Provider Insider

Network News

Summer 2019 | Issue No. 6

An update about what is happening within UCHealth Integrated Network:

 

• NAACOS
• IT Update: Claims Data

 

If you have news or announcements to share with network colleagues, please send to PopulationHealth@uchealth.org and include Provider Insider News in the subject line.

 

NAACOS

 

In late April, UCHealth Integrated Network sent a few team members to the National Association of ACOs’ (NAACOS) spring conference in Baltimore. Twice a year, NAACOS brings together more than 600 ACO clinical leaders and administrators to discuss strategies, case studies and lessons learned from leading ACOs nationwide. April’s conference covered topics such as:

  • Transitions of care programs
  • Telehealth
  • Post-acute care partnerships and strategies
  • New CMS/CMMI payment models (Primary Care First, Direct Contracting)
  • Regulatory updates
  • ACO compliance
  • ACO financial management

CMS Administrator Seema Verma also spoke at the event, hinting that new mandatory value-based models will be announced over the coming months. Administrator Verma also indicated CMS is reviewing old laws and regulation and evaluating how these hinder the shift to value-based care.

 

Please contact Nicole.Petersen@uchealth.org for more information.

 

IT Update: Claims Data

 

Effective April 2019, clinical data derived from paid claims from Anthem was integrated into CU Trust patients’ clinical records in Epic. Data being brought in includes encounters, diagnoses, procedures, and immunizations. Medication dispense data will be brought in starting in July 2019. CU Trust patients include UCHealth, CU Medicine, and University of Colorado employees and dependents.

 

Paid claims data provides information on care provided outside of UCHealth’s instance of Epic. This data includes any paid claim for an attributed patient regardless of their place of service.