Agreement enhances access for Independent Health’s Medicare Advantage plan members
Buffalo, NY, December 1, 2016 – Independent Health and the Chautauqua IDS, an integrated delivery system consisting of 139 physicians in Chautauqua county, have established a new reimbursement agreement based on quality and value.
This reimbursement model promotes patient-centered care through the use of best practices and clinical excellence, instead of the traditional fee-for-service model that is simply based on quantity of services or the number of patients treated.
This agreement between Independent Health and Chautauqua IDS is initially for Independent Health’s Medicare line of business. The physician practices associated with the Chautauqua IDS have care teams that deliver a high level of coordinated care to their patients, such as complex care management to Medicare-aged patients with multiple chronic conditions. They collaborate with specialists in order to more effectively provide care for the patient’s ongoing treatment needs.
“Independent Health and the Chautauqua IDS share a common vision for providing patient-centered health care,” said Anthony Montagna, Vice President, Provider Networks. “This relationship helps shift the paradigm to a more proactive, value-based, results-driven model of care.”
“It’s all about relationships. The Chautauqua IDS is pleased to have the opportunity to work with Independent Health as we develop a more collaborative care delivery system that preserves and strengthens relationships between patients, families and providers,” said Ann Morse Abdella, Executive Director, Chautauqua County Health Network and Chautauqua IDS. “Together we are focused on helping people stay healthy in their daily lives by creating more flexible and effective partnerships with our patients that include better communication, more shared decision-making and individualized care planning.”
The Chautauqua IDS works closely with the Chautauqua County Health Network and other stakeholders (e.g. Associated Medical Partners) to create a model system of health care that provides access to quality services and meets the needs of patients and providers. It is redesigning processes to enhance care coordination and realign services to improve care, improve the patient experience and achieve cost savings. This partnership helps employers and employees focus on wellness, prevention, and greater self-management, with a special emphasis on controlling chronic disease.
The U.S. spends more on health care than other developed nations. According to Organization for Economic Cooperation and Development (OECD) statistics, the U.S. spends almost twice as much as other countries on health care in terms of Gross Domestic Product, and more than 2.5 times the OECD average in per capita spending. Statistics show the extra spending is not resulting in improved quality and health outcomes.
To address the cost and quality gap, the Centers for Medicare and Medicaid Services (CMS) has announced plans to tie 50 percent of Medicare payments to quality or value through value-based payments method by the end of 2018. Independent Health’s agreement with Chautauqua IDS for its Medicare business aligns with the CMS shift to a value-based payments, as well as with other Independent Health provider agreements. Both organizations have plans to explore a similar value-based model for Independent Health’s commercial and group business in the future.
About the Chautauqua IDS
The Chautauqua Integrated Delivery System is a sister organization to The Chautauqua County Health Network, which is dedicated to strengthening the local health and wellness delivery system in Chautauqua County, and advancing the interests of hospitals and patients. Together, the Chautauqua IDS, CCHN and the Chautauqua Region Associated Medical Partners (AMP) are attempting to create a model system of health care that provides access to quality services and meets the needs of consumers as well as providers. We are redesigning processes to embrace care coordination and realign services to achieve cost savings.