As American healthcare transitions from fee-for-service to value-based care, a growing number of healthcare systems will generate a significant portion of their revenue from risk-based payment models. In these new models, caring for more complicated patients results in higher capitation rates. While this may be good news for provider organizations — especially organizations that serve many older or chronically ill patients — there are several steps healthcare systems need to take to ensure success in these new payment models.
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About Gene Rondenet
This author has yet to write their bio.Meanwhile lets just say that we are proud Gene Rondenet contributed a whooping 5 entries.
Entries by Gene Rondenet
qrcAnalytics, a healthcare technology company dedicated to bringing clarity to the complexity of quality, risk and cost, has earned the National Committee Quality Assurance (NCQA) certification for all 22 of California Align, Measure and Perform (AMP) quality measures. The NCQA certification process is a rigorous process designed to verify the accuracy of the quality measurements tested. The qrcAnalytics platform includes all the quality measurements used throughout the healthcare provider industry and all those measurements have received the most current NCQA certification.
The California Value Based Pay for Performance (VBP4P) program is the largest alternative payment model in the United States. It predates healthcare reform by almost a decade. The program was launched in 2001 as a statewide initiative managed by the Integrated Healthcare Association (IHA) on behalf of 10 health plans. The VBP4P has been deploying quality measure sets and reporting results and the program is the longest running example of the power of the transition to value-based care.
qrcAnalytics provides actionable data and quality service based on a holistic view of the clinical practice. We are acutely aware of the challenges facing clinicians and respect the workload of clinical staff. We provide data and services that improve the quality of care rendered to the patient and support accurate compensation without excessive interruption of the clinicians’ daily workflow.
When is the right time for your organization take on risk? This qrcRiskReadiness Assessment™ is designed to answer that question and to help you methodically phase in risk and build core capabilities to better manage your population. Quality, Risk (CMS-HCC), Evaluation/Management Services, and Chronic Condition Management initiatives have traditionally been siloed programs within provider organizations. Yet the coordination of these programs, in conjunction with the active management of your member populations, is critical to the success of taking on risk. This assessment takes a holistic approach to scoring your risk readiness by providing analysis and actionable data that spans across all of these critical initiatives.