HIGH POINT & HICKORY, NC – CHESS (a population health management company based in High Point)
and Catawba Valley Medical Center (CVMC) announced Monday that they have
joined into a long-term partnership that will assist the Hickory-based
health system in changing its health care delivery model from one based
on fee-for-service (volume-based) to one rooted in pay-for-performance
(value-based).
“As healthcare reimbursement models migrate to payment models based
on quality, outcomes and cost, we are excited to join CHESS, a proven
leader in the industry,” said J. Anthony Rose, President and CEO
of CVMC. “We believe in partnering with CHESS, we can better adapt
to a model of care that will reward improving the quality of care and
reducing the cost of caring for our patients.”
CHESS has assisted Cornerstone Health Care, a 370-provider multispecialty
group based in High Point, NC, in making the move to value by implementing
innovative care models and establishing value-based contracts with insurance
carriers. All of Cornerstone’s commercial insurance plans are set
up to share savings with the insurer, or are risk-based (meaning Cornerstone
is responsible for keeping the cost of care below a portion of the premium
dollar). In addition, Cornerstone participates in the federal Medicare
Shared Savings Program as an ACO, recently receiving recognition as one
of the top 25 performing ACOs in the country on quality measures in 2014.
John Walker, MD, CHESS Chief Health Enablement Officer said, “The
partnership with CVMC will focus on analyzing data to identify populations
of patients, particularly those with chronic conditions (such as diabetes,
hypertension and COPD), then developing targeted programs designed to
improve the health and quality of life of these patients. We also will
use data to identify patients with gaps in care (those requiring check-ups
and screenings), and assist CVMC in fine-tuning its outpatient model of
care to focus on early intervention, prevention and reduced hospitalizations.”
CVMC and CHESS are already in the process of rolling out programs and initiatives
at CVMC’s outpatient practices to make an immediate and sustainable
impact on the delivery of care at these facilities. “We look forward
to working with the providers and staff at CVMC, and to achieving positive
outcomes for the patients of the Catawba Valley Region,” said Walker.
“Patients receiving high quality care at a lower price is a win
for them, the health system and the community.”
ABOUT CATAWBA VALLEY MEDICAL CENTER
Catawba Valley Medical Center (CVMC) in Hickory, NC, is the region’s
largest not-for-profit, public healthcare system serving the community
without direct funding from taxes. CVMC provides and promotes physical,
mental, emotional and spiritual well-being in addition to serving as a
center for health education, wellness, preventive medicine and acute care.
CVMC received a fourth consecutive Magnet designation from the American
Nurses Credentialing Center in 2014 and has been recognized by WomenCertified® with Women’s Choice Awards for
America’s
Best 100 Hospitals for Patient Experience in 2012, 2013 & 2014;
Best Hospital for Patient Experience in Obstetrics in 2013 & 2014;
America’s Best Hospitals in Orthopedics in 2013 & 2014; and
America’s Best Hospitals in Cancer Care in 2014. CVMC received the 2013 & 2014 Premier Inc. QUEST® Award for High-Value Healthcare recognizing its reduction in harm, mortality,
readmissions and costs and improvements in metrics for patient experience
and evidence-based care. For more information, please visit
http://www.catawbavalleymedical.org.
ABOUT CHESS
CHESS is a physician-owned and operated health care services company that
empowers physicians and health systems to make the transition to value-based
medicine, a model where they are financially rewarded for improving the
quality of care and reducing the cost of care they deliver to patients.
Using advanced analytics to build and measure the success of targeted
care models, along with payer contracts that enable physicians to share
in cost savings, CHESS creates a health care environment that is both
patient-centered and clinician-friendly.
CHESS is a joint venture of Cornerstone Health Care, Wake Forest Baptist
Health and LabCorp. CHESS is committed to helping health care organizations
throughout the United States prepare for the future, one in which fee-for-service
reimbursements continue to dwindle. Led by a team of medical, technology
and business experts who have a deep understanding of what it takes to
transition clients into this new value-based world, CHESS offers a single
solution that incorporates ALL elements required to successfully make
the move to value. For more information about CHESS, visit
http://www.chessmso.com.