Care Network

Why Join: Benefits

Organizational Structure

Throughout the United States, health care financing and reimbursement is undergoing radical changes. The U.S. Department of Health and Human Services announced that by the end of 2016, 85% of Fee for Service Medicare payments will be tied to quality or value and by the end of 2018, 50% of Medicare payments will be through alternative payment models. Commercial health insurers have also committed to pay for value with some commercial payors increasing value based reimbursement to as much as 1/3 of their total payments. Employers are responding to increased healthcare costs by seeking narrow networks of high performing providers. Increased reimbursement for high value care will come from cost savings dollars and from reduced payments (penalties) to lower performing providers.

Providing efficient care with quality outcomes will create the value that is rewarded in new payment models. St. Luke’s Care Network will position participating physicians to succeed clinically and financially in this new environment through:

  • Participation in shared savings contracts
  • Inclusion in preferred networks, including the St. Luke’s University Health Network employees
  • Help navigating increasing quality reporting requirements to support quality-based revenue opportunities
  • Support to manage complex patients between office visits to achieve better efficiency