10 – Managed Care Activities

Network Support of Managed Care Activities

This table presents an overview of the managed care efforts HCCNs/PCAs are engaged in and the traditional payer and/or managed care related activities that HCCNs/PCAs support.

Network Statistics

Click here to access Network Statistics

Network	Using Data to Negotiate	Formation of IPA/ACO Assistance	Management Services	Managed Care - Other Activities	Centralized Credentialing	Utilization Review	Contracting	Centralized Billing	Rate Setting	Compliance for Participation	Consulting on Billing	N/A - Managed Care Support	Other Managed Care Support
Network	Using Data to Negotiate	Formation of IPA/ACO Assistance	Management Services	Managed Care - Other Activities	Centralized Credentialing	Utilization Review	Contracting	Centralized Billing	Rate Setting	Compliance for Participation	Consulting on Billing	N/A - Managed Care Support	Other Managed Care Support
Alabama Primary Health Care Network	Yes	Yes	Yes	Not available	Yes	Yes	Yes	No	Yes	Yes	No	No	Not available
Alliance for Rural Community Health	No	No	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Alliance of Chicago Community Health Services	Yes	Yes	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Boston HealthNet	Yes	Yes	No	Not available	Yes	Yes	Yes	No	No	Yes	Yes	No	Not available
Central Valley Collaborative	Yes	No	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Central Valley Health Network	No	Yes	No	Not available	No	No	No	No	No	No	No	Yes	Not available
CHCNet Maine/Maine Primary Care Association	No	No	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Colorado Community Managed Care Network (CCMCN)	Yes	Yes	Yes	Not available	No	No	No	No	No	No	No	Yes	Not available
Community Care Network of Virginia	Yes	Yes	Yes		Yes	Yes	Yes	Yes	Yes	No	Yes	No
Community Clinic Association of Los Angeles County	No	No	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Community Clinic Consortium of Contra Costa and Solano County	No	No	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Community Health Access Network	Yes	Yes	Yes	Not available	No	No	No	No	No	No	No	No	Data analytics and QI
Community Health Best Practices, LLC	No	No	No		No	No	No	No	No	Yes	No	No
Community Health Center Association of Connecticut (CHCACT)	No	No	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Community Health Center Network	Yes	Yes	Yes	Not available	Yes	Yes	Yes	No	No	Yes	Yes	No	Not available
Community Health Centers Alliance	No	No	No	Providing reports and data necessary for members to make informed decisions.	No	No	No	No	No	No	No	No	Not available
Community Health Integrated Partnership, Inc.	Yes	Yes	No	Not available	No	No	Yes	No	No	No	Yes	No	Not available
Council of Community Clinics	Yes	Yes	No	Not available	Yes	Yes	Yes	No	No	Yes	Yes	No	Not available
FQHC Urban Health Network	Yes	Yes	No		No	No	No	No	No	No	No	No
Georgia Association for Primary Health Care	No	Yes	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Hawaii HCCN	No	No	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Health Center Connections	No	No	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Health Center Network of New York dba HealthEfficient	No	No	No	Not available	No	No	No	No	No	No	Yes	No	Not available
Health Center Network of Utah	Yes	No	No	Not available	No	No	Yes	No	No	Yes	Yes	No	Not available
Health Choice Network, Inc.	Yes	Yes	Yes	Performance Incentives and EHR Supplemental Data Feeds	Yes	Yes	Yes	Yes	Yes	No	Yes	No	Not available
Health Federation of Philadelphia	Yes	No	No	Not available	No	No	No	No	No	No	Yes	No	Helpting members to report EMR data to payers
Healthy Communities Collaborative Network	Yes	Yes	Yes	CVN also has a Clinically Integrated Network	No	No	Yes	No	No	Yes	Yes		Value-based Payment
Heartland Community Health Network	No	No	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Idaho Primary Care Association	Yes	No	No	Not available	No	No	Yes	No	No	No	Yes	No	Not available
INConcertCare, Inc.	No	Yes	Yes	Not available	No	No	Yes	No	No	Yes	Yes	No	Not available
Indiana Quality Improvement Network	Yes	No	No	Engagement with MCEs around P4P and Payer Integration	No	No	No	No	No	No	Yes	Yes
Kentucky Health Center Network	Yes	No	No	Not available	No	No	No	No	No	No	No	Yes	bi-directional interface between payer and organization
Keys to Quality HCCN	No	No	No	MCO billing training	No	No	No	No	No	No	Yes	No
Louisiana Primary Care Association (LPCA) HCCN	No	Yes	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Massachusetts League of Community Health Centers	No	No	Yes	Risk adjustment data and negotiation of reporting requirements	No	Yes	Yes	No	No	Yes	No	Yes	Not available
Michigan Quality Improvement Network	No	Yes	No	Not available	No	No	No	No	No	No	Yes	Yes	Not available
Mississippi Health Safe Net	No	No	No	Not available	No	No	Yes	No	No	Yes	No	No	Not available
Missouri Quality Improvement Network	Yes	Yes	Yes	Not available	No	Yes	Yes	No	No	Yes	No	No	Not available
Montana Primary Care Association (MPCA)	No	Yes	No	Currently planning the formation of an IPA	No	No	No	No	No	No	No	No	Not available
New Mexico Health Choice Network	No	Yes	No	Not available	No	No	No	No	No	No	Yes	No	Not available
New York Statewide Health Center Controlled Network	No	No	No	Not available	No	No	No	No	No	No	No	Yes	Not available
North Carolina Community Health Center Association (NCCHCA)	Yes	Yes	No	Not available	No	No	No	No	No	No	No	Yes	Not available
North Coast Clinics Network	No	No	No	Not available	No	No	No	No	No	No	Yes	No	Not available
OCHIN	Yes	No	No	Not available	No	No	No	Yes	No	No	Yes	Yes	Epic Tapestry
OSIS	No	No	Yes	Not available	No	No	No	No	No	No	Yes	No	Not available
PTSO of Washington	Yes	No	No	Not available	No	No	No	Yes	No	Yes	Yes	No	Compliance; Risk Management; Payer management, Claims management
Redwood Community Health Coalition	No	Yes	Yes	Not available	No	No	Yes	No	No	No	No	No
San Francisco Community Clinic Consortium	Yes	Yes	No	Not available	No	No	Yes	No	No	Yes	No	No	Not available
SoonerVerse Inc.	No	No	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Southwest Texas Network	No	No	No	Not available	No	No	No	No	No	No	No	Yes	Not available
St. Louis Integrated Health Network	No	No	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Tennessee Primary Care Association\'s Center for Quality in Community Health	No	No	No	MCO - Health Center Collaboration	No	No	No	No	No	No	No	No
Texas Association of Community Health Centers	No	No	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Virginia Community Healthcare Association	Yes	No	No	Not available	Yes	No	Yes	Yes	No	No	Yes	No	Not available
West Virginia Primary Care Association, Inc.	No	Yes	No	Not available	No	No	No	No	No	No	No	Yes	Not available
Wisconsin Primary Health Care Association	Yes	Yes	No	Education and training for members	No	No	No	No	No	No	Yes	No	Not available