Accountable Care Project
To help inform the activities of the ACP, the group to developed a set of cost, utilization and quality reports to support the many system transformation and payment reform initiatives of participating organizations utilizing data available in NH’s All-Payer Claims Data (APCD) system, known as the NH Comprehensive Healthcare Information System (NHCHIS), and through self-reporting of EMR data.
In addition to on-going dialogue regarding key issues around the State, ACP stakeholders have set two primary work streams for the 2014-2015 program:
The development of an intervention and reimbursement model for patients with depression and a co-occurring chronic condition. ACP partners, including provider organizations, commercial payers and MCOs are discussing best practices for a coordinated care plan for patients and are working to develop a reimbursement model to align with patient care.
The implementation of coordinated prevention model targeting patients with hypertension. ACP partners are working to apply the lessons learned from the Million Hearts® initiative.
Accountable Care Project Reporting Tools
The ACP reports include two sets of report types:
Claims-based analytic reports: driven by the NH Comprehensive Health Information System (NHCHIS) data, have both private access for participating organizations and a "public" access for non-participating health care stakeholders. The full report suite includes data for Commercial, Medicaid and Medicare populations.
Electronic Medical Record (EMR) quality report: based on self-reported data from participating organizations. The aggregated median rates report provides a benchmark for comparison around key quality measures. The Access to the EMR reporting tool is limited to participating partners.
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