4 Patient Patient Trends to Track in Value-Based Care

A successful healthcare organization tracks patient trends in care, cost and prescriptions, making it possible to deliver quality and improved patient care. Technology has been developed to streamline patient tracking in real-time and allow you to intervene immediately based on the data is critical. The question is – How do you know what patient trends to track? How do these trends impact your healthcare organization? 

Transitioning and being successful in Value-Based Care can be a challenge, so let’s look at what patient trends you should consider tracking to overcome that challenge. 

Membership 

As your healthcare organization continues to grow, tracking membership trends is essential to spotting trends and planning strategic growth. To track important trends, you should ensure to track your patient memberships:

  • Monthly, allow you to compare progress
  • On different Levels. For example by Payors, Location, Primary Provider, Insurance PCP, Financial Class, County, Chronic Condition and Age Group levels
  • View average for each group across the board 
  • Down to members level, allowing you to spot trends you may not of been aware of
  • Membership by Eligibility versus Revenue files from your insurance payor.

Whether your organization is looking to expand or maintain current memberships, having the right tool in place to automate this tracking is key and something to consider.

Care Gaps

Patient care gaps can have a tremendous impact on your patients health and related costs if not intervened promptly. Care gaps may include specific health screenings, tests, unseen new patients and missed annual wellness visits. Depending on your patient population and their needs, typically depends on the care gaps you will want to be able to track. With that being said, you need to have the technology in place that allows you to customize what your care gaps are. The technology you use should also automatically identify care gaps for you, giving you the tools to immediately intervene to resolve gaps before too much cost incurs. 

Cost

An essential part of value-based care is to keep the cost of your patient population down. Tracking specific cost drivers and trends can allow your organization to intervene when necessary. Cost drivers include but are not limited to: 

  • High utilizers
  • Patients with frequent hospital/er visits 
  • Prescriptions
  • High risk patients 
  • Chronic conditions

All of these contribute to a high cost patient that should be closely monitored and have a related case plan to reduce cost. Depending on the number of patients you are serving, identifying the high cost patients and intervening can be seen as a challenge and a timely process. That is why Primavera offers the right tools through our Analytic technology to streamline and rid of the manual process for you. 

Patient Prescriptions

A continuous concern through healthcare is the rising cost of prescriptions. When an organization is in value-based care, this concern is no different. You need to have the ability to track the top prescriptions being prescribed, their associated costs and whether they are brand name or generic. Tracking these trends will allow you to identify room for improvement including the opportunity to switch current brand name prescriptions to generic. 

Technology to Streamline Your Tracking 

Our software solutions enable you to improve the quality of care and enhance the patient trend tracking while helping you take control of your financial future. Whether your healthcare organization is looking to track membership, care gaps, cost or prescription trends – Primavera’s technology has the tools to automate the process for you. 

At Primavera, our goal is to remove the challenge of transitioning to value-based care and help your continuous success in value-based care as well. 

Reach out to us today to learn how we support you to continually improve your patient tracking and value-based care strategy today. 

(888) 667-2219

info@primavera.care

 

Rolian Ruiz4 Patient Patient Trends to Track in Value-Based Care
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Importance of Risk Management and Value-Based Care

When a healthcare organization embraces a value-based care approach or a risk agreement with a health insurance payor, they are accepting the potential risk and reward associated with value-based care. While accepting the reward with a risk agreement may come easy the associated risk is typically not as easy for an organization to manage. With the shift to value-based care, comes a challenge of how to not only manage risk of your patient population but how to overcome the risk as well. 

Identifying and managing high-risk and potential high risk patients is critical to improving the care of your patient population, while identifying cost drivers and intervening timely to reduce the risk.

Managing risk can be done through technology:

  1. Measuring it within your patient population
  2. Assessing its cause
  3. Evaluating its impact 
  4. Identifying interventions to solve and avoid risk

Measure

Being able to identify and measure the risk of your patient population is critical in order to intervene. As more and more healthcare organizations embrace value-based care, they are embracing technology that allows them to streamline risk management and reduces admin burden. 

Measuring risk through technology includes: 

  1. Financial Risk including utilization cost 
  2. Clinical Risk of Patient(s)
  3. Measuring Quality Measures
  4. Monitoring Chronic Conditions
  5. Identifying patient gaps

Without having the proper tools, technology and procedures in place to measure the risk of your patient population, this task can seem almost impossible. 

Assess

Once your organization has the right tools and technology in place to measure the risk of your patient population, the next step is to assess the cause of the associated risk. An organization should be able to identify and assess the cause and attributions of a patient’s risk through:

  • Associated chronic conditions
  • Hospital visits, including ER versus Inpatient
  • Readmission Rates
  • MLR (Medical Loss Ratio)
  • MRA (Medicare Risk Adjustment)
  • Claim number and cost 

Assessing the cause of a high risk patient is essential to evaluating the direct impacts of a high risk patient. 

Evaluate 

Now that you have Measured the risk of your patient population and Assessed the cause, it is important to Evaluate the impact of your patient population that is at high risk. How do you evaluate the direct impact of your high risk patients though? What is the importance of this? 

High risk patients are often considered high utilizers and high cost drivers within an organization. If you don’t identify and intervene with these patients, the patient is going to be impacted negatively and they will continue to cost your organization to lose money. With that being said, it is critical to have the right tools and technology to be able to drill down into the direct impact of a high risk patient and immediately identify room to intervene, improve patient care and decrease cost. 

Manage and Resolve the Risk with Primavera Health 

Taking action as a healthcare organization once you have Measured, Accessed and Evaluated the risk of your patient population is the final and most important step. Primavera Technology allows you to Identify patient trends associated with risk and intervene on a patient level. Intervening and planning a course of action can be executed within our Data Analytics App and Case Management App. 

Instantly identify high risk patients, view detailed clinical and financial information and intervene through creating a case plan. Cases are completely customizable depending on the patient and the associated risk. Options to intervene through a case include: Create tasks for case managers to complete, customizing a Plan of Care and Complete proper documentation of progress of patients health/cost. Primavera is continuously partnering with organizations to improve risk management by intervening with our technology while embracing value-based care. 

Reach out to us today to learn how we support you to continually improve your risk management and value-based care strategy today. 

(888) 667-2219

info@primavera.care

Rolian RuizImportance of Risk Management and Value-Based Care
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Guide to Stronger KPIs for your Healthcare Organization

A Key Performance Indicator (KPI) is a common term used in most industries, especially the healthcare industry. In healthcare, KPIs help us measure and track the performance and value of healthcare. Having strong KPIs is not only important for tracking the financial performance of an organization but also to track the quality of care provided to patients. With the shift to value-based care in healthcare, organizations may find themselves wondering how to adapt to the change and ensure they have strong KPIs in place. 

This guide will walk you through different steps you can take to ensure your healthcare organization has stronger KPIs to track performance. These steps include:

  1. Determine what KPIs to Measure
  2. Tracking those KPIs
  3. Measuring KPIs on different levels 
  4. Setting KPI goals for your staff, departments or overall organization 
  5. Streamlining your KPIs

Even if you already have strong KPIs in place, we hope this guide will help you better understand the importance of continuously tracking and improving your healthcare organizations KPIs.

Determine what KPIs to Measure

The first steps to ensure you have strong or adapt stronger KPIs is to determine what KPIs to track. Choosing the right KPIs is an essential part of having stronger KPIs. Things to consider when choosing the KPIs to track:

  • KPIs that impact or contribute your organization’s goals
  • KPIs that impact your organization financial performance
  • KPIs that promote better patient care
  • KPIs that track employee performance

Depending on your organization’s goals whether financially or clinically, KPI metrics will continue to evolve towards those directly related to value-based care and away from volume-based benefits. 

Tracking KPIs

Once your organization has established what KPIs to measure, tracking those KPIs overtime is essential. Tracking KPI performance allows you to measure trends, performance and plan for the future. Depending on the KPI you may want to track KPIs on a weekly, monthly, quarterly or annual basis. Tracking your KPIs can be a tedious task no matter the time period selected and often increases administrative burden for your organization. Organizations can avoid this burden by tracking KPI with the right technology tool in place that empowers the organization further. 

It is important to have a process and technology in place that allows you to automate track of your KPIs and customize tracking those KPIs for the time period your organization needs. 

Measure on Different Levels

Being able to track your organization’s KPIs not only on the organizational level but on the provider, payer, location and patient level is another essential part of having stronger KPIs. Many organizations may just track KPIs on a company level but it is important to drill down deeper into KPI data to identify where KPI trends are coming from. Utilizing technology that allows you to track your KPIs on different levels ensures your organization’s operational and financial tracking is accurate. 

Set KPI Goals 

What goals do you have for your healthcare organizations KPIs? Are the goals monthly, quarterly or annual goals? Can your organization actively update what these goals are to meet the changing demand of the healthcare industry? These are all important questions an organization must ask themselves to successfully set KPI goals. 

Setting goals for your KPIs is just as important as selecting your KPIs to begin with. Setting goals allows you to track performance overtime while indicating room for improvement. 

Streamline Your KPIs

Having the right system to allow you to Set, Track, Measure on Different Levels and Set Goals is essential. Primavera Health’s Performance Dashboard provides you that and more! With our Analytic technology we empower healthcare organizations to have stronger KPIs through: 

  • Tracking 50+ KPIs on a Monthly Basis
  • Set Goals for your organization monthly, quarterly or annually
  • View KPIs by a specific date range
  • Group KPIs by Primary Provider, Insurance PCP, Locations, Payors or Financial Class 
  • Easily export all data that contributed to your KPIs

Reach out to us today to learn how we can support your organization to have stronger KPIs! 

(888) 667-2219

info@primavera.care

Rolian RuizGuide to Stronger KPIs for your Healthcare Organization
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What is the Importance of Unified Data in Healthcare?

It is no secret that healthcare can be complicated and oftentimes overwhelming, and when it comes to healthcare data it is no exception. This leads healthcare leaders to ask the question how can a healthcare organization improve their information flow to ultimately improve patient outcomes? According to Healthcare IT Today, “A future of lower cost and higher quality healthcare – rapidly growing adoption of health information technology is a key lever in achieving that future. Achieving this goal; however, requires strategies and technologies for overcoming the problem of disparate”. In this article we will explore what unified data means within the healthcare industry and the challenges and benefits that your healthcare organization may be impacted by embracing unified data. 

What is Unified Data?

A unified data model brings together your healthcare organizations data from different sources into one centralized database, making it easier to analyze data. This concept is slowly being embraced by healthcare organizations, as the importance of data and value-based care increases. Unified data isn’t a trend that isn’t going anywhere anytime soon though. With that being said, with any change in the healthcare industry comes challenges and ultimately benefits as well.  

Challenges You May Face

Industry leaders are reluctant to embrace unified data because of the challenges that an organization may face. Some of these challenges include: 

  1. Different data formats from different systems 
  2. Changing industry standards
  3. Finding the right time and resources to have unified data

Although embracing Unified Data may cause you to face these challenges, keep in mind the benefits far outweigh the challenges for both your healthcare organization and patients.

Benefits of Unified Data 

The reality is data is the future of healthcare. Unified data allows you to make not only smarter decisions but decisions based upon data provided to you through your unified data approach. Other benefits include:

  1. Helps drive value in healthcare 
  2. Identifies opportunity to reduces Cost 
  3. Unlocks the value of complex healthcare data sets 
  4. Provides you a full picture of a patient health care and cost 

Many organizations are aware of these benefits but don’t know where to start and truly leverage their own data. 

Prepare for the future

Simply put, you can make Smarter, Data-Driven Decisions with Unified Data. Unified data allows you to position your organization for success by leveraging your organization’s data from as many resources as possible. Primavera partners with healthcare organizations and their leads to do exactly that.

We have the power to integrate and process both your front-end EHR/EMR data and back-end Payers data as well. What does this mean? Our Analytics platform is able to provide a clear picture in real-time of your patient population risk, financial status, clinical gaps and patient gaps. This level of data integrity and unified data allows you to have a more proactive approach with your data and not to wait for outcomes to improve.  HealthCare’s embrace of data and value-based care is not going away, and Primavera is on a mission to work with you no matter where you are at in this journey. 

Reach out to our team to learn how we can help retrieve and analyze your healthcare organizations data! 

(888)-667-2219

info@primavera.care

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Rolian RuizWhat is the Importance of Unified Data in Healthcare?
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How to Successfully Maximize Healthcare Reimbursement and Improve Revenue Cycle

Revenue Cycle Management (RCM) is a top priority for all healthcare organizations. Balancing collection on difficult claims, keeping cash flowing for your organization, all while staying focused on delivering quality patient care can be difficult. Therefore, it’s important for every healthcare organization to have a process and billing team in place to continuously maximize reimbursement and improve revenue cycle management. Implementing and successfully running your RCM can be a challenging and involved process, so let’s take a look at what important factors contribute to maximizing your RCM. 

Financial Data Review 

Processes should be in place to review all facility data and verify patient information to ensure you are getting the most money for the services provided to their community. This ensures that all claims have been processed correctly and mediate for claims that process out of order from previous billings. 

Streamline Reimbursement

Delay or denial of claims can adversely affect the revenue cycle of a healthcare organization. You should have a billing process in place that ensures your claims will pass through the fiscal intermediary correctly the first time, ensuring you accurate and faster payments. It is essential to follow up on claims that may be sitting in an unpaid status to process them through the system faster. While streamlining reimbursement may be a timely process for a billing team, it is just as important to have a billing process that implements: 

  1. Providing reliable and accurate information
  2. Having knowledge of and meeting billing requirements for each individual payor
  3. Submitting claims within the prescribed time frame allowed
  4. Having a expert and experiences team at hand to reduce admin burden

Confidentiality

RCM and medical billing includes protected health information, so understanding the importance of keeping records confidential is critical to your RCM. On top of that, a healthcare organizations process for collecting information from facilities and for submitting claims should be done with regard to following HIPAA standards, ensuring PHI and records stay confidential. 

Strong Billing and RCM Team 

At the core of maximizing your RCM is having an experienced and expert billing team manage your RCM. Your billing team should have a proactive strategy utilizing a combination of monitoring and prioritizing workload including stringent monitoring of timely filing and timely billing timelines. Just as important is keeping your billing team updated and trained on rcm rules is essential to financial success. 

Experience the Primavera Difference

Implement and successfully run your RCM to maximize reimbursement with Primavera Billing and RCM Services. The Primavera Approach leverages technology and deep experience in billing and coding to help your operation reach peak performance with your practice’s RCM. Providing revenue optimization and improved medical economics by reviewing all financial data, streamlining reimbursement, providing confidentiality and providing a strong billing team.  

Discover how Primavera’s leading billing and RCM services can transform your RCM. When you choose Primavera Health Billing and Revenue Cycle Management Services, you choose a team that holds extensive experience in medical billing and revenue cycle management services as well as:  

  • Extensive EMR and billing systems experience
  • Consultants are certified with multiple platforms
  • Deep experience with all Medicare, Medicaid, and commercial payers nationally
  • A technology approach, to simply data and an organization’s process to improve patient outcomes and overall practice performance 
  • A team that works alongside you to develop rules and assist with implementing new and improved RCM processes

Reach out to us today to learn how we support you to continually improve your RCM across your organization. Fill out the form below to schedule your Free Consultation with our team! 

(888) 667-2219

info@primavera.care

Rolian RuizHow to Successfully Maximize Healthcare Reimbursement and Improve Revenue Cycle
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Primavera NLS

Next level Security

At Primavera, we take security a step further to deter and prevent any cyber intrusion and protect data. We implement strict internal procedures for access control on client and patient data. The procedures we have in place are Primavera’s NLS, or Next Level Security. Our NLS ensures your data is encrypted, private and protected against cyber-attacks and data breaches that impact the healthcare sector. 

Primavera NLS is a combination of Security & Compliance, Established Standards & Protocols and Secure Tools & Systems. Below list the ways we continuously strive for Next Level Security for our clients, patients and their data.

Security & Compliance 

  • HIPAA Process
  • Audit and Log Activity
  • IP Masquerading Implementation
  • Vulnerability Scans
  • Automatic Device Log Off
  • Penetration Testing
  • Two Factor Authentication
  • Secure Socket Authentication
  • Encrypted Patient Data 
  • Force Strong Passwords

Established Standards & Protocols

  • Disaster Recovery Plan
  • Firewall and Router Configuration Review
  • Establishment of Permissions
  • Compliance Program Activities
  • Security Awareness Program Training
  • System Patching and Secure Development Practices

Secure Tools & Systems 

  • SFTP (Secure Data Transfer)
  • Anti-Virus Protection
  • GCP Cloud base
  • Cloudflare
  • Web Application Firewall
  • CircleCi – CICD
  • Atlassian Suite
  • Segregated Data Storage
  • Data Access Logs 
  • Strict Authorization Protocols 

Our client’s data protection is one of the primary goals at Primavera, we always ensure your data and security is top priority.

To learn more contact our team at (888) 667-2210 or info@primavera.care.

Rolian RuizPrimavera NLS
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Key Considerations in Healthcare Strategy when Transitioning to Value-Based Care 

Key Considerations in Healthcare Strategy when Transitioning to Value-Based Care 

Value-based care (VBC) is a holistic care approach and payment model, versus the fee-for-service model that largely still dominates the industry. VBC models have greatly increased in use and implementation and continue to become more widely used but it’s not an easy change for all healthcare organizations to make. Which leads to the question – 

What are the best strategies when transitioning to VBC? This blog will guide organizations towards strategies to consider when adapting VBC to ensure a successful transition.

Rethink Delivery of Care 

Transitioning to value-based care requires that healthcare system participants rethink how to deliver and compensate for healthcare. Delivery of care impacts patients and all healthcare providers involved in a patient’s circle of care. In current fee-for-service  models, healthcare is delivered and paid for by an individual patient’s visit or follow-up procedure. 

In VBC all of the services and visits necessary to treat the patient’s symptoms are bundled – and this extends across specialties to include all doctors, specialists, and nurses, as well as preventive and supportive therapies such as; doulas, counselors, and nutritionists. Delivery of care significantly shifts away from quantity to quality with VBC, with care centered around patient outcomes. Shifting to delivering quality care goes hand in hand with a holistic care approach. 

Defining “Holistic” Care

There are 2 facets to holistic care with a VBC model. One is the actual care continuum itself as we mentioned, where all services are combined. The other is the financial extension of that approach with a bundling method that combines costs for these services based on treatment outcome. In VBC models the incentive is on successful treatment and continued preventive care rather than step by step actions administered throughout the diagnosis.

Educate Healthcare Providers and Teams

Paving the path to success within an organization begins with education initiatives to accelerate the transition to VBC. The adjustment from fee-to-service to VBC can be a tedious adjustment for providers that have been practicing with the focus of quantity versus quality for years. Ensure that the entire healthcare organization is equipped to participate by educating them about the core tenets of value-based care, no matter how big or small of a role they will play.

Measuring Care Impact 

A new strategy that is needed in VBC models is to implement tools like real-time risk assessment and continuous patient evaluation through software and applications and platforms for two main reasons.

  1. Hospitals and care facilities must be able to evaluate with up-to-date information from all involved care providers and practitioners within a patient’s treatment in order to coordinate care and create accurate and effective compensation practices. Patient data must be able to be updated and communicated within standard compliances, and communication channels must be maintained between both practitioners and patients. 
  2. Providers must be thoughtful and clear. This requires a rethinking of how healthcare is delivered by providers but also all specialists the patient is going to see. It also requires that the communication between any provider and the patient is as seamless and accessible as possible. This means having a centralized method or platform that encompasses outreach, communication, provider connections, transportation logistics, and transactions across the full continuum of care.

There is no shortage of valuable data available to healthcare organizations and they must commit to quality improvements through reliable data. 

Why make the change

VBC causes healthcare leaders to rethink the processes and elements that have the greatest impact on a patient’s outcome. It also provides a clear format as to what is or is not a covered benefit for the patient. This approach leads to lower costs overall for facilities and providers through a few key shifts:

Risk analysis and shared responsibility

All providers and practitioners/departments work together to reduce collective spending. Risk is assessed and prioritization makes it easier to provide pertinent care.

Shared Savings

Financial load is shared among practitioners/providers so that saved funds in one department can be redirected to another to keep the collective on budget.

Bundling Cost

Bundling allows patients to have input on their care and opt out of services they don’t need. Patients don’t overpay, and providers can accrue savings from unused services.

Understanding the shared health needs of patients will make it easier to see how a VBC model can help you save on cost through bundling and shared savings across departments. With this information you can design your own unique solution to improving the quality of care for your patients. The analytics and data collected from Primavera’s Data Analytic platform to facilitate VBC success will make tracking health outcomes and patient data easy so you can justify and analyze cost and outcomes.

VBC creates great experiences and outcomes for patients, and generates higher bottom lines for providers. Though it is increasing in popularity, VBC is not dominating the entire market – but due to its flexibility and adaptive/integrative nature it is ideal for mitigating gaps in care that can be created by pay-per-service models. 

Patient-first care does not have to negatively impact revenue generation. At Primavera, we help you create the best strategies to implement VBC solutions into your practice. The goal is to close gaps in patient care and improve outcomes without incurring additional costs – and in fact, reducing them.

Through revenue optimization (driving down costs by improving efficiencies in coding and determining cost drivers), and identifying growth trends, we are able to help identify your specific benefits from switching to VBC. 

Reach out to us today to continue the conversation on how to position your healthcare organization to benefit from value-based care. 

Rolian RuizKey Considerations in Healthcare Strategy when Transitioning to Value-Based Care 
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Increasing Profits Through Value-Based Care

Hospitals and health systems are looking to optimize their revenue by turning to value-based care from volume-based care. Widely used models where the number of patients determines the financial success of the practice is now being offset with the option to profit off preventive care and increase the quality of care.

So how does this work? And what are the benefits to patients, and to the healthcare facility and its different departments?

Incentive & Bonus Payments

VBC programs award practitioners based on the quality of care they are providing through bonuses and incentive programs. As an example, with the center for Medicaid and Medicare services, there are 5 key VBC rewards programs:

  • End-Stage Renal Disease Quality Incentive Program (ESRD QIP)
  • Hospital Value-Based Purchasing (VBP) Program
  • Hospital Readmission Reduction Program (HRRP)
  • Value Modifier (VM) Program (also called the Physician Value-Based Modifier or PVBM)
  • Hospital Acquired Conditions (HAC) Reduction Program

Incentive programs like these are meant to motivate care optimization and help the healthcare industry as a whole move away from fee-for-service models and into bundled care solutions that are compensated by overall patient health.

The drive for this performance-based shift has been evolving since the passing of the 2010 Affordable Care Act (ACA). In 2018, this alternative payment model (APM) comprised roughly 36% of total U.S. healthcare payments up from 25% in 2015.

To work, bonuses and incentives can’t stay stagnant and they have to grow proportionate to APM revenues, and live in a 10-20% range of projected cash compensations.

Stabilized Cash Flows

Perhaps the most attractive benefit of VBC is that there are more predictable cash flows in times of service fluctuation (e.g., the coronavirus pandemic). Financial losses were top of mind during the height of the pandemic as hospitalizations increased exponentially, affecting providers in unexpected ways, and testing their ability to adapt. Those practices able to embrace digital telehealth solutions were able to stay more nimble without compromising their data collection and intake processes, further – those with VBC models were able to continue to receive regular payments vs fee-for-services models which saw a staunch decline. 

“Hospitals and health systems that have mostly recovered from the initial hit of the pandemic had invested before the crisis in areas such as hospital-at-home services and digital capabilities that allowed rapid expansion into virtual care and remote patient management.” 

Additionally, certain healthcare practices may actual thrive under a virtual care model:

Some specialties, such as mental health, may find stronger footing via virtual visits. Healthcare provider executives surveyed by HRI most frequently cited mental health and psychiatry (58%), family medicine (56%), obstetrics and gynecology (46%) and pediatrics (44%) as the specialties in which their organizations will offer virtual visits in 2021.

Payers may wrestle with how to reimburse and, in some cases, provide virtual care. Pharmaceutical and life sciences companies may have to determine where they can and should plug in, literally. Providers may continue to improve the patient experience and be careful not to create new disparities in the health system through lack of technology access.

With 95% of large US employers covering telehealth, up from 56% in 2016, business leaders will have a say in how virtual care is used and how it should be woven into the healthcare system.

The revenue (and analytics) of VBC models stabilizes revenue and spending by improving patient outcomes and creating more consistent care continuums – identifying gaps in care, and bundling treatment modalities for preventive care options.

Healthy patient populations create revenue as new reimbursement policies put forth by payers and government agencies promote preventive solutions.

Go Beyond Hospital Walls

A big proponent of the success of VBC is that it is adaptable and, because it is focused on treatment success over fee-for-service, this model is able to be more flexible in incorporating external therapies within approved networks. 

With greater accessibility comes the need for greater amounts of data to manage it and along with the implementation of VBC comes the need for real-time applications and management platforms to capture and analyze patient data; for reporting but also to mitigate risk. 

When it comes to utilizing these applications; for patients it needs to be incredibly easy to use – accessible with the tap of a screen, and for providers it needs to be able to track multiple practitioners, patient records, manage transportation, and facilitate transactions, all with regulation levels of security and compliance.

At Primavera, we focus on real time results and make it easy to access the complete member record, case management, scheduling, transportation, healthcare analytic care data and financial analytic data for your patients and practice. This integrated support is what gives VBC models the organization and adaptive structure they need to support a variety of patients – even under unexpected circumstances – without compromising profitability.

Curious how this solution could work for you? Reach out to us today to get started. 

Rolian RuizIncreasing Profits Through Value-Based Care
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Time Sensitive Opportunity: Federal funds made available to help FQHCs modernize technology tools to better leverage patient-level data

HRSA just recently announced it is making $90 million available to federally qualified health centers to assist them as they transition to new reporting requirements that have been redesigned to collect more and better data on social determinants of health. The modernization effort aims  to increase the granularity of the data being collected by leveraging advances in health information technology and aligning with other interoperability standards and reporting requirements in other federally funded health care programs.

Why shift to patient-level data?

HRSA believes this will help to better evaluate the Health Center Program, provide targeted training and technical assistance, and advance quality improvement research. Such research may lead to improvements inequitable access to high-quality, cost-effective care, including addressing the ongoing impacts of COVID-19 and supporting responses to future public health emergencies

For health centers, standardization of patient-level health data will enable the identification of populations most at risk for health disparities and will provide data to inform potential clinical interventions.

What can the funds be used to do?

Funding will support improvements in infrastructure, such as health information technology, and enhanced data collection and reporting through FHIR (Fast Healthcare Interoperability Resources).  The funds will support patient-level reporting and enable them to better identify, measure, and investigate disparities in health care use and health outcomes by race, ethnicity, age, and other important demographic factors, and to more precisely target their resources accordingly. Furthermore, the ability to collect, house, and report standardized patient-level health data will support health centers’ participation in critical population health surveillance activities during public health emergencies. Big takeaway here… this will help position the organization to be eligible for future funding opportunities.

Some award specifics:

This is a time-sensitive opportunity. Applications are due May 23, 2022 by 5pm ET. HRSA anticipates that awards will be made on or around August 1, 2022.

Approximately $88.4 million in supplemental funding is available in FY 2022 to support additional allowable ARP activities, including UDS+ activities, through the end of your ARP period of performance (March 31, 2023 for HRSA-funded health centers and June 30, 2023 for look-alikes).

HRSA anticipates awarding approximately $60,000 per awardee through one-time supplemental funding. Depending on the number of approvable applications, HRSA may adjust award amounts consistent with funds available for this supplemental funding opportunity at the time award decisions are made.

HRSA expects to release funding on or around August 1, 2022, for use throughout the remainder of your American Rescue Plan Act (H8F or L2C) award’s period of performance (until March 31, 2023 for HRSA-funded health centers and June 30, 2023 for look-alikes),

Partner with Primavera Health 

Primavera Health provides a customizable ecosystem of tools that allow providers to capture the required data by a FQHC when you need it most. We were founded and built with a brain for business and a heart for patients providing a data analytics solution that is centered around real-world applications in the healthcare sector. Primavera’s Core Values are Actionable Intelligence, Ease-of-use and Performance that not only meet but exceed your reporting requirements.

Providing technology that was designed by a team of healthcare professionals and industry experts to serve healthcare professionals through a complex IT architecture and relationship database systems – we are here to help your FQHC succeed. Having in-depth experience building out government funding reporting systems for our clients, we are positioned to partner with FQHCs to succeed. For example, we recently completed reporting interface that tracks key patients services being provided through the Volunteer Health Services Program in Florida.

To learn how Primavera can directly support you to meeting HRSA application deadline while improve required reporting across your organization, Reach out to us today or sign up to schedule a demo with Primavera in the below form!

 

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Rolian RuizTime Sensitive Opportunity: Federal funds made available to help FQHCs modernize technology tools to better leverage patient-level data
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Primavera Webinar: Excelling in the Business of Value-Based Care

Primavera Presents: Excelling in the Business of Value-Based Care

  • Are you looking to learn more about how to adopt and embrace Value-Based Care?
  • Is your organization lacking a Value-Based Care strategy and implementation?
  • Are you hoping to improve patient care while reducing costs but don’t know where to start.

If you answered “Yes” to any of those questions, this webinar is for you.

Watch the webinar below to learn great insights and solutions on how you can not only engage in Value-Based care but benefit with the help of our expert advisors:

  • Value-Based Care fundamentals – what it might mean to different people at a practice
  • Important key drivers necessary in VBC that help align, patients, payers and providers in a value-based structure
  • Risk payer settings and how to best position your practice in an advanced payment model
  • How important technology and administrative infrastructure is in setting your practice up for success
  • I think VBC is right for me – What steps can/should I take?

Rolian RuizPrimavera Webinar: Excelling in the Business of Value-Based Care
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