Quality is our top priority.
Our network enables health care providers of all kinds to be successful in delivering population health care by providing the capabilities, professional expertise, legal framework, IT and support resources that enable more cost-effective, coordinated patient care that is truly “health” care, not “sick” care.
Our infrastructure provides support in today’s changing health care environment that helps you deliver top quality care to your patients. We work with your practice to collect quality clinical data and use it to improve patient care and health care efficiency, rewarding providers who meet quality goals.
Rewarding providers for delivering cost-effective health care.
As a provider, you have the power to curb out-of-control health care costs and lead the way as more payers move to value-based reimbursement systems. Our providers benefit from the savings they create through efficient health care, and our network is built around a collaborative shared savings structure that rewards you for quality and efficiency.
VHAN has a track record of effective cost management. We have the people and processes in place to provide the robust, data-driven insights to make better, more efficient care possible. Our network’s success depends on achieving savings for health plan customers and distributing those savings to participating clinicians and hospitals.
VHAN has already demonstrated the success of its clinically integrated network model:
- We delivered savings of 5% ($10 million) to employers with shared savings agreements between July and December 2014, as compared to a benchmark of regional market trends. These savings were shared between employers, plan members, and providers. In 2015, we succeeded in again beating the market, this time by 2.4%.
- Of those savings, we have distributed millions of dollars of shared savings back to network clinicians.
- For three consecutive years, our pediatric program has delivered savings.
- Our pediatric program has helped reduce pediatric emergency department visits by 20% over a three-year period among VUMC employee health plan participants; concurrently, office visits increased by 6%.
Access for patients.
Our network is built on access to the region’s top doctors and hospitals. Your patients who have health insurance powered by our network have access to more than 4,000 of the region’s top providers and more than 50 hospitals.
The network uses a benefit plan designed to steer patients to the right place for care, increase in-network referrals, and manage resources. This gives both patients and providers incentives to seek care and make referrals within our network.
Using our health information exchange (HIE), clinicians can get rapid access to patient records across the network and analytics tools that track patient encounters effortlessly. Our HIE enables high-quality, cost-effective patient care through seamless, secure, efficient data sharing.