An update about what is happening within Coordinated Care:
- New members and general information
- Cigna CAC
- IT updates
- Network administration staff updates
If you have news or announcements to share with network colleagues, please send to [email protected] and include Provider Insider News in the subject line.
New members and general information
The Pueblo Regional Advisory Council meeting is scheduled for April 11. Please contact [email protected] with questions regarding the proposed agenda.
New clinic openings include:
UCHealth Quincy Medical Center. Urgent care opened in January 2019, primary care opens this spring.
UCHealth Internal Medicine – Orchards. Opened in February 2019.
UCHealth Arvada West Medical Center. Urgent care and primary care opened in March 2019.
UCHealth Primary Care – Cripple Creek. Opens in April 2019.
The current performance year closes March 31. Network members have until that date to close any outstanding care gaps for the current period. Final reconciliations and notification of any shared savings will be available late summer.
The new performance year begins April 1. Cigna will maintain the same quality metrics for the coming year.
For network members using Epic electronic health records, please note the following IT updates:
- Recently launched new care management, social work and clinical pharmacy assessment documentation tools. Users can find new initial assessments within the Care Management and Social Work encounters. They may also find IP/Observation Follow-Up and ED Follow-Up assessments within the Care Management encounter. For clinical pharmacists, IT updated the entire encounter workspace within the Clinical Pharmacy Consultation encounter, and rolled out assessments for comprehensive medication review, transitions of care, and statin therapy. For training or questions, users should reach out to their managers.
- MSSP reporting will conclude at the end of this month. Each CIN TIN (UCHealth Medical Group, CU Medicine, Associates in Family Medicine, Family Medicine Center) is reviewing the output of the measure details as well as manually reviewing all negatives to ensure accurate and optimal reporting. Final reporting is due to CMS March 22. This will be the last time Coordinated Care needs to report for MSSP, and practices will transition to reporting MIPS in 2019.
- Claims data integration will go live in Q2 2019. For the Anthem claims, users will begin to see encounters in Chart Review as well as information in Health Maintenance and the Reconcile Outside Information activity that has come from claims. All claims encounters will be called out with “- Claims Data Only” in Chart Review as the claims encounters are inherently less detailed than Care Everywhere encounters. The claims encounters include Place of Service, Visit Diagnoses, and Procedures. For questions, contact [email protected] or a physician informaticist.
Network administration staff updates
Meet Anne Boland Docimo, MD, MBA – chief medical officer for population health.
Anne Boland Docimo has served as a physician leader in the evolving health care marketplace for over 20 years. As a practicing clinician in primary care and emergency medicine, she worked in private practice; as a government contractor, in a staff-model HMO and in academic medical centers. This varied clinical service has continued to inform her work as she transitioned to the “payer side” and then back to leading population health efforts for physician practices and health systems.
Most recently, Dr. Docimo served as the EVP population health and chief clinical transformation officer for Jefferson Health in Philadelphia, Pa. In this role, she established the infrastructure needed to succeed in population health and value-based reimbursement across the enterprise, including the formation of a clinically integrated network (CIN) and an enterprise-wide team to support clinical and actuarial analytics, care management and the pharmacy service line. All work was completed in close collaboration with clinical operations, finance, IS&T and payer contracting. The Jefferson CIN grew to include over 2,100 physicians with more than 289,000 lives under payer contracts and millions of dollars per year in quality, pay-for-performance and shared savings revenue.
Prior to joining Jefferson Health, Dr. Docimo served in two capacities at the University of Pittsburgh Medical Center (UPMC): chief medical officer for UPMC Health Plan and senior medical director of UPMC Hospitals. As chief medical officer for UPMC Health Plan, Dr. Docimo led the design and development of a proprietary system for care management (HealthPlaNET) and a claims-based member record. These applications are in use at UPMC and served as the platform for Evolent, a joint venture between UPMC and the Advisory Board. As a physician executive in both provider and payer organizations, Dr. Docimo has experience in using clinical and claims data to design and implement population health programs to improve clinical and financial outcomes.
Dr. Docimo received her undergraduate degree from University of Notre Dame, her medical degree from Johns Hopkins University School of Medicine and a Master of Business Administration from John Hopkins University.