Thursday, September 13, 2012

IHC Fall 2012 Provider Profiles are available online

The Illinois Health Connect Fall 2012 Provider Profiles have been posted to the IHC Provider Portal, which can be viewed using the MEDI System. Hard copies are being mailed to each IHC medical home.

Data in the IHC Provider Profiles is gathered from adjudicated claims from the Illinois Department of Healthcare and Family Services (HFS). Dates of service covered on the Fall 2012 Provider Profiles range from April 1, 2011 through March 31, 2012. This is not the same data used to calculate the 2011 or 2012 IHC Bonus Payment for High Performance.

The Provider Profiles are sent semi-annually to each IHC Primary Care Provider (PCP). The profiles are an overview of each PCP's performance in several clinical indicators and are issued to assist medical homes with quality assurance efforts.

IHC Quality Assurance Nurses (QAN) are available to meet with PCPs by appointment to discuss Provider Profiles and other IHC Quality Tools. Call your QAN or the IHC Provider Services Help Desk at 1-877-912-1999, extension 3, to schedule an appointment with a QAN.

The Provider Profiles are created with input from the Quality Management Subcommittee. Anyone interested in participating in this subcommittee should contact IHC Quality Assurance Manager Cari VonderHaar.