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Geneia: The 11 Questions Physicians Need to Ask Their Health Plan Partners about Value-Based Reporting

Physicians, Your Value-Based Care Success Depends on the Answers


News provided by

Geneia

Apr 11, 2017, 08:00 ET

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MANCHESTER, N.H., April 11, 2017 /PRNewswire/ -- Despite ongoing conversations in Congress to 'repeal and replace' the Affordable Care Act, it seems increasingly clear value-based care is here to stay. That's why Geneia created a list of 11 key questions physicians need to ask their health plan partners about reporting, ideally before they sign a value-based contract.

Experience the interactive Multimedia News Release here: https://www.multivu.com/players/English/80176243-geneia-11-questions-physicians-ask-value-based-care/

Physicians, before signing another value-based care contract, ask your health plan partners 11 key questions about reporting. Your success depends on their answers.
Physicians, before signing another value-based care contract, ask your health plan partners 11 key questions about reporting. Your success depends on their answers.

Health plans have been moving aggressively to create value-based care contracts with participating providers. The number of accountable care organizations (ACOs) has increased 13-15 percent in each of the last two years, and today there are more than 935 ACOs with 1,300+ contracts. The success of these health plan-provider partnerships largely depends upon timely, actionable information about patients and populations.

Having learned an electronic health record (EHR) is insufficient to manage and improve the cost and quality of care in value-based relationship, the savviest physician practices are asking their health plan partners 11 key questions about their reporting tools, including:

  1. Does the health plan reporting tool automatically push notifications into my practice's EHR?
  2. Does the reporting tool tell me aggregate contractual performance-to-date on quality metrics like HEDIS® and Medicare Star ratings, as well as identify which patients still have open quality opportunities?
  3. How does the reporting tool help me identify which of my patients are experiencing rising risk?

To view all 11 questions, visit our blog. 

SOURCE Geneia

Related Links

http://www.geneia.com

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