You are absolutely right; healthcare delivery and practice management have never been more complicated. As public and private payers move further into value-based payment and contracting, the complexity of reimbursement has amplified the impact of quality metric performance on a clinic’s bottom line. Simultaneously, we have entered the world of HCC scoring and Medicare’s corresponding emphasis on Annual Wellness Visits. And yes, we are still trying to find time to see patients with an ever-increasing amount of chronic disease.
At Monument Health, we understand how the extra demands on the providers do not often mesh with a twenty-four-hour day. We want to help you and your practice succeed in the complicated endeavor to manage your patient population such that you and your practice can be properly reimbursed for the work being done. Indeed, this work includes efforts beyond our face-to-face interactions with patients.
Monument Health helps practices and providers succeed in value-based care through a multi-pronged approach:
- HCC coding education, including quick reference handouts and videos;
- Care gap work lists directly tied to incentive programs with multiple payers;
- Performance dashboards and ad hoc reporting;
- Helpful tips and toolkits on a range of value-based topics including triple-weighted measures, Annual Wellness Visits.
- Need an additional resource, report, or tool? Reach out to Lauren Sundermann and the Monument Team will help you out.
In other news, Monument Health is now helping manage the Medicaid population here in Western Colorado, bringing the Network’s total membership count to over 75,000 lives. Monument’s work on Medicaid is driven by the provider-led Medicaid Committee, with efforts focusing on helping Medicaid members navigate the renewal process now underway. The end of Public Health Emergency in March 2023 meant many Medicaid members now need to reenroll in Medicaid or find health insurance on Connect for Health Colorado. The attached handout provides additional details on how your practice can assist patients going through the renewal process. I also recommend visiting HCPF’s Provider Contact page for some helpful provider resources or directing to patients to Health First Colorado’s member resource page.