models
Within the building of a national data platform focused on population health management, Wellcentive will submit and track varying data types, including Health Effectiveness Data and Information Set measures for HCN providers, and anticipates building new Uniform Data System measures reporting as part of the federal government’s Health Resources & Services Administration (HRSA) grants to health centers treating underserved communities.
HRSA-funded health centers are evaluated on performance measures around quality, outcomes and disparities, financial viability and costs.
“We are constantly being presented with new opportunities and challenges by evolving payment models, and we are motivated to explore the best ways to keep what are often our country’s most vulnerable patients engaged,” added Romillo.
To meet that goal, HCN and Wellcentive are partnering to analyze the costs, care plan adherence and outcomes of VBID programs.
“Constructed as part of the Affordable Care Act’s goals to lower healthcare costs and improve clinical quality among Medicare patients requiring chronic care, value-based insurance is seen as an alternative to high-deductible plans by shifting costs from short-term patient expenses to long-term savings for the healthcare system,” said Zajac, “and we want to help HCN contribute to developing these models.”
The models waive or lower copays to motivate patients to seek recommended care. The Centers for Medicare & Medicaid Services is planning a five-year, seven-state demonstration project to test effectiveness beginning in January of 2017.
About Health Choice Network
Health Choice Network, Inc. is a successful nationwide and collaborative management services organization serving health centers, health center-controlled networks and partners. By providing key business services, strategic initiatives and the latest in health information technology, participants can improve patient outcomes through increased efficiencies and more accessible care. With 46 health centers in 15 states serving more than one million patients, Health Choice Network, Inc. is recognized as a leader in the integration of health information technology among health centers and safety net providers. For more information, please visit www.hcnetwork.org.
Since 2005, Wellcentive has driven quality improvement, revenue growth and business transformation for providers, health systems, employers and payers transitioning to value-based care. Our highly scalable, cloud-based and value-driven population health management solution provides long-term partnership services to impact clinical, financial and human outcomes.
Recognized as a leader in population health management in reports by IDC Health, KLAS and Chilmark,Wellcentive helps our customers provide care management for more than 30 million patients and achieve more than $500 million annually in value-based revenue.