BATON ROUGE, La. – eQHealth Solutions has been selected by Vigilance Health to provide cloud-based population health management technology to support chronic care management (CCM) and care coordination initiatives in 51 out of 58 counties in the state of California. Intent on helping their customers make the transition to value-based care, improving patient outcomes, reducing costs and gaining efficiencies, Vigilance will provide consulting services, leverage eQSuite technology, and provide the personnel to fulfill the requirements outlined in CMS’s CPT Code 99490 as well as targeted care to high-risk populations. More specifically, eQHealth’s population health management technology platform will serve as the foundation for CCM and care coordination activities workflow, the data warehouse for clinical and claims data, provide analytics driving the business decisions, and tracking, documentation and audit trail reporting - all the necessary components to meet CPT code 99490 billing requirements.
Beginning January 2015, the Centers for Medicaid and Medicare (CMS) recognized CCM as a critical component of primary care for Medicare patients, especially those with two or more chronic conditions. By establishing CPT code 99490, CMS provided a method for healthcare providers to be reimbursed for monthly care given to beneficiaries with chronic conditions to help improve outcomes and control costs. However, just last month, CMS reported that submitted claims for CPT code 99490 in 2015 were very low, less than 2% percent of the total eligible population. It is widely believed that chronic care management and care coordination are foundational elements in the shift to value-based care and in the 2017 Proposed Revisions to the Provider Fee Schedule, CMS is addressing provider barriers with the goal of increasing participation in this primary care initiative.
“We firmly believe that eQHealth is the right partner for our targeted care initiatives. With their company rooted in quality improvement, eQHealth technology encompasses everything we need regarding workflow functionality for CCM and a care management platform to support current and future health IT needs - both population health management and Medicare Access and CHIP Reauthorization Act (MACRA). eQHealth stood head and shoulders above other vendors that we evaluated,” said James Coburn, Vigilance Health, Chief Executive Officer and Co-Founder. “Further, eQHealth has a strong track-record of successfully implementing health information technology initiatives on time and on budget. With an aggressive plan for growth, we needed a partner that could meet our rigorous timeline.”
“Vigilance Health, well regarded as a California-based Federally Designated Local Extension Center, does great work serving as health technology advocates for small, independent practices and other providers who otherwise would not have the technical expertise to navigate the sophisticated healthcare information technology playing field. We are excited to work with Vigilance to expand their offerings into chronic care management and care coordination services, arguably some of the most critical components of primary care to drive measurable health improvements, enhance patient engagement and lower costs,” said Glen J. Golemi, Chief Executive Officer, eQHealth Solutions.
About eQHealth Solutions
Founded in 1986, eQHealth Solutions is a population health management and technology solutions company that touches millions of lives annually throughout the nation. Our high-tech and high-touch models include innovative technology solutions and quality care coordination services, and focus on high quality outcomes and optimization of provider and payer networks. eQHealth serves a variety of entities including federal, state and commercial clients. www.eqhs.org
About Vigilance Health
Vigilance Health, Inc. operates the federally designated Local Extension Center, Gold Coast Health IT Resource Center and Ventura County’s Health Information Exchange. As a trusted resource for technical assistance through the Regional Extension Center program, there was a demand from the communities we support to provide the next level of services for healthcare organizations. Vigilance is made up of HIE visionaries, pioneers, and pragmatists who have worked side-by-side with California providers for over a decade to make health IT work.