New models of payment and care delivery require an integrated medical neighborhood dedicated to provider success. UNC Health Alliance provides the opportunity for independent providers to benefit from UNC Health Care’s reputation, technology, and infrastructure to integrate services across the medical neighborhood and to deliver high-quality, cost-effective care to the residents of North Carolina. We are committed to primary care practices and supporting patient-centered medical homes through new and innovative approaches.
When you join UNC Health Alliance you and your patients will benefit.
What is a Clinically Integrated Network (CIN)?
A clinically integrated network is a group of hospitals and providers who collaboratively make a collective commitment to performance improvement with a focus on population health to improve the quality and efficiency of care for the patients they serve.
Clinically integrated networks seek to accomplish the “Quadruple Aim”:
- Improve patient experience
- Improve patient outcomes
- Lower cost of care
- Improve provider experience
Why create UNC Health Alliance?
UNC Health Alliance was created to empower providers to shape the transformation of care as the health care industry moves from volume-based to value-based reimbursement. Physician engagement and leadership is paramount to assure patient-centered care remains at the core of this transformation.
Why is UNC Health Alliance a good idea and necessary for our future?
Providers, patients, and payers all recognize the changes occurring in the industry and the need to stabilize premiums and manage costs while improving quality and efficiency of care. By working together, and led by physicians, UNC Health Alliance is transforming care delivery for North Carolinians.
What are the goals of UNC Health Alliance?
The primary goals of UNC Health Alliance are to:
- Transform care delivery by creating a physician-led, integrated network that is accountable for the full continuum of care
- Lead the market in high-quality, cost-efficient care through population-health management that engages patients in the ownership of their own care
- Be the preferred partner for providers in North Carolina through a culture of collaboration and care transformation
- Remain the preferred partner for employers and payers who are aligned with the goal of creating more value for patients and adapting to the changing health care landscape
What is the governance structure of UNC Health Alliance?
The physician-led Board of Managers equally represents independent and UNC-employed providers, as well as primary care and specialty providers. Several committees and sub-committees, representing a similar structure, report to the Board of Managers and include:
- Performance Metrics & Quality Committee
- IT Committee
- Payer Strategy & Contracting Committee
- Care Transformation Committee
- Professional Standards & Credentialing Committee
- Network Development Sub-committee
- Behavioral Health Sub-committee
What is the role of the provider in UNC Health Alliance?
By joining UNC Health Alliance, providers have a voice in designing the cultural and practice transformation that is inevitable as the industry reforms. Our governing Board and underlying committees are made up of practicing providers from our communities and UNC Health Care.
How does a practice or provider join UNC Health Alliance?
Participation involves signing a formal agreement (UNC Health Alliance Participation Agreement) that is a commitment to collaboration with the policies and procedures of the clinically integrated network. All members of a practice must join.
How will UNC Health Alliance change the way practices operate?
You will be asked to use evidence-based protocols endorsed by your colleagues within UNC Health Alliance for certain common diseases when possible, and review your patients’ data as part of your practice pattern to ensure that your patients are receiving all the care needed for their conditions.
Data and information sharing among network practices will allow us to review and report on quality and efficiency measures selected by the Board. Practices will have access to additional benefits such as expanded networking, professional development, and monthly online learning sessions.
Are practices required to use a specific Electronic Health Record (EHR)?
No, practices are not required to have a specific EHR. Data sharing between providers is necessary to support the information aggregation, analysis, and reporting needs of UNC Health Alliance to fulfill clinical integration.
Are there fees due or exclusivity to join UNC Health Alliance?
There is no exclusive membership requirement and there is currently no membership fee.
What are the eligibility requirements for participating providers?
Credentialing providers requires an active professional license, active DEA, medical practice insurance, and Board Certification. Providers must also have a desire to clinically integrate their practices with UNC Health Care and other participating independent practices.
Does UNC Health Alliance require hospital admitting privileges?
No, members of UNC Health Alliance can be in good standing on the medical staff of a UNC Health Care affiliated hospital or meet other criteria as determined by the Board.
How will UNC Health Alliance affect provider compensation?
UNC Health Alliance supports our members through a variety of contracting payer mechanisms ranging from quality incentive programs to premium-based relationships.