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Provider Resources

INTEGRIS Health Partners is focused on the training and education of our providers so we can execute a value-based strategy. We need a network of well-trained physicians who understand the value-based world. Giving you the skills to succeed in the value-based world is the most important job IHP has at this time. 

When we have discussions about value in health care, many times it feels like speaking a foreign language. We have been in a fee-for-service world for a long time. A transition from volume to value is ongoing in the United States, and it will be necessary to be adept in the value equation of health care.

The principles of HCC coding, documentation, care pathways and numerous other processes will be increasingly important. You need to be able to navigate all these acronyms.

Familiarize yourself with these acronyms

MSSP

Medicare Shared Savings Program

ACO REACH

Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model

PE Provider Engagement
HHS

Health and Human Services

FFS

Fee For Service

VBC

Value-Based Care

P4P

Pay for Performance

RAF

Risk Adjustment Factor

ACO

Accountable Care Organization

HCC

Hierarchical Condition Category

PDP

Prescription Drug Plan

GPO Group Purchasing Organization
CMS

Center for Medicare & Medicaid Services

PHSO

Population Health Services Organization

LOS

Length of Stay

MA

Medicare Advantage

CPI

Center for Program Integrity

P4Q

Pay for Quality

DC

Direct Contracting

CMMI

Center for Medicare and Medicaid Innovation

Please take advantage of the provider resources on this website, including the IHP Summit recordings and HCC Risk Adjustment Education opportunities, and reach out to [email protected] for additional support.