Physician Hospital Organization FAQs

What is Inspira Health Partners?


Inspira Health Partners (IHP) is a Physician Hospital Organization (PHO). PHOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to provide coordinated high quality care. IHP is physician-led and supported by Inspira Health Network. Its goal is to support a clinically integrated network that allows our hospitals and physicians to work cooperatively towards:

  • Producing a platform to coordinate care and improve quality of care provided to patients
  • Providing Inspira physicians with tools to best manage care while maintaining profitability in the future
  • Strengthening market preference with consumers
  • Preparing for future models of care delivery as payers begin to shift from fee-for-service to value-based care models

 

What is a Clinically Integrated Network?


A Clinically Integrated Network (CIN) is a group of healthcare providers, such as physicians, hospitals, and post-acute care treatment providers, who work together to improve patient care, reduce healthcare costs and improve the overall health and well-being of the community. CINs support these efforts by contracting together to help achieve their goals in a manner that complies with applicable health care regulations. To consistently offer quality care among their participating providers, CINs focus on evidence-based care guidelines such as prevention strategies, acute treatment and ongoing condition maintenance.

 

Why should I join Inspira Health Partners?


The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time and in the right setting, while avoiding unnecessary duplication of services and preventing medical errors. Who a PHO succeeds both in delivering high-quality care and spending health care dollars more wisely, its members share in the savings it achieves through the insurance companies. Joining IHP will help to prepare your practice for future models of care delivery as payers begin to shift from fee-for-service to value-based care models. What’s more, membership in IHP will allow your practice to participate in shared savings programs as well as receive improved rates from participating payers.

 

What are the goals of Inspira Health Partners?


Inspira Health Partners is dedicated to improving the health and well-being of our communities by making positive change in the way we provide care. A key element of that strategy is the pursuit of the Institute for Healthcare Improvement’s Triple Aim: Improved patient experience of care, better health for our population and reduced cost.

By promoting strong physician leadership, IHP offers a platform for our providers to collaborate and achieve the goals of the Triple Aim. These include promoting higher quality, more coordinated and efficient care for individuals, improving the health for populations and lowering per capita growth in expenditures, while responding to and exploring opportunities created by the changing health care delivery and payment environment.

IHP has set the following goals to transform care in our region:

  • Produce a platform to coordinate care and improve quality of care provided to patients
  • Provide Inspira physicians with tools to best manage care while maintaining profitability in the future
  • Strengthen market preference with consumers
  • Prepare for future models of care delivery as payers begin to shift from fee-for-service to value-based care models

To accomplish these goals, IHP has identified several measures including:

  • Engage payers and others in southern New Jersey to promote its network of physicians and facilities, and enter into exclusive managed care contracting arrangements with such entities.
  • Support the development of tools to promote a patient-centered model of care by offering Physician Members direct, real-time linkages to INSPIRA for specific services such as referrals and the reporting of results, as well as providing Physician Members with access to software, network and decision support for detailed quality and outcome data for their practices.
  • Provide Physician Members with benefits such as access to private practice cost management tools.
  • Provide a clear leadership voice for Physician Members as the Company and its members evolve to meet current and future market needs.

With a dedication to the health of our communities, IHP will empower physicians to make a positive impact on the future of healthcare in our region.

 

How is Inspira Health Partners governed?


Inspira Health Partners is managed by a Board of Managers with 13 members. These consist of Primary care and Specialist physician members as well as Institutional members representing Inspira Health Network.

 

What are the benefits of joining Inspira Health Partners?


In addition to contributing to the mission of IHP to join community providers to enhance the delivery of healthcare in our region, membership offers several benefits:

  • Financial benefits including:
    • Participation in shared savings programs
    • Access to exclusive managed care contracting agreements with payers
    • Inner Circle status for the Inspira health plan provided to employees and their eligible spouses and dependents.  Click here to learn more.
  • Clinical decision support including:
    • Automated data submission to Inspira Health Network for detailed quality and outcome data through a Population Health platform that includes registries, dashboards, and care management solutions
    • Assistance with managing compliance with Meaningful Use and the Medicare Shared Savings Program
    • Special pricing for the Cerner Ambulatory EHR
    • Health information exchange links for non-Inspira providers
  • Practice management support, including:
    • Information resources for a variety of topics including Meaningful Use Stages 2 and 3, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), and the Merit-Based Incentive Payment System (MIPS)
    • Special pricing for billing services through IHP
  • Participation in a physician-led organization
  • Relationship with Inspira’s network of inpatient, outpatient, and ambulatory facilities
  • Free medical education seminars and programs

 

Do I need an electronic health record system in my practice to participate?

An EHR is required to participate.  However, if your practice does not currently have an EHR, IHP offers special pricing for the Cerner Ambulatory EHR.  For practices that already have an EHR, Inspira will support the cost of connecting your EHR to our Population Health platform to measure detailed quality and outcome data.

 

Do IHP members have to be employed by Inspira Health Network?


No, members of IHP represent both providers who are employed by Inspira Health Network as well as independent physicians in group and private practices.