Health Choice Network (HCN) has selected Wellcentive for population health management solutions and services to drive integrated care management and quality reporting across HCN’s 46 health centers nationwide. 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. Financial terms of the deal were not disclosed.
“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.
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.
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.