Physician Benefits

  • Collective Migration to Performance Based Payment models: access to tools, data, care management, and reporting
  • No financial risk – currently upside only, Frederick Health infrastructure loan
  • Population Health analytics leveraging Payor Claim data about patient activity outside office visits, better care through clearer communication
  • Reduction of waste – data about duplication of care, shared care plans, EMR HIE platform
  • Defensive strategy – competitive pressures: Payor narrow networks, Kaiser/JH practices, surrounding clinically integrated networks
  • Specialists support PCP referral base, tendency to refer internally to FIHN providers
  • Assistance with pulling quality data from EMR
  • CG-CAHPS customer service data BEFORE it impacts Medicare Payment rates
  • FIHN prepares us for future payment models

CIN Value Proposition for Providers

  • Physician Led, Professionally Managed
    Board and committees majority controlled by physicians
    Business, operational and financial decisions controlled by physicians
  • Ability to Enter New and Enhanced Payment Models
    Single signature contracting ability allows for unique way to engage payers
    Streamlined access to value-based payment models (shared savings/P4P)
    Enhanced fee schedules, care management payments may be available
  • Access to Additional Clinical Resources / No Cost to Physicians
    Funding available for care managers, PCMH development
    Focus on support services for high-risk, chronic/complex patients
    No expense to physicians
  • Robust IT Platform & Capabilities
    Leverages health system capital and current practice EMR’s
    Invest in applications capable of population health (integrates EMR’s and claims data) and predictive modeling (risk stratifies population)
    Apply business intelligence applications to care provided (cost/quality)