ACN Advance: Provider Newsletter

As Arizona Care Network continually improves your network experience and potential patient outcomes through innovative technology, ACN will proudly launch a new provider portal for primary care practices, beginning Jan. 1, 2024.

Transitioning to Innovaccer’s provider portal allows your practice easy access to actionable and downloadable dashboards, metrics, and network utilization data that further promote efficient, cost-effective patient care within the network.

Available dashboards for your practice that were previously unavailable include:

• • • Attribution: Provides a detailed Patient Attribution List with drill-down capabilities and new data download options.
    • Quality: Uses artificial intelligence (AI) to provide detailed analyses of your practice’s quality performance, insights, and recommended actions for improvement. The dashboard breaks down quality scores and performance by payer, practice, or provider.
    • PCP Scorecard: Benchmarks your performance against others in the network using key metrics, including patient panel size, quality, and financial indicators. Access a thorough demographic and health risk analysis of your patient population, alongside an evaluation of care quality and cost management. The available critical assessment of your practice’s risk documentation is easily comparable to overall risk recapture rates.

Additional dashboards for PCP and Specialist practices will be available during the coming year.

Please contact your Clinical Performance Consultant or email practicetransformation@azcarenetwork.org to being the Provisioning process for your TIN, or with any questions or feedback.

In building upon the significant changes to the 2023 Provider Rewards Program (PRP), a few additional improvements are coming in 2024 to reward eligible primary care practices for improvements in quality and coordinating care with ACN’s participating specialists.

Many of the current PRP features are being proposed for 2024, including:

• • • incentives for Well Child Visits,
    • Annual Wellness Visit (AWV) incentives for our Medicare ACO participants, and
    • quality performance benchmarks.

The 2024 PRP will continue to be structured toward network successes within ACN’s various value-based arrangements through:

• • • increased incentive opportunities through the Medicaid population:
      • • Mercy Care members,
        • UnitedHealthcare’s Community & State program.
    • improved technologies and resources that further support your practice’s success;
    • increased performance in quality outcomes for ACN members; and
    • reducing costs through in-network care coordination between primary care and specialist practices.

Upon final approval from ACN’s Board of Managers, your Clinical Performance Consultant will share a complete overview and printable details of the 2024 PRP to eligible participants during Q1 of 2024.

Please contact your CPC or email practicetransformation@azcarenetwork.org with any questions or feedback you may have about the 2024 PRP.

Arizona Care Network’s Board of Managers completed the process of electing and appointing physicians for board roles in 2024 during December’s board meeting.

The Board of Managers welcomes two new physicians: Dr. Drew Hall (Hall Medical) and Dr. Shane Speirs (HealthyU Clinics) as its newest board members.

ACN also wishes to thank Dr. Ken Paige (Sun Lakes Family Physicians) and recognize his contributions on the Board of Managers as his board term concludes the end of this year.

Dr. Paige served on the Board since 2017 and has been actively involved in a variety of governance initiatives over the years, including the network’s primary care incentive program which focuses on well visits, quality performance and coordinating care with ACN specialists. Dr. Paige will continue being an ACN participant.

Physicians interested in learning more about becoming a Board of Managers member, or one of ACN’s three governance committees – the Network Committee, the Post-Acute Care Committee, or the Quality & Payer Contracting Committee – can email governance@azcarenetwork.org for additional information.

As Arizona Care Network continues to introduce new partnerships and expand our footprint throughout greater Phoenix, here’s a quick overview of payer organizations who have value-based or tiered network arrangements with ACN in 2024:

• • • Aetna (PPO, HMO, Medicare Advantage)
    • Alignment Health Plan (Medicare Advantage PPO/HMO)
    • Cigna (LocalPlus)
    • Employers Health Network (EHN) (Whole Foods Market employees)
    • Humana (Commercial and Medicare Advantage)
    • Intel (Connected Care HDHP/PPO/PCP)
    • Medica (Pinnacle Gold/Silver/Bronze)
    • Medicare Shared Savings Plan Preferred (MSSP) (Medicare Fee-For-Service)
    • Mercy Care
    • UMR (Dignity Health employees Preferred/Premier)
    • UnitedHealthcare (Choice Plus PPO Navigate/Nexus ACO, Community & State)

Members within these plans who visit an ACN-participating provider(s) may be automatically eligible for Care Coordination and other in-network support services as part of their coverage benefits.

A quick reference guide featuring ACN partners’ member ID card samples and claims information will be available from your Clinical Performance Consultant during Q1 2024. Please contact your CPC or email practicetransformation@azcarenetwork.org to receive copies of this document.

In November, Arizona Care Network Population Health Pharmacist Tannaz Farahani, PharmD, MPH, sat down with Dr. Rocky Patel (One Medical), a member of ACN’s Quality & Payer Contracting Committee, to discuss Type I and Type II diabetes.

This 25-minute Q & A includes general discussions related to:

• • • General differences between Type I vs. Type II diabetes
    • Commonly impacted populations for each type
    • Symptoms of Type I and Type II
    • Ozempic as a Diabetes vs. weight loss medication
    • Other common medications to manage Type 1 and Type II
    • Insulins
    • Dietary and exercise options
    • Diabetes vs. weight loss medications

Watch the video here or scan this QR Code:  More of these Q & A videos with ACN participating providers will be available in the coming year.

If your practice has any questions or feedback about these videos, or general pharmacy and medication(s) inquiries, please contact Tannaz at tannaz.farahani@azcarenetowrk.org.

• Follow us on Facebook, Twitter, and LinkedIn for additional news, health-related content for providers and patients, organizational updates, and more.
• Learn more about ACN’s Care Coordination program and services designed to partner and support your practice in achieving healthy, cost-effective patient outcomes in this video.
• ACN’s improved Specialist Performance Reports and Medical Neighborhood Maps are available to your practice anytime. Additionally, Physical Therapy and Radiology listings quick reference guides are also available. Contact your Clinical Performance Consultant or email practicetransformation@azcarenetwork.org to receive any of these reports and/or maps, all of which are updated quarterly.
• A 1-page Payer ID Card Quick Reference document will be available from your Clinical Performance Consultant during Q1 of 2024. This document contains samples of ID Cards from ACN payer partners, as well as contact information. Contact your CPC or email practicetransformation@azcarenetwork.org if your practice would like copies of this document.
• Quality measure tip sheets are available from your Clinical Performance Consultant, including colorectal cancer screening, depression screening and follow-up, diabetes (A1C, Eye Exam, Nephropathy), Social Determinants of Health (SDOH), and Tobacco screening. These 1-page tip sheets (.PDF) include best practices, documentation requirements, and codes for your practice to help close quality gaps. Contact your Clinical Performance Consultant or email practicetransformation@azcarenetwork.org to receive any/all tip sheets.
• The Dementia ECHO program is a CME opportunity for providers at all levels of the dementia care continuum to share effective and comfortable strategies for patients living with memory disorders. Providers who participate in the program are connected with specialists using real-time collaborative video conferencing sessions for one hour, every other week, for six months. The next virtual series begins Jan. 24, 2024, and continues every other Wednesday from Noon-1 p.m. for 12 total sessions. The series is hosted virtually and there is no cost to participate, and CME credits are $35 for the full 12-credit series. The program’s curriculum is available here (.PDF). Registration is available here.
• The Norton Thoracic Institute at St. Joseph’s Hospital and Medical Center is conducting a 2024 Esophageal Symposium March 1-3, 2024, at St. Joseph’s Hospital and Medical Center. This multi-day event offers CME opportunities, and features experts in the field of malignant and benign esophageal disease coming from some of the most respected institutions across the country. Participants can participate through hands-on courses or a didactic session. More information and registration is available here, or by contacting Alison Ralbovsky at alison.ralbovsky@dignityhealth.org.
• Abrazo Health broke ground in its first phase of development for a new medical campus at the southwest corner of I-10 and Verrado Way in Buckeye. The 27-acre campus will be the sixth major Abrazo facility in the Valley, and will include medical offices, ambulatory services, and an acute care hospital. The first phase will be a three-story, 60,000-square-foot medical office building. Tenants are slated to include cardiology, orthopedics, spine, primary care and urology physician practices, physical therapy, and other offices.
• Abrazo Arrowhead Campus recently completed expansion of its new Neonatal Intensive Care Unit, a $14 million addition to the hospital’s services for preterm babies and high-risk pregnancies. The 8,500 sq. ft. addition adds 14 new state-of-the-art neonatal care rooms and patient care areas, increasing the hospital’s NICU capacity from 19 to 33 beds. This expansion further helps care for patients with complex maternal and neonatal medical conditions, obstetric and fetal complications, and more.
• Phoenix Children’s Hospital opened its new Children’s Specialty Care — Arrowhead Campus in Glendale. The 45,000-square-foot clinic provides care in more than two dozen specialties, including 10 pediatric specialties not previously available in the Northwest Valley. These services include psychology, neuropsychology, ENT, plastic surgery and a neuro-diagnostic sleep and electroencephalogram (EEG) laboratory.
• Construction continues toward the July 2024 opening of Phoenix Children’s Hospital – Arrowhead Campus, a freestanding pediatric hospital that will provide inpatient care, 24/7 emergency department, surgery center, and a full suite of imaging services. Construction is also underway at Phoenix Children’s Hospital — East Valley, opening in 2024 on the campus of Mercy Gilbert Medical Center. Expansion at Phoenix Children’s Hospital — Thomas Campus will add 97 new patient rooms, 88,000 square feet of clinical space and a newly designed Level IV neonatal intensive care unit.
• Barrow Neurological Institute at Dignity Health St. Joseph’s received a $16.7 million grant from the National Institutes of Health (NIH) to help create and lead a groundbreaking and transformative national amyotrophic lateral sclerosis (ALS) clinical research consortium. The Access for All in ALS (ALL ALS) Consortium conducts clinical research that includes ALS patients nationwide, generating a longitudinal biorepository linked to detailed clinical information made available to research scientists throughout the world using a web-based portal. As part of this new consortium Barrow will manage half of 34 clinical sites in the study which spans the U.S. and Puerto Rico.

• • • Camelback Spine Care (Phoenix)
    • Dignity Health East Valley Rehabilitation Hospital (Gilbert)
    • RSG Healthcare (Phoenix)
    • Sage Hematology and Oncology (Peoria)
    • Saguaro Dermatology (previously Ahwatukee Skin & Laser) (Phoenix)
    • Waits Physical Therapy (Phoenix)
    • West Valley Surgical Specialists (Peoria)

You can also view a list of provider organizations no longer participating with ACN.