Synopsis of CCNC Initiatives

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Presentation transcript:

Synopsis of CCNC Initiatives PTN CCPN HHN The Heart Health Now program helps small and medium-sized primary care practices improve prevention of cardiovascular disease (CVD). This is accomplished by building systems of care which integrate best practices, provide access to population health management tools, and optimize the use of EHRs for value-based payment models. Practice Transformation Network is a 4-year CMS sponsored program that prepares NC and SC providers for success in a value-based environment. Clinicians will achieve sustained improvement in practice efficiency and quality of care, demonstrate cost savings and reductions in avoidable hospital use.   Patients will use more preventive services, engage in better management of chronic conditions, have better health outcomes, and report greater satisfaction with care received The Community Care Physician Network is a collaborative, non-exclusive Clinically Integrated Network of independent healthcare providers. The CCPN will enhance the clinical quality and efficiencies of its participating providers, broaden primary care access for our Medicaid patients, and help participating clinicians to succeed in a value-based healthcare system 1 2 3

Program Comparison PTN CCPN HHN Preparation for Value-Based Care Reimbursement Population Health Management Infrastructure Provided by CCNC Care and Disease Management Comprehensive Medication Management TBD/ CCNC Contract TBD/ CCNC Contract N/A

Preferred but not required initially Program Comparison PTN CCPN HHN Behavioral Health Integration Support in Quality Improvement Work within the Practice Connect you with the Tools to Enhance Practice Transformation Quality Data Collection & Reporting through EMR Connection to CCNC’s Informatics Center N/A N/A N/A TBD/ CCNC Contract Preferred but not required initially

Program Comparison PTN CCPN HHN Core Measure Sets CMEs (at no cost) Providers who are Eligible to Enroll: Pediatricians, Family Physicians, Internists, Physician’s Assistants, Nurse Practitioners, Specialists Practices Not Eligible to Enroll Aligned with National Standards Agreed Upon by Members CVD Measure Set N/A Practice Enrollment (Family & Internal Medicine) Participation in MSSP ACO; Bundled Payment Program Non-CAII; Not serving adults; >10 providers per site N/A

Program Comparison PTN CCPN HHN Practice Ownership: Independent, Health System, Hospital Fee for Participation Funding and Time Period >50% of 2,000 Primary Care Clinicians Independent Independent, Health System, Hospital, ≤10 providers per site Independent, initially N/A N/A Waived until April 30th, 2016 CMS 2015 to 2019 AHRQ 2015 to 2018 3-Year Term Agreement