Services provided to Coordinated Care members.
Your membership in Coordinated Care offers you access to competitive, value-based contracts. Did you know it also includes a number of other services managed by a centrally located team? A comprehensive list follows; for more information about any of these services, please contact Paul Staley or Austin Bailey.
- Manage the incoming and outgoing distribution of payments to physicians.
- Reconcile the attribution files from payers.
- Produce modeling and financial analysis for various payment methodologies and contracts.
- Budgeting and oversite of CIN expenses.
- Negotiate value-based contracts.
- Provide network rosters to payers.
- Monitor contract performance with finance.
- Monitor payer rosters, for narrow network alignment.
- Population Health modules utilized in Epic.
- Provide Epic dashboards for contract and clinical activity performance.
- Integrate CORHIO clinical data for CIN attributed lives.
- Training on Epic tools and resources.
- Cost and utilization dashboards.
Network engagement, marketing and communications:
- Monthly performance and payer feedback communication.
- Analyze data and provide site-specific feedback.
- Education and printed materials for physicians and staff on value-based contracts.
- Education on best practices for physicians and staff.
- Patient education on value-based topics.
- Monthly newsletters to physicians and staff.
- Gaps in care reporting.
- Performance reporting.
- Practice performance trending and comparisons with other CIN participants.
- Physician roster and attribution reconciliation.
Centralized care team:
- Complex care management.
- Care management and care coordination workflows and best practices.
- Post-acute care monitoring.
- Transitions of care.
- High- and medium-risk follow up.
- Gap closure support.
- Training for physicians and staff.
- Pharmacy gaps assistance.
- Monitor high-cost drugs by practice.
- Education of pharmacy impact.
- Developed Epic tools to identify patients in need of pharmacy intervention, document, and aggregate clinical pharmacy interventions for position justification.
- Medication education and comprehensive medication review of patients.
- Generic usage trending by practice.
- Brand formulary compliance.