The Federal Trade Commission (FTC) considers a program to be clinically integrated if it performs the following:
Affinia Health Network is a physician-led clinically integrated network where participants collaborate on Quadruple AIM initiatives. The network engages payers to contract and reward the network based on Quadruple Aim performance.
The Quadruple Aim is:
We are 1 of 23 Clinically integrated networks in the Trinity Health System.
Alternative Payment Model (APM) defined:
Groups of providers held accountable for the cost and quality of care for a group of beneficiaries.
APM Goals:
If providers are successful, they are rewarded with shared savings.
Ensure patients, especially the chronically ill, get the right care at the right time at the right place while avoiding unnecessary duplication of services and preventing medical errors.
Alternative Payment Models (APMs) enable us to become a people-centered health system:
Better for the patient and a better way to practice
Proven model with increased quality and reduced costs:
Better way to practice:
A bundled payment is a single payment to a provider for all services associated with a treatment of a condition (for example, knee replacement or all outpatient services for a patient with type 2 diabetes for 1 year).
ACO (Accountable Care Organization)
Next Generation ACO (NGACO)
Trinity Health ACO (THACO)
Please check our Payer Information Guide page which has a lot of useful information specific to each payer.