Care Compacts in the Medical Neighborhood: Transforming PCP-Specialist Care Coordination

Care Compacts in the Medical Neighborhood:
Transforming PCP-Specialist Care Coordination

With the advent of the medical neighborhood, care coordination is no longer the sole domain of the primary care practice (PCP) but a responsibility shared among all providers that touch the patient.

But how to formalize co-management of patients by PCPs and specialists — in a way that both assures efficient delivery of high-quality healthcare and addresses the 'pain points' of each provider group?

Care Compacts in the Medical Neighborhood: Transforming PCP-Specialist Care CoordinationCare Compacts in the Medical Neighborhood: Transforming PCP-Specialist Care Coordination describes WellPoint's efforts to clearly define these roles and responsibilities: the testing of care compacts in its Patient-Centered Specialty Care (PCSC) program.

For more information or to order your copy today:
http://store.hin.com/product.asp?itemid=4918

In this 2014 venture, WellPoint has recruited 20 progressive specialist practices to work with its established patient-centered medical home practices to test the use of care compacts as a means of bridging primary care-specialist collaborations.

In this 25-page resource, Robert Krebbs, director of payment innovation at WellPoint, Inc., describes how the care compact, adapted from a Colorado System of Care/Patient-Centered Medical Home (SOC/PCMH) template, addresses such care coordination concerns as communications, referrals, patient handoffs, and more.

This HIN special report provides details on the following:

  • Selection criteria for participating specialties;
  • WellPoint's three-part scorecard to evaluate care coordination, quality and appropriateness of care in the PCSC program, as well as future scorecard goals;
  • The tiered savings incentive approach supporting PCSC and anticipated evolution of the reimbursement model;
  • Templates for care coordination agreements and strategies for addressing 'pain points' from provider group perspectives, including specifics around patient referrals, provider communications, and more;
  • Engaging specialists in the use of care compacts and the role of care coordination;
  • Best practices and suggested add-ons for care compacts and referral agreements;
  • Tools, education and learning collaboratives to support the use of care compacts;
  • Future plans for the Patient-Centered Specialty Care program;
  • and much more.

Order your copy today:
http://store.hin.com/product.asp?itemid=4918

Available in Single or Multi-User Licenses

A multi-user license will provide you with the right to install and use this information on your company's computer network for an unlimited number of additional workstations within your organization for a one-time fee. To have this valuable resource on your network, or to inquire about ordering bulk copies in print or Adobe PDF, please e-mail sales@hin.com or call 888-446-3530.

P.S. -- You may also be interested in this resource on the patient-centered medical home: