Our client functions as a physician-governed and health system owned clinically integrated network (CIN) and independent physician association (IPA) in Buffalo, New York. Aligned in its commitment to enable network providers for success in value-based payment (VBP) contracts, the IPA has taken a strategic collaboration approach and established a pioneering care management model/program. At the one-year mark, the care management (CM) team has incorporated robust data analytics, enhanced provider engagement strategies, and implemented evidence-based CM programs to enhance quality performance, reduce total cost of care, and optimize revenue.
The CM initiative is a first in the organization’s history, a remarkable achievement for which GLIN’s leadership, including Dr. Paul Shields, collaborated closely with COPE Health Solutions to create a team dedicated to delivering exceptional patient care. Partnering with COPE Health Solutions was instrumental in establishing and guiding the CM team, which provides comprehensive services tailored to patients with chronic illnesses, supporting their health management and overall well-being. By delving into the intricacies of patients’ health dynamics, including social factors, the CM team empowers patients to self-manage symptoms with the goal of reducing hospitalizations and optimizing their health outcomes.