REQUEST QUALITY MATERIALS

From Volume to Value, With Care

A curated selection of resources to help you thrive in a value-based care environment.

Welcome to the Care Partners Resource Site, your destination for mastering value-based care. Here, you’ll find a curated collection of resources designed to support healthcare professionals in delivering exceptional patient care while navigating the intricacies of various care models. From in-depth explorations of specific programs like MSSP, MA, and Commercial Insurance, to specialized materials on Risk Adjustment and CAHPS, and Best Practices for clinical excellence — the library is rich with insights. Each resource, whether it’s a detailed toolkit, an engaging presentation, or a succinct tip sheet, is crafted to empower you with the knowledge and tools necessary for thriving in the evolving landscape of healthcare.

MSSP

The Medicare Shared Savings Program (MSSP) is a key CMS initiative aimed at fostering collaboration among healthcare providers. The goal? To improve patient care while reducing unnecessary costs. Whether you’re new to MSSP or looking to enhance your participation, you’ll find everything you need right here. From comprehensive toolkits perfect for desk reference to targeted learning presentations and tip sheets, we’ve got you covered.

Medicare Advantage

Medicare Advantage (MA) is a program that offers Medicare benefits through private-sector health plans. While health plans may have varying program criteria, this section is tailored for those committed to delivering quality care while navigating the unique aspects of MA using the standard NCQA and PQA program specifications. Here, you’ll discover an array of resources to guide your practice, including detailed toolkits for quick reference, engaging presentations for deeper learning, and concise tip sheets for on-the-go insights.

Commercial Programs

The landscape of Commercial value-based care programs is dynamic as health plans work to innovate around patient care. These programs often involve agreements with private insurers to provide high-quality, cost-effective care. This section serves as your one-stop resource for mastering these complex arrangements. From all-encompassing toolkits that serve as your desk-side companion to succinct presentations and tip sheets for specific insights, we have meticulously curated these materials to support your success in commercial healthcare markets. Where materials are health plan specific, we have added that health plan name to make them easier to identify.

Risk and Diagnosis Coding

Welcome to the Risk Adjustment resource center, a dedicated space for understanding and optimizing your approach to condition-specific care across all value-based programs. Risk Adjustment plays a crucial role in ensuring healthcare providers are appropriately compensated for the complexity and severity of patients’ conditions. Here, you’ll find targeted materials designed to enhance your knowledge and application of Risk Adjustment strategies. These resources were crafted to support your efforts in delivering high-quality, personalized care.

Patient Experience: Health Plan Survey (CAHPS)

Consumer Assessment of Healthcare Providers and Systems (CAHPS) is a pivotal tool for measuring patient satisfaction and experience within healthcare settings. Understanding and improving CAHPS scores is essential for enhancing patient care, boosting reputation, and succeeding in value-based care programs. In this section, we offer a collection of resources designed to help you and your team excel in delivering patient-centered care.

Best Practice Resources

This section is dedicated to bringing you the latest and most effective strategies for delivering superior healthcare, starting with our current focus on blood pressure re-checks. These practices are pathways to enhancing patient outcomes, ensuring safety, and optimizing overall care delivery. As we expand this section, expect to find a wide array of curated materials designed to support your continuous improvement and leadership in healthcare.