Better health. Better care. Lower costs.

January 11, 2017

Two health care providers commit to new model of value-based payment

Two Washington State health care providers have signed on to test two demonstrations (one urban and one rural) of a new integrated model of care through a Healthier Washington payment redesign model.

Northwest Physicians Network and Summit Pacific Medical Center are contracting with the state Health Care Authority (HCA) to pilot the Greater Washington Multi-payer model, where providers will coordinate care, share data across multiple payers and support providers in adopting value-based payment models.

These health care providers have committed to engaging multiple payers in this aligned strategy focused on population health management, while HCA will share attributable claims data from a state employee health plan and Apple Health (Medicaid), provide technical assistance around care transformation, and incentivize broader participation in the model test.

Northwest Physicians Network, leading the urban demonstration, is Washington’s largest multispecialty network, with more than 80 ambulatory surgery centers and diagnostic imaging centers, and contract partnerships with more than 200 facility and ancillary services. They serve 12 counties: Adams, Benton, Clallam, Grays Harbor, Island, King, Kitsap Kittitas, Pierce, Skagit, Snohomish, and Thurston.

Summit Pacific Medical Center, leading the rural demonstration, is a critical access hospital in Elma. Summit Pacific also operates three rural primary care clinics and an urgent care clinic. On January 1, they launched an electronic health record system that allows a patient’s complete health record to be accessed at all hospital departments and at Summit Pacific’s primary care clinics.

The Greater Washington Multi-payer payment model helps increase providers’ access to patient data across multiple payers and providers, and aligns quality measures used to assess provider performance. This help providers transition into value-based payment arrangements. 

To learn more about HCA’s role in moving the state’s health care market to value, view the Value-based Road Map.

Upcoming events

• January 30: Health Innovation Leadership Network quarterly meeting - register 
• February 13: Quarterly webinar on Evaluating Healthier Washington and Achieving Continuous Improvement - register
  

The project described was supported by Funding Opportunity Number CMS-1G1-14-001 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.