Our focus is on Provider Well-Being. This makes us different from the rest. It is in our mission: Provider and Patient well-being.
The Rural Advantage was established for RHC-FQHC providers faced with few good value-based alternatives. We are here to close that gap.
Value-based payments are in addition to, and separate from, claim revenue. The point is to treat our patient disease burden and STOP relying on fee-for-service revenue for our survival. While we are at it, shall we get past just surviving?
The key to our success is clinical integration between our participants EHR and Health Solutions management platform. We link patient attribution and disease burden information with our providers' EHR. This eliminates the need to enter data in to a portal and other nuisances.
The Rural Advantage
Our value proposition was created for RHC-FQHC Providers with few good alternatives for participating in Value-Based Payment programs. The Rural Advantage was established by North American HMS (proven leaders in the RHC-FQHC reimbursement) in 2021.
Our focus is on Provider Well-Being. RHC providers are FAR down the Healthcare Reimbursement food-chain. Most Accountable Care Organizations allowed RHCs and FQHCs to participate, but without a deep understanding of these entities. The Rural Advantage was established by RHC-FQHC experts FOR RHCs and FQHCs.
Our emphasis on Provider Well-Being means this: we are focused on making the providers generating the value are the ones being rewarded. The point is to capture revenue for our providers, which is in addition to, and separate from traditional claim payments.
RHCs and FQHCs to NOT generally qualify for MIPS payments because the majority of our claims are NOT filed "fee-for-service."
Most ACOs do NOT have an understanding of RHC/FQHC providers and their needs. We were created to fill that void for RHC and FQHC providers.
We push patient disease and quality data to our participants. Our clinical integration partner docks patient data to provider EHR platforms. We do this via bi-directional HL7 Interface.
Vitally, our clinical integration tools will help IDENTIFY your patient attribution.
We keep our tools simple to prevent increasing administrative burden. We engage provider offices to ensure goals are achievable and clearly-defined.
Feedback and Transparency
The most important tool we provide is feedback. Most providers do NOT know their quality performance, risk scores, or if they are reducing costs to the Medicare program. We make provider performance data avaliable real-time.