IBC recognizes the increasing demand and interest
to understand the cost of health care services, along with the importance of a
shared collaboration between members and providers in helping members better
understand their health care options. We are excited to announce a new tool
designed to offer an interactive environment where IBC-participating primary
care physicians (PCPs) in the Pennsylvania five-county service area can review
cost information and become better informed about facility cost ranges for
select outpatient services. This tool will also assist participating PCPs in
maximizing their performance under IBC?s Quality Incentive Payment System
(QIPS) program. We will later expand this tool to include participating
specialists and hospitals in support of IBC?s accountable care payment model
— the Integrated Provider Performance Incentive Plan (IPPIP).
A new transaction — called
Population Management Tools — will soon be added to NaviNet. It allows
IBC-participating PCPs in the Pennsylvania five-county service area to access
the new Comparative Procedure Costs tool. This tool will provide network cost
ranges and provider-specific relative cost rankings for a menu of treatment
categories. These rankings, which will be displayed at the facility level, are
based on the historical total cost of each encounter based on the contracted
facility and professional costs. Future enhancements to this tool will include
additional treatment categories.
Look for instructions on how to access and use the
new tool in future editions of Partners in Health UpdateSM.
NaviNet® is a registered trademark
of NaviNet, Inc., an independent company.