Population Health Management for ACOs, CPC+ and other APMs

MACRA: QPP, MIPS and APMs

The Quality Payment Program (QPP) is the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) regulations of 2015. QPP will impact the reimbursements of virtually every practicing physician in the US. QPP has 2 components the Merit Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs).

QPP brings the various Alternate Payment Models (MSSP, CPC+, ACO etc.) under one roof and, through MIPS, also create significant incentives for Providers to adopt one of the APMs. However, joining an APM does not ensure that Providers will be able to improve their care quality or financial outcomes. To actually improve financial or care quality outcomes requires a well thought out clinical and work flow strategy which, in turn, requires a comprehensive technology platform.

Persivia's Population Health Management (PHM) platform provides a single integrated solution offering all the tools needed by APM providers to manage

  • Quality
  • Care and
  • Utilization.

We help providers and payers collect all the relevant data from both clinical and claims based sources and take the actions necessary to achieve the full cycle of processes required for success in an APM.

Contact us to find out how we can help you:

  • Collect the needed clinical and claims data
  • Attribute the patients to the correct doctor and create precisely defined cohorts of patients
  • Analyze and report on quality
  • Identify care gaps and alert care teams
  • Risk stratify patients
  • Perform care management
  • Analyze and improve resource utilization and
  • Engage patients.

Population health management