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Geneia Helps Catapult Physician Practice to Value-Based Success

January 24, 2018
Three lessons for successful value-based reimbursement.
Patricia Ingerick

The year is 2010. Commonwealth Physicians (Commonwealth), a multi-practice, physician-led delivery system serving more than 500,000 patients, is about to enter into its first big value-based reimbursement contract. Leadership is excited – and nervous -- about the opportunity and promise of shared savings through cost-controlled, coordinated and high-quality care.

Hindsight is the clearest sight, so they say. And, looking back at this moment from 2018 validates the decision to adopt a holistic approach toward technology, process and education -- a decision that catapulted Commonwealth down the path of value-based reimbursement success.

Lessons Learned

One: Invest in care team education because daily practice processes must support value-based reimbursement over episodic care.

One of Commonwealth's biggest concerns was changing and maintaining daily practice methodologies to support value-based reimbursement. Change is hard and episodic, fee-for-service care is deeply entrenched. Leaders knew value-based care was a fundamental shift for patient-facing physicians and their support staff. They wanted to give practices  every resource they muster. Commonwealth’s ability to earn shared savings depends on the agility of care teams to understand, adapt and keep up with new daily routines to support value-based reimbursement contracts.

Two: Invest in technology that lightens the load and works everywhere.

Commonwealth knew its electronic health record (EHR) only provided a partial view of patients and their care. All too often, primary care physicians were unaware of services received outside of their office. Commonwealth knew it needed more robust technology to help manage patient populations effectively across multiple sites of care. The practice needed a true population health solution to help coordinate, track and analyze care (and care gaps) everywhere patients went – without undue reporting burden. The physicians needed a platform that could work with all contracted health plans as they expand their value-based relationships.

Three: Invest in like-minded partners with a proven track record and broad experience in putting analytics into practice.

The healthcare analytics market is a crowded one. It can be difficult to separate those who can deliver the results you need from those who just talk a good game. After extensive due diligence, Commonwealth chose Geneia as its strategic population health partner. Why?

Partnerships develop for a variety of reasons. For Commonwealth, talking with existing physician clients made all the difference. The physicians learned how Geneia helps other physician-led systems successfully manage large populations of people every day. They learned how Geneia offers not only analytics, but people experienced and skilled in leveraging data to revamp workflows, improve quality reporting and lower the total cost of care across populations.

Geneia’s consulting services, coupled with technology, delivered a holistic approach that mirrored Commonwealth’s full-service approach to patient care.