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Centegra Health & Wellness Network Partners with Valence Health to Support Its Clinically Integrated Network and Manage “At-Risk” Payer Contracts
|By Business Wire
|June 20, 2014 10:22 AM EDT
Health, a leading provider of clinical integration, population
health and value-based care solutions, today announced it was selected
by Centegra Health & Wellness Network (CHWN) to provide infrastructure
and support for its clinically integrated network (CIN). As the largest
physician hospital organization (PHO) in Northwest Illinois, CHWN
seeks to enhance the quality and efficiency of health care delivered to
the patients served by the Centegra owned hospitals, employed physicians
and its affiliated health care providers.
CINs are designed to align health care providers under a common legal
structure, allowing them to more effectively coordinate and deliver
services focused on quality, performance, efficiency and value to
patients. The foundation of CINs consists of the acceptance of common
care guidelines, data sharing and performance tracking of providers and
patients against these agreed upon guidelines. Having a robust health
information technology solution to meet these requirements is a key
component for ensuring successful clinical integration.
“Our physicians, hospitals, specialty care centers and ancillary service
providers have a long history of providing excellent care,” said Jeff
Schmidt, Senior Vice President, Clinical Integration & Payer Strategies
for CHWN. “Partnering with Valence Health will accelerate and enable our
ability to support our integrated network by delivering better
population health management services and programs to our patients in
the most cost-effective manner possible. As we advance our population
health efforts and expand our health insurance contracting, we need a
proven partner like Valence Health.”
Under the agreement, Valence will provide CHWN with the Valence
Health Vision™ technology solution. The Vision™ solution will
combine data from CHWN physician members’ practice management and
electronic medical records systems, together with data from hospital
information systems, lab systems, prescription drug information and
other data sources, to provide a comprehensive clinical view of patient
care. Once operational, the system will allow care providers and
coordinators to identify patient populations based on combinations of
clinical information such as conditions, gaps in care, lab results and
In addition to supporting CHWN’s clinically integrated network, Valence
will also support CHWN’s fully delegated professional risk contract with
Blue Cross Blue Shield of Illinois. Under the agreement, Valence will
provide management services for CHWN and perform claims administration,
eligibility maintenance, utilization management and quality improvement
projects that will impact approximately 4,600 Blue Cross Blue Shield HMO
Finally, as part of CHWN’s desire to further improve the health of
Northwest Illinois residents, CHWN also announced plans to pursue a
Medicare Shared Savings Program (MSSP) contract later this summer. If
awarded this MSSP contract, CHWN could coordinate care for an estimated
15,000 Medicare eligible individuals after January 1, 2015. The signed
partnership anticipates that Valence would support CHWN’s participation
in the MSSP effort.
“Centegra Health and Wellness Network is a leader in its community,
representing providers who have consistently delivered quality care to
Northwest Illinois residents. They clearly understand the challenges
created by rapidly evolving care and payment models and have made the
decision to invest in the technology, processes and people to improve
the overall health of their community,” said Dr. Nathan Gunn, President
of Valence Health’s Population Health business unit. “We’re excited to
provide a data platform, unified clinical information, actionable care
and health plan services to CHWN providers and patients – helping
maintain quality today, and setting the groundwork for more value-based
contracts in the future.”
Centegra Health & Wellness Network (CHWN):
Health & Wellness Network (CHWN) is an association of more than
75 of the best primary care physicians and more than 300 of the top
specialists in the region. CHWN provides members access to the largest
physician network in McHenry County. This includes access to a wide
range of conveniently located health services, from wellness and
prevention to highly advanced treatments. CHWN is part of Centegra
Health System. As the region’s leading health care provider,
Centegra Health System continues to bring the latest treatments and
technology, along with the skills of nearly 4,000 associates, to meet
the needs of the growing McHenry County community.
About Valence Health:
Health is a leading provider of value-based care solutions, helping
hospitals, health systems and physicians better manage their patient
populations and accept financial responsibility for the quality of the
care they provide. With unique data collection and analytics solutions,
Valence Health serves dozens of clients from physician groups to
standalone hospitals to large IDNs. From risk-based contracting to
accountable care organizations (ACOs) to administering
provider-sponsored health plans, Valence has been helping providers
since 1996. Headquartered in Chicago, with three other office locations,
Valence Health serves more than 30,000 physicians and 120 hospitals,
helping them manage the health of 15 million patients nationwide. Follow
Valence Health on LinkedIn
Photos/Multimedia Gallery Available: http://www.businesswire.com/multimedia/home/20140620005437/en/
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