What’s in it for you?

There is value for everyone.

Click on your organization type to learn about the value of joining Healthy Alliance IPA.

  • Helps social care organizations identify and pursue the creation of new and sustainable funding streams.
  • Helps social care organizations align their mission with those of managed care organizations.
  • Access to a state-of-the-art referral management platform that will allow social care organizations a full-spectrum view of an organization’s service recipients, making it easier to determine when, and for whom, services were provided while measuring the impact of those services.
  • Simplify and streamline referrals to and from primary care and other social care organizations. As a result, social care organizations will be in a better position to prove cost savings to funders, demonstrate value, and shine a light on the benefits of a data-driven, patient-centric approach to health equity.
  • Provide core infrastructure to participants such as: technology, transportation, telephony, analytics, risk management, finance, compliance, privacy/security, HR, analytics, business / operations optimization, service line alignment, and referral management through the Unite Us (Healthy Together) technology platform. 

  • IPA funding will supplement MCO investments in the community.
  • IPA will help MCOs meet NYS DOH requirements to enter into contracts with social care organizations to address social determinants of health, without having to manage many complex 1:1 partner relationships.
  • Makes “one stop shopping” easy for securing, developing, and executing VBP contracts focused on social care initiatives with measurable ROI.
  • IPA will hold network participants accountable on all sides (social care, medical care and behavioral health) – working to meet quality measures through a unified technology platform that helps network members.
  • Identify high-need individuals; track electronic referrals between clinicians and social care organizations; capture appropriate data to support quality measurement; report on service effectiveness, and intervene where appropriate; and adhere to regulatory compliance standards and performance metrics
  • Leads to enhanced health plan/CMS/DOH savings through social care investments with demonstrated ROI to:
    • Reduce medical expense/total cost of care
    • Reduce administration burden/costs (churn)
    • Increase revenue
    • Improve Member satisfaction
    • Improve regulatory compliance support

  • Creates an infrastructure of social care services that enables medical providers to have confidence that referrals to the community will be managed rapidly (with service level agreements) and properly (with quality / performance assurance).  Simply put – people won’t fall through the cracks.
  • Given this infrastructure, medical providers can:
    • Enter into risk sharing (level 2) agreements with managed care organizations with confidence.
    • Reduce “social admissions” that may not be reimbursed.
    • Reduce “social bed days” and delayed discharges due to social factors.
    • Reduce preventable readmissions within 30 days and subsequent CMS penalties.
    • Improve commercial and NYS/CMS clinical quality measure performance (and therefore revenue – even with level 1 upside-only contracts such as those with IHANY and CDPHP.
  • Opportunities for shared savings through progressive contracting with managed care organizations.

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