Member and Participant Privileges

Population Health & Clinical Integration

driven by Analytics through Populytics, Inc

  • Health care analytics, deriving insights from both medical records and insurance claims
    • Care gap closure opportunities
    • Variation in practice episode patterns
    • Identification of high-risk or rising‐risk patients
  • Secure Provider Portal
    • Access performance data
    • Obtain important information

Continuing Education, Networking Opportunities & CMEs

  • Financially incentivized educational forums conducted live or via video conference on a wide array of topics
  • Continuing Medical Education (CME) credit opportunities
  • Podcasts centered on various priority initiatives
  • Networking opportunities with other like-minded clinicians across the region
  • American Board of Medical Specialties (ABMS) QI opportunities:
    • Maintenance of Certification (MOC) ABMS Part IV or National
    • Commission on Certification of Physician Assistants (NCCPA) PI-CME

Financial Incentive Infrastructure

  • Financial rewards for achieving quality and efficiency measures, as defined through our Achieving Clinical Excellence® (ACE) Incentive Plan
  • Springboard for innovative research and development through an incentivized quality improvement program
  • Consolidation of metrics from all participating payers, folded into the incentive model to aid in prioritization

Wellness Support

  • Peer Support Program: talk to experienced and trained physicians, and access resources from spiritual to legal
  • Complimentary health coaching and counseling
  • Ongoing work with Medical Staff Services and Wellness Committee for assessing burnout and support services
  • Mindfulness-based stress reduction programs

Preferred Perks

  • Resources to help save time and money
  • Insurance services
  • Practice-based amenities
  • Recreational discounts

Payer Partnerships & Insurance Services

  • Payment innovation
  • Contracting insight and support, including commercial payers, worker’s comp, Medicare and Medicaid
  • Health plan management and ancillary and voluntary benefit options through Populytics

Direct Practice Support

  • Direct support from a dedicated liaison team: Physician Advocacy Liaisons (PALs) and Quality Improvement Liaisons (QILs)
  • Practice outreach visits
  • Timely response to practice inquiries

Provider Services Assistance

  • Physician/APC delegated credentialing
  • Physician and hospital contracting
  • Network management and maintenance

Marketing & Communications

  • Physician/APC outreach and communications strategies
  • Payer partnership updates
  • Best practices and success stories
  • Compliance standards and updates