CINs: Providing Value Through Population Health Management

Posted by Continuum on Feb 27, 2015 11:25:00 AM



The U.S. Department of Health and Human Services (HHS) has set a goal of tying 30% of traditional, or fee-for-service, Medicare payments to quality or value through alternative payment models, such as Accountable Care Organizations (ACOs) or bundled payment arrangements by the end of 2016, and tying 50% of payments to these models by the end of 2018, proving that value-based reimbursement is swiftly becoming the norm in today’s healthcare environment.1

However, recent studies show that many of the institutions which were awarded value-based payments this year are now facing government-issued penalties. A recent article in Kaiser Health News reported that 55% of hospitals graded by Medicare on quality––some 1,700––earned higher payments this year for meeting quality metrics. However, fewer than 800 of the 1,700 hospitals that earned bonuses will actually receive extra money because they have been penalized for high hospital readmission rates and hospital acquired infections.2

Payment studies on hospitals, a microcosm of U.S. health care providers, provide useful insight into the pitfalls of value-based purchasing agreements. Moreover, they underscore the importance of understanding what happens to patients outside the hospital in an ambulatory setting. Improving the delivery and value of care requires more than just an electronic health record (EHR) – a robust, integrated healthcare technology infrastructure is critical for a Clinically Integrated Network (CIN) to achieve successful population health management.

Pursuing a population health strategy––the need for robust health technology capabilities

Quality and operational improvements are mandates for functioning CINs. Performance must be measured before it can be improved. The right technology platform is necessary not only to capture the complete picture of clinical and operational performance and form a basis for evaluating physician members, but also to identify patients in need of disease management and intense interventions.4, 5 Without the appropriate technology infrastructure, CINs will have difficulty providing clinical decision-support, reducing variability of care and coordinating care across the network. The right platform is also necessary for the administrative support, scheduling, and practice management needed to maintain a consistent revenue stream for continued network investment.5

Technology interoperability is the challenge

As a result of the recent HHS mandate, most physician groups, independent physician associations (IPA), and hospitals have already invested significant time and financial resources to replace paper-based records with an EHR. However, because not all EHR systems are the same, achieving interoperability across a network is often a challenge. HHS has recently proposed a draft Interoperability Road Map to address the secure exchange and use of electronic health information by both providers and consumers.6 It will, however, be a long time before standards are implemented.

For networks with differing EHR platforms, one solution to the interoperability challenge is to use an EHR-agnostic integrated platform that provides actionable data at the point-of-care. A simple performance dashboard that combines and organizes patient data can be developed to identify clinical gaps in care during a patient encounter and facilitate informed decision-making. Care coordinators are better positioned to intervene and manage a patient population with detailed care plans customized for individual patients and their healthcare needs.

Other dashboards can be developed for practice management reporting purposes. Allowing individual physicians, practice administrators and organizational leadership to track productivity, staffing efficiency, revenue and expenses by physician, site or in total, enables prompt identification of areas of underperformance and the development of concrete improvement strategies to attain performance targets. The ability to combine business intelligence and clinical intelligence is essential to establishing patient registries, improving the quality of care and lowering the overall cost of care.

Disease-based, patient registries are critical to population health management

One of the biggest success factors in transitioning from volume to value is the ability to identify clinically high-risk patients. According to the Medical Expenditure Panel Survey, only 1% of patients were responsible for 20% of health care costs in 2008, and the top 5% of the patient population accounted for nearly 50% of health care costs in 2008 and 2009.7

Proactively managing such clinically high-risk patients is necessary in order to reduce overall costs. A patient or disease registry for specific populations should be established and made accessible to providers across the network. In this way, proactive care and treatment can be delivered to individuals or groups of similar patients, enabling the network to reach quality goals. Patient or population cohort dashboards alert providers of gaps in care or quality measures at the point-of-care. Use of meaningfully-structured EHRs to help track and monitor clinical data across the continuum of services, and an effective ambulatory care strategy, such as the use of centralized care coordinators, can help to identify and engage clinically high-risk patients to keep hospital readmission rates low, for example.

The bottom line

With the appropriate decision-support technology and patient management strategies, a network can thrive in today’s value-based environment. Healthcare technology platforms must go beyond the EHR to improve point-of-care decision-making, improve coordination of patient care, enable implementation of clinical protocols, and track care costs. The ability to document the provision of high quality care at a lower overall cost is key to helping clinically integrated networks negotiate value-based opportunities with payors and employers.

To assist with your strategic planning, download Checklist #3: Does Your Organization Have the Right Tools for Population Health Management? 

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Topics: Value-Based Healthcare, population health management, clinical integration, clincially integrated network, performance metrics, gaps in care, population health tools

CINs: The Right Participants & Performance Metrics Drive Success

Posted by Continuum on Feb 20, 2015 1:00:00 PM



Clinical Integration: The Right Participants and Performance Metrics Drive Success

Clinical Integration (CI) represents a collaborative legal vehicle to allow physicians and healthcare systems to take advantage of value-based and risk arrangement-sharing payment models, while retaining the ability to continue to work in a fee-for-service (FFS) environment.1,2  The reward for establishing a CI network (CIN) is the ability to negotiate contract incentives directly with commercial payors in return for providing high-quality, cost-efficient healthcare to a specific population of patients. As an antitrust safe harbor, CI providers can jointly negotiate increased physician reimbursement rates and pay-for-performance bonuses to serve as recompense for provider costs and efforts incurred to establish a CIN. Because some payors are skeptical of CI’s financial value proposition, many CINs negotiate value-based payment models in which physicians benefit through shared savings agreements instead of higher physician base rates.2

To have the best chance of attracting value-based purchasers, CINs must build a program that can quickly address specific population needs––and because physicians are responsible for driving the clinical care of patients, the move to cost and quality accountability needs to start with them. That’s why recruiting and aligning physicians and determining the right value-based metrics and performance criteria are crucial first steps. 

Secure the right mix of providers both geographically and by specialty

Many CIN’s rely on primary care physicians to be the carehub for outpatient populations. However, some networks also seek to improve inpatient performance and care handoffs, leading them to attract proceduralists and other specialists.2 Determining the appropriate physician population for a CIN means assessing the patient population characteristics  and the needs of the service area, along with the competitive environment and local and national payors. That way the physician network can be appropriately sized and geographically distributed to meet market demands. If not, access limitations may lead to decreased patient satisfaction—one value-based metric of quality health care. Care coordination across a variety of ambulatory, acute and post-acute settings will be important as a CIN moves toward managing a population of patients. Organizations should focus human and financial  resources on obtaining the mix of providers that will support the quality targets, service lines, geographic area cost efficiencies and other goals in their communities, aligning with local service area drivers.

A CIN is no place for mavericks: physicians must support the quality vision

All physicians who participate in a CIN must work actively on care improvement initiatives relevant to their specialty. That’s why it’s necessary to make a selective choice of network physicians willing to adhere to standards and performance criteria, and cross-refer to participating providers. By prioritizing recruitment of physicians who are best prepared for performance improvement, or practices that expand coverage in critical market regions, CINs can avoid overtaxing their development capabilities. All members must sign a participation agreement outlining the expectations and requirements for participation. Physician participants must be comfortable with the idea of data monitoring, quality improvement and care standardization as a means to deliver more cost-effective care.

In addition, physician compensation must be tied to productivity, quality, service, cost-effectiveness, access and other strategic goals, and must provide physicians a fair and stable income. These arrangements must recognize the role the provider is playing and the differing variables that are within and beyond their control. However, finding the right balance of value-based metrics is key.3 

Establish baseline clinical performance and quality guidelines to help the move toward value

Start with the basics by leveraging existing technology and data to achieve attainable, measureable performance criteria and goals. For example, the Healthcare Effectiveness Data and Information Set (HEDIS), available from the National Committee for Quality Assurance (NCQA), is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service. Because so many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the performance of health plans on an "apples-to-apples" basis. 

Benchmark performance across care episodes to identify strengths and weaknesses

Physician “report cards” address performance strengths and weaknesses. Physician participants must agree upon value-based metrics to track things like quality, outcomes, service, patient satisfaction, overall cost of care and other operational and financial benchmarks. Indicators must be specific, measurable, attainable, relevant and time bound. They also must be reviewed on a frequent and ongoing basis. Encouraging consensus-driven care protocols and engaging physicians in best practices will help give them the grounding to thrive in a population health management environment.

The bottom line

Depending on where your organization is on the development continuum, you could be looking at a ramp-up period of 2 to 3 years to develop baseline capabilities for managing population health.3-5 And the clock is ticking. According to a recent perspective article in the New England Journal of Medicine, the US Department of Health and Human Services (HHS) has announced a goal of requiring 85% of Medicare FFS payments tied to quality or value by 2016 and 90%  by 2018.6 During the same week, United Health Group also announced that they will increase value-based payments to doctors and hospitals by 20% in 2015.7 By recruiting the right providers and setting the right quality and value-based metrics, CINs can save time overall and avoid making decisions that, while appropriate for managing in a shrinking FFS environment, are less effective in a value-based setting. 

To assist with your strategic planning, download Checklist #2: Does Your Organization Have the Participants and Value-Based Metrics to Lead Care Transformation? 

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Topics: Value-Based Healthcare, clinical integration, clincially integrated network, performance metrics, physician mix

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