Our Provider Success Team Partners With Care Providers for Better Quality Outcomes

Contributing experts: Tich Changamire, MD, and Beth Weis

Care providers, by the nature of their profession, are inherently driven to deliver the best care for their patients. To help achieve optimal outcomes, payers and care providers have developed value-based payment models that emphasize quality, efficiency, and patient experience to recognize and foster continued quality outcomes.

The Provider Success Team directly supports care provider performance improvement, including outcomes, quality, and experience, across all lines of business. By looking across populations, this team has an opportunity to take a whole-health, care provider-centric approach to performance management.

Provider Success Team members build deep, trusting relationships with care provider teams. The field team includes more than 160 care consultants, working collectively on 1,751 value-based contracts.¹ To be the most effective partners, the team uses a consultative role, with an Agile project management approach for continuous practice transformation. We deploy on-the-ground resources to elevate performance, beginning with structured assessments to identify practice capabilities and opportunities.

By connecting care provider groups with targeted solutions and providing support through the successful implementation of these interventions, we’ve seen improvements in clinical quality performance and overall cost savings. This translates to better patient outcomes and more affordable care that benefits everyone.

Shared Resources and Expertise Create Successful Experiences

Recently, we collaborated with accountable care organization (ACO) leadership at a Kentucky care provider practice to complete a practice assessment across all lines of business.

Together, we created standard organization-level reporting and communications about quality improvement. We shared the vision and transformation plan with all care provider practice staff. The practice ACO team then developed a method to monitor and manage performance post-transformation.

For care providers engaged in value-based arrangements, our shared objective is to ensure their success, positioning them for immediate financial rewards and long-term capacity to manage greater risk, all while improving the health of their patients.