Physicians and other providers across America understand that our national healthcare marketplace is moving from fee-for-service to a value-based model. As a progressive, independent entity, we believe that Connected Senior Care Advantage (CSCA) should be at the forefront in the Austin area of those trends. CSCA brings new, better ways for independent physicians to practice. As such, Austin Regional Clinic (ARC), Premier Family Physicians (PFP), Capital Medical Clinic (CMC), South Austin Medical Clinic (SAMC) and Adult Care of Austin (ACA – Dr. Dobberfuhl) are transforming population health management. As a result, we have implemented an innovative hospitalist model and technology to ensure identification of care gaps to our patients.
We are proud to announce the Connected Senior Care Advantage model. CSCA is an advanced population health model that will provide high quality, more efficient care for our Medicare Advantage patients by working with participating health plans. The model began January 1, 2019, and transfers operational responsibility to us for many functions historically provided by health plans.
CSCA has claims payments, network, UM, credentialing, and other administrative functions delegated for our WellCare Medicare Advantage members. This requires us to contract a provider network in the greater Austin area, which includes network hospitals, physicians and other practitioners, as well as ancillary providers. Referral coordination, utilization and population health management may be performed for Medicare Advantage patients by the CSCA team. Our population health management model allows physicians to have the data and transparency around cost and quality of care that historically resided with the health plans.
As a result, our vision to deliver evidence-based medicine, for the care we provide, but also the care we recommend for patients, will finally be realized.
Enhanced Collaboration with Specialists is Critical
The comprehensive nature
of the CSCA model, supported by specialized information technology and
operating processes, will provide greater communication and coordination
between primary care physicians and specialists than ever before. CSCA
physicians will have increased visibility and access to quantitative quality
and cost metrics.
The combination of a
team-based approach (with care managers, nurses, social workers, and
physicians), along with the tools, data and technology to manage risk, results
in patients receiving consistent, high-quality medical care from all physicians
caring for them.
The physicians of ARC, PFP,
CMC, SAMC and Dr. Dobberfuhl believe that we can enjoy the practice of medicine
and deliver the best coordinated care for our patients by bringing innovation
to the healthcare delivery system. The CSCA model will enable us, together, to
deliver the best, evidence-based care with more current data and analysis than