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Value Based Payment Resource Sets
Successful Practices in Accountable Care: El Rio Community Health Center
NACHC
/ Categories: Value Based Payment, Engaging in Value Based Payment Models

Successful Practices in Accountable Care: El Rio Community Health Center

Best Practices Series #1

El Rio Community Health Center, in Tucson, Arizona, leveraged and enhanced their relationship with local payers, including United Health Care, to support the health center’s population health efforts. El Rio uses complex data analytics provided by United and other payers to help manage existing patients and to stratify new patients by their risk levels and intervene to direct patients to appropriate services in a timely manner and ultimately enhance the patient experience. United Health Care also incentives quality care at El Rio using Health Effectiveness Data and Information Set (HEDIS) and utilization measures such as Emergency Room visits and hospital readmissions.

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Tags: Payers data Population Health accountable care patient stratification patient centered medical home incentive

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable contributions from the HITEQ's Advisory Committee and many health centers who have graciously shared their experiences with HITEQ.

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