June 23, 2021 Network in the Know

Value-based specialty care programs: Focus on cardiology

As a means of improving health outcomes, increasing member and provider satisfaction, and reducing the high cost of care, CDPHP is investing in its network specialists by creating a number of value-based specialty care programs. The initiative, which builds on the strategies applied to our Enhanced Primary Care program, affords our specialty care providers increased clinical administrative, financial, and educational support. Initially, the focus will be on six specialties, including cardiology, nephrology, behavioral health, gastroenterology, hematology/oncology, and pulmonology.

In the cardiology space, we have implemented several programs to enhance the quality of cardiac care our members receive, as well as to increase their access to care. To accomplish that, we have:

  • Waived or reduced cost share for eligible members with congestive heart failure.
  • Incentivized cardiology specialists to educate their patients about the value of cardiac rehab services, and collaborated with Moving Analytics to offer eligible members a virtual cardiac rehab program that can be completed at home, at their convenience, and at no or reduced out-of-pocket cost.
  • Secured a grant for ReDS devices, which measure lung fluid, to be used by area hospitals and specialty practices to evaluate patients with heart failure.
  • Established a plan, in partnership with QURE HealthcareTM, to offer our network cardiology specialists a collaborative way – using clinical simulations – to keep pace with national best-practice guidelines for cardiac care. As part of this project, participants will have the opportunity to earn continuing medical education credits.

As more of our value-based specialty programs develop and evolve, we will continue to keep our specialty providers apprised of the opportunities open to them.

Adele O'Connell
About the Author

Adele joined CDPHP in 2004 as an internal communications and event specialist. She then spent eight years coordinating the company’s community relations and corporate events program, in which capacity she worked with a host of non-profit organizations and co-chaired the CDPHP annual Charity of Choice campaign. Currently, she is a communications specialist and coordinator of corporate member engagement and serves on the boards of two local charities. Prior to CDPHP, Adele served as a legislative assistant for a trade association and as an acquisitions and developmental editor, specializing in educational and medical publishing. She earned a bachelor’s degree in English from Rosemont College.

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