The extent of control the majority of Healthcare Providers have had over their working environments and their degrees of autonomy has been severely impacted since the introduction of managed care, rising costs, lower reimbursements, and the conglomeration of various entities in the healthcare industry. In prior years, Providers routinely developed very individualistic, independent styles of practicing medicine. These practice methods contrast significantly with those that are necessary to practice within the healthcare delivery system. Conforming to new rules and working in foreign environments are difficult adjustments for Providers to make and require them to be flexible and adopt a new outlook on the delivery of health care.
In response to these market forces, we are creating a new healthcare delivery model that integrates Providers, Employers and other Payers. The model is based on three principles: (1) High-Performance Networks that are Provider & Employer partnerships, clinically integrated care and collectively accountable for the entire continuum of care, the overall costs, quality of care and the health of all employees/members in the populations we serve; (2) provider payment models that reward quality and slow spending growth, while avoiding excessive new financial risk for all stakeholders; and (3) reliable performance measurement and business intelligence to support improvement and provide Employer confidence that lower costs and results in better health outcomes are achieved with better care.
APLOS Provider Networks offer these advantages for Providers:
1. We negotiate on behalf of our Providers directly with Payers (self-funded Employers, MCO's, IDN's, TPA's)
2. Our Payer contracts offer our Providers optimal compensation arrangements (FFS, P4P/VBC, Capitation, Shared Savings, and bundled payments),
2. Prompt payment, reduced denials, less administrative hassles for Providers and staff,
3. Management Services to alleviate Provider’s clinic operations burdens,
4. Technology solutions to improve patient quality outcomes, clinical integration, patient portals and more!
5. Aplos offers our Providers governance and equity options!
The APLOS High-Performance Provider Network is an efficient model that integrates Employers, Employees, Providers and Care Teams with high performance, high quality outcomes and cost savings initiatives. Each Network meet’s the network adequacy requirements (primary care, specialist, outpatient, inpatient hospital, surgical and ancillary providers). We manage the Provider Performance, quality outcomes and medical cost management.
We Clinically Integrate all Providers and Care Teams which reduces total medical cost and lowers utilization and duplication. Our sister company Aspire Integrated Healthcare Solutions offers the iConnect Health Information Exchange (HIE), the infrastructure to enable seamless connectivity of patient health information across the care delivery network (physicians, hospitals, ancillary services, skilled nursing facilities, and payers), optimizing operational efficiency.
Our partner Aspire Integrated Healthcare Solutions provides the most advanced and leading Technology firms that provide technology solutions that integrates healthcare, and provides data and advanced healthcare analytics that turns data into actionable information at the point-of-care, which is accessible with an internet connection from any device! Results are prompt, appropriate and lower cost population health management.
The Aspire iCare Manager is a solution that helps care coordinators engage with patients in these settings. iCare manager has built-in care protocols from Johns-Hopkins University.
In addition, iCare Manager also has built-in clinical decision support capabilities that help care-coordinators identify the timely interventions necessary to avert high-risk events and enhance the patient’s healthcare.
At the heart of patient-centric approach to managing population health, iHM empowers the patient to take charge of their health with a variety of interactive and supportive tools. These bi-directional communication tools are designed to comprehensively engage patients with their physicians and care providers using secure anywhere, anytime access, resulting in significantly improved outcomes.
Our care model both enhances and optimizes healthcare services by focusing our resources specifically on personalized proactive care and coordinating the information with Providers and Care Teams. We operate within our framework to manage our complete care responsibilities and then interface the meaningful data to our healthcare partners to provide the most current clinical data and trending information for action.
By increasing access to physicians and specialists, Telehealth can help ensure that Employee's receive the right care, at the right place, at the right time. The total cost reduction is a result of decreasing unnecessary ER visits, physician visits and lowering hospital readmissions and lost work days. Medical cost reductions range from 20%-40% by using Telehealth.
We have partnered with Raintree Systems to offer our Providers a full range of EMR, billing and more.
Aspire offers business healthcare consulting and MSO services for Providers, CIN's, IPA's and Health Systems. Our expertise and focus is to improve our clients Population Health and quality performance outcomes.
Our model offers Patient involvement in their healthcare solutions, wellness programs, health coaching, health risk assessments, care resources and incentives to prevent illness, injuries and improve clinical outcomes and lower absenteeism.
We offer free Ptient Health Education seminars by Beta Foundation to help Employee's to better manage and avoid Chronic Diseases for the whole family!
We offer the Annual Wellness Visit program plus the Care Coordination and Population Health Management services that will help your Employee's understand the importance of disease prevention, early detection, and lifestyle modifications that support a healthier life and reduces the total Employer's medical cost by 5% or more.