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