13 Hudson Health Plan Providers Selected for Innovative CMS Comprehensive Primary Care Initiative

A sign of the high quality care provided to Hudson Health Plan members
 
Aug. 22, 2012 - PRLog -- Nearly half of all Americans live with at least one chronic disease, such as diabetes, that requires close medical monitoring. But primary care professionals – the clinicians who can monitor patients best – are paid to treat, not manage, patient care. As a result, these professionals can’t spend time coordinating care with a patient’s other providers, or engage patients and their caregivers in managing their own care. But that’s about to change.

Thanks to a groundbreaking project called the Comprehensive Primary Care (CPC) initiative, developed by the Centers for Medicare & Medicaid Services (CMS) Innovation Center. CMS is collaborating with a select group of health plans – including Hudson Health Plan – and physician groups to demonstrate that paying primary care professionals to coordinate care of patients with complex medical needs can improve patient health and reduce overall health costs.  Today, Georganne Chapin, President & CEO of Hudson, announced that 13 Hudson providers have been selected to participate in the CPC initiative.

“For this important initiative, CMS picked forward-thinking physician groups that have demonstrated their commitment to delivering high quality care to patients in the Hudson Valley Region and Capital District. The fact that 13 of the groups are Hudson providers indicates the high quality of care we offer our members,” Ms. Chapin pointed out.

Hudson will begin paying a care coordination fee to the following Hudson providers that CMS has selected to participate in the CPC initiative:

Dutchess County
Fishkill Medical and Associates (Fishkill)
Health Quest Medical Practice Primary Care (Hopewell Junction, Hyde Park, Lagrangeville, Millbrook, Poughkeepsie)
Hudson Valley Primary Care (Wappingers Falls)
Village Medical PLLC (Pawling)

Orange County
New Windsor Family Medicine (New Windsor)

Putnam County
Northern Heart Specialists (Carmel, Mahopac)
The Westchester Medical Practice P.C, (Cold Spring)

Rockland County
Rockland Family Medical Care (West Haverstraw)

Sullivan County
River Valley Family Medical Services P.C. (Barryville)
Middletown Medical, P.C. (Ferndale)

Ulster County
Eugene P. Heslin, M.D., PC (Saugerties)
Health Quest Medical Practice Primary Care (Highland)

Westchester County
Comprehensive Primary Care Services (New Rochelle)
The Westchester Medical Practice PC (Yorktown Heights, Peekskill)
Westchester Health Associates (Thornwood)

In addition to compensating participating providers for coordinating care, Hudson will provide valuable data to identify patients in need of closer supervision and to alert physicians when patients visit specialists and hospital emergency departments or are released from a hospital. Hudson is one of the few managed care plans that already share some of this information with providers.

“Hudson has taken it upon itself to work with providers to coordinate the care of our members, and it is because of our pioneering work that CMS asked us to join with the region’s major insurance companies – all of them larger than our community-based non-profit organization – in the CPC initiative,” Ms. Chapin explained. “We intend to share our expertise with other payers and be a catalyst in bringing about a transformative change in health care delivery, and give primary care professionals a real opportunity to improve the health of their patients.”

About Hudson Health Plan
Hudson Health Plan is a community-based not-for-profit health care organization that provides state-sponsored Medicaid Managed Care, Child Health Plus, and Family Health Plus insurance coverage to over 115,000 members in New York’s Hudson Valley. Hudson uses every government dollar it receives to fulfill its mission, which is “to promote and provide access to excellent health services for all people.” Hudson improves the health of its members and the communities in which they live through its innovations in care coordination, and by supporting over 5,000 local health providers. In both 2009 and 2010, Hudson achieved the highest quality incentive scores of any Medicaid plan in New York State, and in 2010, it received the highest overall performance rating of any Medicaid plan in the Hudson Valley. It also has earned the highest ratings in overall satisfaction among Medicaid Managed Care members in the Hudson Valley region every year since 2003.

Hudson Health Plan is based in Tarrytown, N.Y. Visit Hudson at www.hudsonhealthplan.org, on Facebook at www.facebook.com/hudsonhealthplan, and on Twitter at @HudsonHealth.

About the Comprehensive Primary Care initiative
The Comprehensive Primary Care (CPC) initiative is a four-year initiative administered by the Innovation Center of the federal Centers for Medicare & Medicaid (CMS). Both CMS, as a payer for Medicare services, and private insurers will pay primary care practices a care management fee to support enhanced, coordinated services. These investments in primary care practices will allow doctors to spend more time with their patients, expand office hours, provide additional services such as nutrition or smoking-cessation counseling, and coordinate care for their patients.

CMS has selected seven regions in the nation to participate in the CPC initiative: Arkansas, Colorado, New Jersey, Oregon, New York’s Capital District-Hudson Valley Region, Ohio’s Cincinnati-Dayton Region, and greater Tulsa in Oklahoma.  Approximately 75 primary care practices will be selected to participate in the CPC initiative in each designated market. For more information, visit: http://www.innovations.cms.gov/initiatives/Comprehensive-...
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Page Updated Last on: Aug 23, 2012
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