InterCommunity Health Network Coordinated Care Organization (IHN-CCO), part of Samaritan Health Plans, is tasked with delivering managed care to Oregon’s Medicaid recipients. With a focus on prevention and management of chronic conditions, each CCO is a network of physical, behavioral, and mental health providers. The state’s mandate for these organizations is to improve care by integrating behavioral, mental, and physical health; shifting from a fee-for-service to a fee-for-value payment model; focusing on social determinants of health; and decreasing medical costs.
Using both clinical and social determinants of health data will help providers identify high-risk patients, focus more on their care, even view them differently. Learn more about how IHN-CCO and its stakeholders are realizing the benefit of having comprehensive, aggregated health data to support programs such as the Centers for Medicare & Medicaid Services Merit-Based Incentive Payment Systems, Quality Measure, and Alternative Payment Methodologies reporting, all of which require detailed and comprehensive health information. Providers need help measuring quality outcomes as they shift to the new fee-for-value payment model; now they have data in one place.
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