Colorado Care Partners (CCP) offers all member practices access to our Quality team to assist with:
Care Navigation (CN)
- Identify patients in these groups; due/overdue for preventative screenings, chronic conditions, high-risk based on utilization or diagnoses
- Confirm gap closures to ensure quality targets are met
- Implement outreach for specific initiatives such as; health fairs, medication adherence, scheduling annual visits
- Engage with patients with clinical, behavioral health, and social needs
Data Analytics
- Provider roster management, claims aggregation and data transformation, quality reporting, TOC and utilization reports, dashboards and data visualization
Medical Risk Adjustment Program Manager
- Develop education to support documentation and coding accuracy
- Provide on-site chart reviews for coding specificity opportunities
- Support Population Health initiatives driving value-based care outcomes
- Liaise with payer partners for data/analytic support and analysis
Nurse Care Navigator, RN
- Engage and empower high acuity patients for improved health outcomes
- Collaborate with providers to optimize patient success
- Champion Social Determinants of Health (SDoH) resources for patients and providers
- Initiate and support quality improvement projects
Population Health Navigation (PHN)
- Facilitate practice-based quality improvement
- Provide performance measurement and analysis
- Support evidence-based clinical workflows
- Deliver valuable resources to practices i.e. access to toolkits, CORHIO, BH integration
Population Health Pharmacist
- Develop medication adherence program to reach quality targets
- Provide pharmacy related support to practices
- Act as liaison between payer pharmacy programs and clinical setting/patients
- Share pharmacy-specific educational information and programming