What is Detroit Medical Center Premier Network?
The Detroit Medical Center Premier Network (DMCPN) is a clinically integrated network of highly respected physicians who have chosen to actively collaborate and participate in ongoing clinical initiatives designed to improve the quality and efficiency of care provided to patients. Through these collaborative efforts, DMCPN has the ability to collectively negotiate for quality enhanced reimbursement from various health plan partners.
What types of contracts will DMCPN enter into?
DMCPN will only enter into arrangements with health plan partners that provide additional, quality-enhanced, reimbursement on top of your current fee-for-service contracts. Economic opportunities are expected to include, but are not limited to – primary care physician care coordination fee, bonus pool (shared savings), percentage increase on current fee schedule or pay for performance (P4P) rewards. Additionally, participating providers will be able to benefit from the national expertise and centralized approach Tenet utilizes with payer partners.
Periodically, DMCPN may have the opportunity to negotiate narrow network or new-to-market health plan contracts which will be presented to the physician-led board for evaluation.
Why should I join DMCPN?
DMCPN presents great opportunities to improve health outcomes for our patients. By providing care in an integrated network with providers communicating, devising quality programs, and working toward the highest quality care from the medical home to the ER, ICU, OR and beyond we can achieve improvements that can’t be achieved on our own. Because of this robust focus on improved care coordination, physicians participating in DMCPN will be eligible to obtain quality enhanced reimbursements for their achievements funded by contracted health plans.
DMCPN participating providers will also have the opportunity to participate in a preferred arrangement with the DMC employee benefit plan. DMC’s 20,000 employees and dependents will benefit from lower out of pocket costs when using a Tier 1 provider. To take advantage of this opportunity, be sure to return your application by August 31, 2017.
Working together in a clinically integrated network will also enable us to:
- Enhance the quality of patient care
- Allow networks of physicians and hospitals to market themselves based on the quality of care they provide
- Legitimately negotiate with payers as a network
- Provide access to technological and quality improvement tools and processes that will allow physicians to better coordinate the delivery of care across specialties
What other benefits does DMCPN participation provide?
Our goal is to meet your needs as well as the needs of your patients. We welcome your involvement in the organization and the lines of communication will always be open. Additionally, as a DMCPN provider, you will be able to take advantage of:
- Population Health Management Reports
- Care Coordination
- Provider Education
- Preferred Pricing for ZocDoc Online Scheduling
- Quarterly Webinars And CME Opportunities On Relevant Topics
- Access To Group Purchasing Organization at no Additional Charge
What is the clinical program and how was it developed?
DMCPN clinical program is the cornerstone of our organization and encompasses measures that will help us improve the quality of care offered to our patients. The program contains measures that reflect nationally recognized quality standards from entities such as AHRQ’s PDI and NCQA’s HEDIS programs and focus specifically on evidence-based interventions that are important to purchasers where appropriate and applicable.
How will you collect the clinical data?
We will be implementing data solutions to assist in the data collection efforts. Vendors will work with your office staff to collect the quality coding information from your system. The information will be synthesized and reported back to you via our reporting portal which will enable you to view your performance compared to peers in your same specialty.
Is my clinical data safe?
Yes. Physicians who choose to join the Clinical Integration Organization will enter into a Physician Participation Agreement, which details the rights and obligations of both parties, including protection of the physician’s data. Additionally the data capture methodology must always include industry-standard secure transport protocols and several levels of security.
How can I participate?
Participation in DMCPN is completely voluntary and non-exclusive. You can be a full, active member of DMCPN while still participating in other physician contracting organizations. And your existing payer contracts remain in place with your practice; DMCPN is focused on negotiating value based bonus arrangements that are in addition to the direct agreements you hold.
In order to participate, physicians will need to sign a network participation agreement and agree to follow a program of clinical initiatives aimed at improving the quality and efficiency of care provided to your patients. A small application fee (waived if you apply for participation before August 31, 2017) and medical staff privileges at Detroit Medical Center or being otherwise approved for membership are also required.
What if I decide I no longer want to participate?
Our participation agreement has a no cause termination with a 90 day notice.
Who can I contact to learn more?
Please contact provider relations at 888.DMC.1ACO (888.362.1226) or use our contact form to get in touch with us.