Consumer Centered Health (CCH)

Why CCH?

The Consumer Centered Health (CCH) program enables payers, providers and the consumer to establish actionable data, interoperability, consumer engagement and provider performance standards.  More importantly, it offers solutions to payers, providers and the consumer to achieve these actionable data standards.

CCH Program Levels

Level 1 CCH.  Providers in this tier have achieved the highest program level and are considered high-end actionable data users.  The solutions used by Top Tier ACP providers include Risk Stratification, including potentially costly, EHR Connector, Medical Text Alerts, Health Score and Provider Performance Smart Scorecard.  These providers report the Group Practice Reporting Option (GPRO) measures annually to Medicare and a defined set of HEDIS measures to commercial payers at the 90% and above.  Top Tier ACPs are expected to bring inpatient and outpatient costs down 4% to 6% annually and has an 80% or higher patient match rate.

Level 2 CCH.  Providers in this tier are on their way to achieving the highest program level and are considered mid-range actionable data users.   The solutions used by Mid-Tier providers include Risk Stratification, including potentially costly, Medical Text Alerts, Health Score, and EHR Connector.  hese providers report the Group Practice Reporting Option (GPRO) measures annually to Medicare and a defined set of HEDIS measures to commercial payers at the 80% and above.   Mid-Tier ACPs are expected to bring inpatient and outpatient costs down 2% to 4% annually and has a 70% or higher patient match rate.

Level 3 CCH.  Providers in this tier are just getting started and are considered beginner actionable data users.   The solutions used by Beginner providers include Risk Stratification, including potentially costly, Medical Text Alerts and Health Score. hese providers report the Group Practice Reporting Option (GPRO) measures annually to Medicare and a defined set of HEDIS measures to commercial payers at the 70% and above.  Beginner ACPs are expected to bring inpatient and outpatient costs down 1% to 2% annually and has a 60% or higher patient match rate.

Medical Text Alerts

The first step is to engage the consumer/plan enrollee into receving Medical Text Alerts about their care gaps.  Care gaps such as diabetic gets text alert when LDL-C, HBA1C, Retinal Exam, Foot Exam and Annual Wellness Visit are due to complete.  90% of consumers open text alerts within minutes and 85% make an appointment in 30 days or less to resolve the care gap. 

Health Score/Expected Spend

After enrollment in Medical Text Alerts, the consumer/enrollee starts the process of generating their health score and expected annual spend.  This puts both the consumer and provider in a position to always know the patient's health risk and spend status.

EHR Connector

EHR Connector brings all data sources from all providers to the point of care.  The data is analyzed before it gets to your doctors with "Action Required" prompts for incomplete labs, exams and when spend is exceeding the benchmark.  Get your network connected to quality performance, cost, utilization and more today.

Provider Performance Smart Scorecard

Provider Performance Smart Scorecard, scores the facility and individual providers on quality, cost and utililzation. High performing providers can then be rewarded for shared savings.

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