Helping Practices Succeed in VBC
Practice Consulting
- Consultants meet with practices monthly
- Focused support for quality, cost, and risk performance
- Improve clinical and financial outcomes
Payer Contracting
- Access to multiple-payer contracts
- Negotiation of contract terms from a physician practice perspective
- Enhanced performance in VBC contracts
PCMH & Quality
- Support PCP practices in transforming into a medical home
- Assist practices to implement PCMH capabilities and achieve/maintain PCMH designation and specialist VBR
- Educate staff on population health practices and understand the various payer clinical quality measures to close gaps in care
Cost & CQls
- Educate practices on health plan clinical quality initiatives & monitor participation to meet standards. For example, PDCM, CoM
- Assist practices in understanding the overall utilization and cost of care
- Provide practice-specific data and identify opportunities with actionable interventions
Analytics & Reporting
- Portal access to analytics and performance reports
- Provide the insights necessary to manage your patient population effectively
Risk Coding
- Assess practices for correct ICD-10 and HCC coding
- Educate physicians and practice staff on the importance of accurate risk coding
- Medical record audits to determine opportunities for improvement
Contracts At A-Glance
BCBSM PGIP & PGIP Initiatives
- Fee uplifts (VBR)
- Quality Incentives
BCBSM - Blueprint Commercial and Medicare Advantage
- Upside and downside risk
Blue Cross Complete
- Quality Incentives
Blue Care Network: Commercial and Medicare Advantage
- Upside and downside risk in Commercial
- Gainshare in MA
- Quality Incentives in both
Health Alliance Plan: Commercial and Medicare Advantage
- Gainshare in both
- Quality Incentives in both
Meridian
- Gainshare
- Quality Incentives
Priority Health
- Quality Incentives
Molina
- Quality Incentives
When you choose to align with our physician-owned and physician-governed organization, you are embracing a dynamic network that offers an abundance of resources, including practice operations optimization, fosters collaboration, and provides unwavering support. Together, we can elevate healthcare standards to new heights. Discover the advantages of our value-based care by reaching out to our Michigan office at (800) 594-6115.