The Equality Health Network offers discounted and no-fee access to provider services that are designed to act as a service bureau for physician groups wanting to retain their independence. In addition to delivering value-based contracts to our member providers, we offer these comprehensive services to our network to offset investments that would be needed to make the transition to value-based contracting.
Practice Income Modeling
You have worked hard to build a successful practice and value your independence. As the Affordable Care Act brings additional administrative and financial burdens, it also opens up new opportunities for increased provider compensation and practice revenue growth. For those physicians that remain independent, the opportunity for financial upside can be considerable.
In order to execute on the opportunity, many practices need an experienced partner who can help evaluate the practice business strategy and create economic models to better the position for future success.
Our practice consultants are healthcare MBAs with extensive financial analysis and medical economics experience. The team can help provide the insights and on-going financial support tools to identify the right path and ensure key milestones are being met.
Using your own historical practice data, we provides analysis in the following areas:
As the market shifts from aggressively from fee-for-service to value-based healthcare in the coming years hospitals, health systems, practices and insurers face numerous challenges. The increase in alternative payment models that tie reimbursement to quality is shifting more risk to providers.
Success in this dynamic environment requires practices to maximize their care teams, provide comprehensive care management and coordination, manage population health, and efficiently use health information technology to support patient-centered care delivery. Equality Health recognizes the challenges that many primary care practices face in mobilizing for a value-based healthcare environment: limited infrastructure for continuous improvement, limited knowledge and skills related to new care delivery models, and insufficient expertise using technology tools and gathering and analyzing data to drive improvement.
To address these challenges we have established Value-Based Engineers to help practices transition to a range of services to support primary care providers, administrators, and staff in enhancing knowledge and skills to provide high value, patient-centered care. We have partnered with the Practice Innovation Institute’s (PII) team of skilled training specialists to accelerate practice training and support.
Practice Innovation Institute
The Practice Innovation Institute (Pi Institute) is one of the 29 Practice Transformation Networks (PTNs) funded by the Centers for Medicare and Medicaid Services (CMS) to provide technical assistance and peer-level support to assist clinicians in making clinical and business innovations and transformation to be successful in a value-based healthcare environment. Examples include:
The Pi Institute aims to engage 2,500 Arizona clinicians through learning practices capable of providing better health and improved care at a lower cost. The Pi Institute will train and deploy quality and process advisors (QPAs) to coach clinicians through five phases of patient-centric practice transformation, provide direct technical assistance to the Physician Quality Reporting System and local quality improvement efforts to help clinicians for participating in value-based payment systems.