Washington, DC, Oct. 13, 2017 (GLOBE NEWSWIRE) — Clinically Integrated Networks are choosing URAC Clinical Integration Accreditation to demonstrate true clinical and financial integration, to navigate the complex requirements of the FTC and DOJ to avoid regulatory and legal pitfalls, and to implement operational and compliance foundations to ensure success with payers and partners.
To hear directly from organizations who have chosen to pursue URAC accreditation, join us on Wednesday, October 25, 2017, at 1 p.m. EDT, for a free webinar about the value of URAC’s Clinical Integration Accreditation program.
Hear from Casey Osborne, Vice President, Phoenix Children’s Care Network, and Ginger Hines, Senior Director of Operations, Seattle Children’s Care Network, on why they chose to pursue accreditation and their experiences in the accreditation process. Find out how the process of URAC accreditation helps create a sustainable framework for clinical and financial integration. Also, learn more about the steps for setting up a network aligned with FTC antitrust guidelines. You’ll discover how Clinical Integration Accreditation helps to:
- Negotiate from a stronger position with key stakeholders such as payers and partners
- Achieve better agreements and delegated services in medical management under value-based and risk arrangements
- Avoid the complex reviews by legal counsel and consultants.
“We are the pediatric player in our region, so the fear was that if we were aggressive in negotiating contracts, an insurer could report us for colluding and trying to drive up costs. We needed to structure PCCN so that no one could poke holes in our internal processes,” says Casey Osborne, vice president of PCCN, which is now the largest pediatric-dedicated, clinically integrated organization in Arizona and one of the few networks of its kind in the U.S.
“URAC has done a thorough review of federal and state regulations,” Osborne says. “Their accreditation process really helps you ensure that your CIN is set up in proper fashion and has the proper structure in place.”
When SCCN first went operational in 2015, it set out to be the best manager of pediatric lives in the Pacific Northwest and to ultimately move toward single-signature contracting. But first the network had to ensure seamless information exchange between its members, which include Seattle Children’s Hospital, a 650-specialist medical group and 21 primary care practices.
“When you’re in a clinically integrated network, no longer are you looking at whether a physician did a good job when a patient came to their primary care practice,” says Michael Murphy, SCCN’s executive director. “You’re looking longitudinally at the patient across all sites of the organized system of care. You’re looking at metrics and measures that span across the continuum of care, at how frequently patients come, the dynamics that drive utilization and how to collectively implement interventions, care coordination and care management.”
SCCN, is currently going through the URAC accreditation process. “Other than going to the FTC and getting their sign off, which is a lengthy, costly direction to go, URAC accreditation is the best way to be recognized as a vibrant clinically integrated network,” says Murphy.
To register for the webinar, click here.
ABOUT THE SPEAKERS
Casey Osborne, Vice President, Phoenix Children’s Care, has oversight and responsibility for Payer and Provider Operations, as well as the health system’s Physician Relations Department and Provider Enrollment Department. Under his leadership, PCCN has grown to become the first pediatric, URAC Accredited, Clinically Integrated Network in the country and has grown to be recognized as one of the top pediatric clinically integrated networks in the nation. PCCN manages over 150,000 children in various risk based shared savings and pay for performance models. Casey is also involved with strategy around the approach to integration and pediatric care for Medicaid lives in the state of Arizona.
Ginger Hines, Senior Director of Operations, Seattle Children’s Care Network, is an accomplished healthcare leader with more than 25 years’ experience in healthcare administration, operations and management consulting. Her work for the past four years has focused on delivering new models of care, interventions and care transformation efforts for populations in accountable care and value based risk arrangements. Before joining Seattle Children’s, Ginger was the Senior Director of Operations and Model of Care for Providence Health and Services in the Population Health Division.
Deborah Smith, MN, RN-BC, URAC’s product development principal, has previously served URAC as a senior advisor for strategy and innovation, director of product development, consultant, and volunteer with URAC for more than 18 years. She recently oversaw the development of URAC’s Telehealth Accreditation program and the redesign of the organization’s patient centered medical home (PCMH) program.
Founded in 1990, URAC is the independent leader in promoting healthcare quality through leadership, accreditation, measurement and innovation. URAC offers a wide range of quality benchmarking programs that reflect the latest changes in healthcare and provide a symbol of excellence for organizations to showcase their validated commitment to quality and accountability. URAC’s evidence-based standards and measures are developed through inclusive engagement with a range of stakeholders who are committed to improving the quality of healthcare. For more information, visit urac.org.
A photo accompanying this announcement is available at http://www.globenewswire.com/NewsRoom/AttachmentNg/21f321be-bb4b-4ac6-9b82-fac5e986dafe
CONTACT: Che Parker, MA URAC 202-326-3968 email@example.com