Frequently Asked Questions

The QCIPN will provide you with a strong network of physicians and health system resources to enhance and help you navigate care delivery and culture changes necessary to care for your patients. In an era of health care transformation, our goal is for the QCIPN to be the best provider of care in our state.

Your participation in the QCIPN serves to positively influence your practice by providing opportunities to: contribute to the development of clinical best practices, receive data on performance measures, and improve care delivery.

Yes, the QCIPN is not exclusive. However, it is possible that Payers may limit some providers from participating in the same type of contracts that are offered in similar Networks. For example, if there are two Networks in the area with Medicare Shared Savings Program (MSSP) contracts, primary care providers are only allowed by Medicare to join one MSSP Accountable Care Organization.

You can remain with your Physician Organization (PO) and join the QCIPN. We are working with POs to collaborate, enhance and support the work already accomplished by the organization and its members, and engage them in a collaborative manner to develop and support practices in the QCIPN.

The QCIPN is very similar to the ACO as both are defined as a group of health care providers including primary care physicians, specialists and hospitals working collaboratively together for the improvement of the quality and efficiency of the care for a defined population. The QCIPN could function as an ACO in the future.

How does an ACO differ from Managed Care?
Accountable care differs from managed care of the 1990s in three fundamental ways:

  • The management of health care in an ACO is assigned to care delivery groups, especially doctors, instead of insurers.
  • In an ACO, there is an increased focus on measurable health outcomes.
  • In an ACO, there is utilization of technological advancements which provide greater risk adjustment, advanced analytics and improved health data management.

Participation criteria are being developed by the Board and committees. Each physician would be expected to actively participate in the QCIPN initiatives and adhere to the clinical protocols designed to enhance the quality and efficiency of care to all patients. If expectations are not met, the provider will be provided with feedback and asked to remedy the situation.