Creating Clinically Integrated Networks

Challenges for Today's Independent Physician

Despite independent physician efforts to remain competitive, many struggle managing exhaustive administrative work, payer negotiations, information technology, and quality and safety compliance requirements. With that, an increasing number of doctors are joining larger practices or becoming health system employees in order to participate in new payment models such as accountable care organizations (ACOs), value-based care contracting, and CMS incentive programs.

Health systems have been aggressively acquiring physician practices as organizations aim to better align physician networks to reduce medical variation, improve outcomes and satisfy payment reforms that require broader populations to remain healthy.

Helping Independent Physicians Remain Independent

HealthEC assists independent physicians and physician groups in establishing or further enabling Clinically Integrated Networks (CINs).

Independent physician practices use HealthEC’s clinical and financial data aggregation services across multiple specialties and Electronic Medical Records systems (EMRs). In fact, HealthEC has integrated with 200+ EMRs, and facilitated interoperability across 50 different EMRs within a single provider network.

  • By empowering physicians with access to data across the patient’s entire healthcare experience, they are able to work collaboratively and make fully-informed decisions while driving high quality, cost effective care
  • HealthEC enables physicians to work collectively to demonstrate value to the market by driving population health management initiatives
  • The model enables independent physicians to remain competitive amidst revenue and cost pressures brought about by health reform initiatives
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Comprehensive CIN Management

HealthEC provides a full service offering to help physicians, physician groups, medical societies and other organizations create a Clinically Integrated Network infrastructure and provide ongoing optimization of value-based care services.

CIN Development

One-time, initial organizational and structural development of a new physician-centric CIN

Ongoing CIN Management

Day-to-day management of the CIN including committee management, administration and compliance

Data Analytics

Collection and analysis of claims and clinical data into actionable output to drive utilization and cost management

Care Coordination

Care management services for the top 2-3% of the population driving health resource utilization

Practice Transformation

Advisory services to implement value-based thinking into individual practices

Payer Relations Advisement

Support for the development of value-based arrangements with payers

A Winning Strategy for Physicians, Payers and Patients

HealthEC helps physicians maintain their independence and keep care local, while providing access to value-based contracts as part of a collaborative group. Providers are able to take on higher levels of accountability for cost and quality by working across practices to manage utilization and overall population health.

With extensive experience in data interoperability, care coordination, practice transformation, patient-centric medical homes, contract negotiations, and developing strategic partnerships, HealthEC helps ensure the success of independent physicians by offering a coordinated service program to health plans.

Independent physicians are a precious commodity and HealthEC is proud to help these providers survive in a value-based world. HealthEC enables independent physicians to remain competitive amidst revenue and cost pressures brought about by health reform initiatives, while taking on higher levels of accountability for the care of their patients.

HealthEC helps independent physicians pursue value-based care contracts by:
  • Providing the infrastructure and guidance to establish clinically integrated networks
  • Creating a centralized patient care record across physicians and groups
  • Coordinating care for high-risk patients to improve quality and reduce cost
  • Providing practice transformation advice
  • Supporting the development of value-based care arrangements