Performance Reporting

Faced with declining reimbursements and escalating reporting requirements, providers are making tough decision about program and plan participation. A huge administrative burden is taking the physician’s time away from patients, yet understanding compliance with quality measures is critical to driving healthier populations.

HealthEC proactively prepares and aligns health management processes to optimize quality while ensuring compliance with various performance reporting requirements including MACRA/MIPS/GPRO/QCDR, ACI/CIA, HEDIS, HCC/RAF, TCPI/PTN, Comprehensive Primary Care Plus (CPC+), Oncology Care Model (OCM) Registry, State-based Health Homes and more.

The ability to integrate all data on a single platform, combined with a library of standard reports and a flexible reporting tool, ensures that providers can meet strategic, financial and regulatory reporting requirements with relative ease.

Accountable Care Organizations (ACOs) participating in Medicare Share Savings Program (MSSP), MSSP Track 1, Track 2 and Track 3, and NextGen ACOs
Group Practice Reporting Option (GPRO) for CMS MIPS data by ACOs
Reporting for the Merit-Based Incentive Payment System (MIPS) for Medicare Access and CHIP Reauthorization Act (MACRA)
CMS Innovation projects including Comprehensive Primary Care Plus (CPC+) and the Oncology Care Model (OCM)
Health Homes
Medicaid-based Health Homes program to coordinate care for people who have chronic conditions
Clinical Quality Reporting to Payers for Value Based Payments by Provider Entities (IDNs, CINs, Hospitals)

HealthEC delivers comprehensive support for all performance reporting requirements:
  • Integration of all data sources on a single platform
  • Tools to support optimal compliance with performance metrics
  • Robust reporting tools for data submission
  • Advisory services to evolve programs and improve performance

Care Coordination

Busy Care Coordinators are looking for solutions that help them manage care for the top 5% of their patient population that has a 4-5x risk of negative health consequences and accounts for 50% of the practice’s total expenditure.

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