Provider Insider

Network news

Winter 2018 | Issue No. 2

An update about what is happening within the Integrated Network

 

Welcome to Coordinated Care!

CMS SNF Three-Day Rule Waiver accepted

Our Provider Portal is on the horizon–connecting with providers is about to get easier

Did you know …


Welcome to Coordinated Care!

Beyond the original Coordinated Care members—UCHealth Medical Group, CU Medicine, Associates in Family Medicine and Family Medicine Center—30 additional practices have joined us, including locations in Steamboat Springs, Fort Collins, Colorado Springs and Pueblo. These equally committed providers will help improve patient accessibility and expand our footprint in Colorado:

 

From Colorado Springs:

  • Dublin Primary Care
  • Matthews-Vu Medical Group

From Pueblo:

  • Bradley Smith, MD
  • Centennial Surgical Associates
  • Champions Family Medicine
  • Children’s Clinic of Pueblo
  • Christopher Louie, MD
  • Christopher Vialpando, MD
  • Family Care Specialists
  • Gregory Day, DDS
  • John Highfill, MD
  • Parkview Ancillary Services
  • Parkview Urology
  • Pueblo Cardiology Associates
  • Pueblo Family Medicine
  • Pueblo Infectious Diseases
  • Pueblo Women’s Center
  • Sangre de Cristo Internal Medicine
  • Sangre de Cristo Surgical Associates
  • Southern Colorado Clinic
  • Stepping Stones Pediatrics
  • Steven Kinnett, MD
  • Theodore Puls, MD
  • University Family Medicine Center
  • Urology Consultants
  • Women’s Health Center

From Steamboat Springs:

  • Steamboat Pediatrics
  • Steamboat Medical Group
  • Yampa Valley Medical Associates
  • Yampa Valley Medical Center

CMS Skilled Nursing Facilities (SNF) Three-Day Rule Waiver accepted

 

We are pleased to share the wonderful news: The Centers for Medicare & Medicaid Services (CMS) accepted our application to participate in the CMS SNF 3-Day Rule Waiver, to review the details. MSSP patients no longer are required to spend three days in an acute hospital setting prior to admission to a skilled nursing facility.

 

Following an evaluation of a MSSP beneficiary and the decision to place the eligible patient in an approved SNF, the physician will place the order in Epic. The care manager will then assist with transferring the eligible patient to an approved SNF.

 

“This is incredibly exciting for Coordinated Care, as it will enhance patient care and lower hospital costs,” says Jenny Bajaj, MD, MPH, vice president, clinical integration, and operations.


 Provider Portal—Connecting with providers is about to get easier

 

Improving communication between Coordinated Care and participating providers is critical to achieving our quality health care goals.

 

“We’re encouraging all providers to share their ideas and best practices so everyone can benefit from our collective expertise,” says Dr. Austin Bailey, medical director, population health, UCHealth. “And I’m excited to share that communication is about to get even better.”

 

To ensure the timely distribution of essential information, Coordinated Care is developing a Provider Portal. The target completion date is the end of April 2018. Once live, the portal will deliver the following functionality:

  • Secured access to Network providers/practices
  • Provider directory
  • Document repository (i.e., access to policies and procedures, forms, reports, etc.)
  • Network provider/practice custom reports
  • Secured messaging between and among Network providers/practice

 

We look forward to providing this necessary resource. More details on the Provider Portal and how to access it will be sent to you in an email before it goes live.


 Did you know …

 

“… if an initial blood pressure reading is elevated, rechecking after resting five minutes and using proper technique, the blood pressure will be in control 70—80% of the time?”

—Dr. Jenny Bajaj

 

“… Coordinated Care’s composite quality performance for our Cigna population improved from an initial 18% to 56% over the past year?”

—Dr. Austin Bailey