FHCA Provider Owned Integrated Care Network
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What Is a Provider-Owned Integrated Care Network
A Provider-Owned Integrated Care Network is a business entity organized and owned by a network of independent Long Term Care (LTC) and Post-Acute Care (PAC) providers for the purpose of creating efficiencies in care and cost and pursuing business ventures, including reimbursement and value-based contracts with managed care organizations (MCOs).
How to Join
- Download the Letter of Intent and submit to Katie Colgan (return by June 30)
- Receive a Member Packet with specific details (return by July 15)
For More Information
Case Study - Iowa Health Care Quality Partners
The Iowa Health Care Associated launched its network in February 2020, which includes 160 SNF members (1/2 of SNFs in state), 70 AL/RCF members and 7 home health services members. Due to the large volume of members and the current environmental pressures on managed care plans, IHCQP has seen much progress over the past 9 months:
- Signed their first managed care contract with a Medicaid MCO, which includes a quality bonus on top of the regular Medicaid rate. This payer has also expressed strong interest in further developing quality initiatives in collaboration with the network. The network negotiated benchmarks for network members only. For the majority of SNFs in the state, this quality bonus is unavailable if not a member of IHCQP.
- Began negotiations with two national Medicare Advantage payers. For one, negotiations were elevated to the national contract team, and because of the volume of members in network buildings, the payers are interested in a quality-based contract with either upside or downside risk.
- Increased membership to IHCA based on joining IHCQP as a member benefit.