MedNet and the Physicians Organizations, along with the Medical Society of Delaware, are currently working to help enhance the quality of care and patient satisfaction for Delawareans. The Delaware Care Collaboration ™ (DCC) is a Medicare Shared Savings Program Accountable Care Organization (ACO) launched January 1, 2016, in affiliation with Saint Francis Healthcare/Trinity Health. Physician members are provided an opportunity to contract with the DCC. Please visit http://www.decarecollaboration.com for more information.
Formation of a Clinically Integrated Network (CIN)
MedNet and HealthEC are in the process of unifying nearly 900 physicians across four provider organizations through the formation of a CIN. HealthEC is integrating data across multiple specialties Electronic Medical Records systems (EMRs) onto a single platform, enabling physicians to work collectively to improve patient care, decrease cost, and demonstrate value to the market. The ability to share clinical information on common patients and collectively drive population health management initiatives positions MedNet’s members to succeed under value-based care arrangements.
Pursuit of Value-based Care Contracts
As the industry transitions from fee-for-service arrangements to more advanced payment models, HealthEC and MedNet are working on behalf of physicians to secure value-based contracts that will enable members to remain competitive while managing higher levels of accountability for the care of Delawareans. Value-based contracts contain more sophisticated provisions than the traditional reimbursement structure including financial risk constructs, patient attribution, data sharing arrangements, and quality measures. HealthEC and MedNet are developing short and long-term plans for navigating the value-based care transition while ensuring financial health.
Merit-based Incentive Payment System (MIPS) / MACRA Reporting
The CMS MIPS program uses payment incentives to move providers to a performance-based care model. HealthEC’s MIPS reporting program simplifies the process and maximizes incentives for MSD members. Comprehensive data analysis identifies baseline performance and informs improvement initiatives across providers and practices. Dashboards help providers monitor their ongoing compliance with key metrics, and simplifies the data submission process. Register here, call today (732-902-0070) or email to learn more.
Revenue Enhancement for Annual Wellness Visits (AWV) and Chronic Care Management (CCM)
Many physicians are not taking advantage of revenue opportunities for services that, in many cases, they are already providing to Medicare recipients. MedNet and HealthEC are helping practices identify qualifying patients and coordinate their care.
- Annual Wellness Visits (AWV): Physicians delivering preventive care services and health risk assessment screenings on an annual basis may bill separately for the AWV service.
- Chronic Care Management (CCM): Designated clinicians who manage Medicare beneficiaries with two or more chronic conditions can receive a monthly, per beneficiary fee for time spent outside of office visits for tasks such as care coordination, patient communication, medication refills and care provided electronically or by telephone.
Call today (732-902-0070) or email
HealthEC to learn more about AWV and CCM.
MedNet is working to stay ahead of the curve, remaining actively engaged and well positioned to address the needs of physicians in Delaware’s evolving health care reform environment. If you have any questions, are interested in joining one of the physician organizations, or are a current PO member with changes to report, please contact:
LoriAnn Rhoads, MedNet