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Practice Transformation Initiative AlignmentCCPNHHNPTN Practice Transformation Network is a 4-year CMS sponsored program that prepares NC and SC providers.

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Presentation on theme: "Practice Transformation Initiative AlignmentCCPNHHNPTN Practice Transformation Network is a 4-year CMS sponsored program that prepares NC and SC providers."— Presentation transcript:

1 Practice Transformation Initiative AlignmentCCPNHHNPTN Practice Transformation Network is a 4-year CMS sponsored program that prepares NC and SC providers for success in a value-based environment. Clinicians will achieve sustained improvement in practice efficiency and quality of care, demonstrate cost savings and reductions in avoidable hospital use. Patients will use more preventive services, engage in better management of chronic conditions, have better health outcomes, and report greater satisfaction with care received The Community Care Physician Network is a collaborative, non- exclusive Clinically Integrated Network of independent healthcare providers. The CCPN will enhance the clinical quality and efficiencies of its participating providers, broaden primary care access for our Medicaid patients, and help participating clinicians to succeed in a value-based healthcare system Rev. 4-13-2016

2 Program Comparison PTNCCPNHHN Preparation for Value-Based Care Reimbursement Population Health Management Infrastructure Provided by CCNC Care and Disease Management Comprehensive Medication Management TBD/ CCNC Contract N/A

3 Program Comparison PTNCCPNHHN Behavioral Health Integration Support in Quality Improvement Work within the Practice Connect you with the Tools to Enhance Practice Transformation Quality Data Collection & Reporting through EMR Connection to CCNC’s Informatics Center N/A TBD/ CCNC Contract Preferred but not required initially N/A

4 Program Comparison PTNCCPNHHN Core Measure Sets CMEs (at no cost) Providers who are Eligible to Enroll: Pediatricians, Family Physicians, Internists, Physician’s Assistants, Nurse Practitioners, Specialists Practices Not Eligible to Enroll N/A Practice Enrollment (Family & Internal Medicine) N/A Agreed Upon by Members CVD Measure Set Aligned with National Standards Participation in MSSP ACO; Bundled Payment Program Non-CAII; Not serving adults; >10 providers per site

5 Program Comparison Independent, initially Waived until June 30 th, 2016 CMS 2015 to 2019 3-Year Term Agreement AHRQ 2015 to 2018 >50% of 2,000 Primary Care Clinicians Independent Independent, Health System, Hospital, ≤10 providers per site N/A


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