Role of MPM Quality Specialists compared to Health Plan QM Staff Roles

smclean

What is the difference between working with a Quality Specialist from MedPOINT and the Health Plan? Don't they all get the information?

smclean

MedPOINT partners with contracted health plans to assist providers to achieve their quality goals. We encourage collaboration with health plans. Listed below are some of the benefits of collaborating with MedPOINT:
• MedPOINT’s instance of Cozeva is refreshed weekly providing more real-time quality performance.
• MedPOINT provides two (2) file layouts (claim and lab) to submit supplemental data, instead of multiple for each contracted health plan.
• MedPOINT submits your data to contracted health plans on your behalf using their preferred layout in conjunction with Cozeva.
• MedPOINT can provide user access to Cozeva for MedPOINT, Brand New Day, Health Net, and WellCare upon request using the following link. We can provide other health plan logins once they are active with Cozeva.
• MedPOINT uses internal data to calculate any IPA incentive payouts.

APatterson

The link to MedPOINT's Cozeva User Access Request Form can be found here.

NMaafala

The benefit of working with a Quality Specialist from MPM is that we focus on identifying current practices and evaluating ways to improve them in order to provide improved healthcare outcomes. We do this regardless of the members health plan and have the same mission across all lines of business. IPA or Medical groups are more abundant than health plans and the ratio of available resources from the health plan versus the IPA will likely be affected by this.

Paomontoya

Thanks for the information, very informative!

nml123

This is very good information to have as a Field Rep to educate our providers on. Very informative!