Contracting

Pay for Quality - the Future of PHO Contracting

OHG, together with our owner partners OhioHealth and the Medical Group of Ohio, has created its own "Pay for Quality" contracting model to change the current health care system that does not reward and encourage quality, evidence based care. Our program is unique. Members are set up to receive the highest quality of care, because their physicians are provided with actionable information through reports to assist them in caring for their patients. Employers (by example OhioHealth) encourage their employees to receive services through their health benefit plan designs.
 
This is an important step in creating a contracting model that achieves healthier outcomes, lowers costs, and demonstrates the value of MGO physicians and OhioHealth facilities. At the same time, it also serves as the model on which we can build to achieve clinical integration.
 
Contracting with Payers Via OhioHealth Group PHO
 
Even as the new Pay for Quality contracting model continues to expand, OHG maintains its commitment to achieving the best possible outcome for employers, payers, members, and providers within our current PHO contracting messenger model. Through our partnership with OhioHealth and MGO, OhioHealth Group works with contracted payers to:
  • Provide access to central Ohio's premier health care facilities and practitioners via a single signature contract
  • Reduce paperwork, clerical work, and the hassle factor for both payers and providers by providing NCQA accredited delegated credentialing
  • Assure accurate and timely claims processing by allowing access to our up to the minute provider demographic database

To learn more about PHO contracting or to ask specific questions, please click here to contact our staff.


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