January 5, 2015
HIGH POINT & HICKORY, NC – CHESS (a population health management company based in High Point) and Catawba Valley Medical Center (CVMC) announced Monday that they have joined into a long-term partnership that will assist the Hickory-based health system in changing its healthcare delivery model from one based on fee-for-service (volume-based) to one rooted in pay-for-performance (value-based).
"As healthcare reimbursement models migrate to payment models based on quality, outcomes and cost, we are excited to join CHESS, a proven leader in the industry,” said J. Anthony Rose, President and CEO of CVMC. “We believe in partnering with CHESS, we can better adapt to a model of care that will reward improving the quality of care and reducing the cost of caring for our patients.”
CHESS has assisted Cornerstone Health Care, a 370-provider multispecialty group based in High Point, NC, in making the move to value by implementing innovative care models and establishing value-based contracts with insurance carriers. All of Cornerstone’s commercial insurance plans are set up to share savings with the insurer, or are risk-based (meaning Cornerstone is responsible for keeping the cost of care below a portion of the premium dollar). In addition, Cornerstone participates in the federal Medicare Shared Savings Program as an ACO, recently receiving recognition as one of the top 25 performing ACOs in the country on quality measures in 2014.
John Walker, MD, CHESS Chief Health Enablement Officer said, “The partnership with CVMC will focus on analyzing data to identify populations of patients, particularly those with chronic conditions (such as diabetes, hypertension and COPD), then developing targeted programs designed to improve the health and quality of life of these patients. We also will use data to identify patients with gaps in care (those requiring check-ups and screenings), and assist CVMC in fine-tuning its outpatient model of care to focus on early intervention, prevention and reduced hospitalizations.”
CVMC and CHESS are already in the process of rolling out programs and initiatives at CVMC’s outpatient practices to make an immediate and sustainable impact on the delivery of care at these facilities. “We look forward to working with the providers and staff at CVMC, and to achieving positive outcomes for the patients of the Catawba Valley Region,” said Walker. “Patients receiving high quality care at a lower price is a win for them, the health system and the community.”
CHESS is a physician-managed healthcare services company that empowers physicians and health systems to make the transition to value-based medicine, a model where they are financially rewarded for improving the quality of care and reducing the cost of care they deliver to patients. Using advanced analytics to build and measure the success of targeted care models, along with payer contracts that enable physicians to share in cost savings, CHESS creates a healthcare environment that is both patient-centered and clinician-friendly.
CHESS is a joint venture of Cornerstone Health Care, Wake Forest Baptist Health and LabCorp. CHESS is committed to helping healthcare organizations throughout the United States prepare for the future, one in which fee-for-service reimbursements continue to dwindle. Led by a team of medical, technology and business experts who have a deep understanding of what it takes to transition clients into this new value-based world, CHESS offers a single solution that incorporates ALL elements required to successfully make the move to value. For more information about CHESS, visit www.chessmso.com.
ABOUT CATAWBA VALLEY MEDICAL CENTER
Catawba Valley Medical Center (CVMC) in Hickory, NC, is the region’s largest not-for-profit, public healthcare system serving the community without direct funding from taxes. CVMC provides and promotes physical, mental, emotional and spiritual well-being in addition to serving as a center for health education, wellness, preventive medicine and acute care. CVMC received a fourth consecutive Magnet designation from the American Nurses Credentialing Center in 2014 and has been recognized by WomenCertified® with Women’s Choice Awards for America’s Best 100 Hospitals for Patient Experience in 2012, 2013 & 2014; Best Hospital for Patient Experience in Obstetrics in 2013 & 2014; America’s Best Hospitals in Orthopedics in 2013 & 2014; and America’s Best Hospitals in Cancer Care in 2014. CVMC received the 2013 & 2014 Premier Inc. QUEST® Award for High-Value Healthcare recognizing its reduction in harm, mortality, readmissions and costs and improvements in metrics for patient experience and evidence-based care. For more information, please visit http://www.catawbavalleymedical.org.