Rise Health Launches Multi-Payer Data-Sharing Solution for Colorado Health Plan Collaboration

Share Article

Comprehensive Primary Care (CPC) initiative is live advancing objectives of CMS Pilot Programs

Our providers now have the integrated data they need to manage patients across multiple payers.

Rise Health, the premier provider of fully integrated population health management solutions, has gone live in bringing more meaningful data to participants in the Colorado Comprehensive Primary Care (CPC) initiative. The CPCI effort targets 74 primary care practices, 7 health plans and 94,000 patients in the state.

“We have come a long way in a short time,” says Dr. Judy Zerzan, the chief medical officer for Colorado Medicaid and administrator of COCPC. “Our providers now have the integrated data they need to manage patients across multiple payers.”

Participating primary care practices are utilizing the Rise Health Ascend intelligence engine and Stratus predictive analytics application to access multiple payer reporting from a single source web login. From there, providers use the information to achieve the agreed-upon milestones of the CPC initiative. Types of data being used include summary reports and a series of quality metrics previously agreed upon by CMS and payers.

Training to use the tool was completed in early May and was delivered through support teams on the ground and a series of webinars conducted by Rise Health.

“This is the first time I’ve seen claims data turned into very actionable reports from a care management perspective,” says Betsy Duckett, clinical care coordination manager for Boulder Community Health Ambulatory Services. “The tool itself looks somewhat intuitive and easy to navigate.”

The collaboration emerged from the Comprehensive Primary Care (CPC) initiative, a national collaboration among public and private health plans to strengthen primary care. Health plans participating in the Colorado CPC (CO CPC) are working together to make it easier for primary care practices to transition to a more integrated, family care centered approach to serving patients.

“Having single source to access analytics across payers signals a new era for data-driven practice management,” says Mark Crockett CEO Rise Health. “Colorado is taking the lead nationally in terms of being first to market with a solution for practices that includes multiple payers.”

Healthcare practices attending the launch event hope that the program will continue beyond the initial pilot in order to expand benefits across the region. “We believe we’ve created a program that will improve Colorado’s health care system,” said Dr. Zerzan.

About the CPC initiative
The Comprehensive Primary Care initiative is a national pilot to foster collaboration among public and private health plans to strengthen primary care. The Centers for Medicare & Medicaid Services Innovation Center launched the CPC initiative in 2012. The ultimate goal: Establish a new national model for the purchase and delivery of comprehensive primary care that will enhance care management, improve health and reduce costs throughout the country. Colorado was one of only seven markets selected to participate in the pilot. Practices receive support from all participating payers to better coordinate primary care for their patients.

About Rise Health
Acquired by Best Doctors, Inc. in 2014, Rise Health creates personalized care experiences by combining actionable data insights and medical excellence. Supported by the sophisticated Ascend Data Intelligence Engine, Rise Health builds connected communities linking employers, payers and providers to each member of the community. With actionable insights generated by the Stratus Predictive Analytics Application, Rise delivers personalized care experiences through the CIRRUS Care Coordination Platform and global Medical Excellence Services offered through a physician-to-physician collaboration platform. Combined, Rise Health delivers the right care at the right time to the right patient, improving patient satisfaction and keeping care local. To learn more, visit http://www.risehealth.com.

Media inquiries should be directed to Amanda Cecconi at acecconi(AT)risehealth.com, or (615) 473-7536.

Share article on social media or email:

View article via:

Pdf Print

Contact Author

Amanda Cecconi
Rise Health
+1 (615) 473-7536
Email >
since: 09/2013
Follow >
Rise Health, Inc.

Visit website