70% of plans, including the Centers for Medicare & Medicaid Services (CMS), are moving toward value-based payment arrangements. This shifts risk from payers to practitioners, and urgently requires transition to a value-driven practice.
Value-based programs continue to expand as incentives move away from fee-for-service reimbursement. This transition requires providers to manage to quality metrics to justify participation in the program and subsequently get reimbursed for the services they provider. For each patient, providers have the cumbersome task of identifying the quality gaps, closing the gap and documenting closure while aligning to a patient’s unique program. The administrative energy required to manage to each program's unique quality program is a burden for the provider.
Providers need a simplified approach to the cumbersome task of identifying the quality gaps, closing the gap and documenting closure while aligning to a patient’s unique program. The provider then would like the gap identification and actionable recommendations to be seamless connected to their clinical tools and EMRs to ensure the time with the patient during the visit is maximized.
Healthpointe Solutions Gap Exchange
is focused on simplifying the identification of patient’s gap in care. The real-time exchange enables a provider to seamlessly identify and provide
actionable recommendations for gaps in care.