CPC+ and other HSX Population Health Program Activities

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The HSX Population Health Program aggregates data for the Greater Philadelphia CPC+ Program and provides access to a large, robust, and steadily expanding dataset for population health and public health services. Organizations conducting population health or public health activities can use HSX Data to support:

  • disease or health risk monitoring
  • outbreak investigations
  • performance management
  • population health assessments
  • community health needs assessment (CHNA)
  • population health management
  • prevention services
  • program evaluation
  • public health reporting

Comprehensive Primary Care Plus (CPC+)

Independence Blue Cross (Independence) and Aetna, Inc. selected HSX as the data aggregator for the Greater Philadelphia CPC+ Program and went live with the program in November 2018. HSX is responsible for processing data, and for generating and offering access to quarterly reports for the participating practices for CPC+ provider practices.  HSX generates the reports from claims data provided by Independence, Aetna, and the Centers for Medicare & Medicaid Services (CMS) for the Medicare population. 

HSX provides data analysis for the following CPC+ quality measures:

  • Acute Hospital Utilization – Total
     
  • Acute Hospital Utilization – Medical
     
  • Acute Hospital Utilization - Surgical
     
  • Emergency Department Utilization
     
  • Plan All-Cause Readmissions - Total (Risk Adjusted)
     
  • Annual Monitoring for Patients on Persistent Medications – Digoxin
     
  • Annual Monitoring for Patients on Persistent Medications – ACE Inhibitors or ARBs
     
  • Annual Monitoring for Patients on Persistent Medications – Diuretics
     
  • Annual Monitoring for Patients on Persistent Medications – Total
     
  • Comprehensive Diabetes Care – Eye Exam Performed
     
  • Breast Cancer Screening
     
  • Statin Therapy for Patients with Cardiovascular Disease – Received Statin Therapy
     
  • Statin Therapy for Patients with Cardiovascular Disease – Therapy Adherence
     
  • Use of High-Risk Medications in the Elderly – Single Dispensing Event
     
  • Use of High-Risk Medications in the Elderly – Multiple Dispensing Events

Note: Super-protected data such as sexually transmitted Disease, HIV, substance abuse, substance abuse with mental disorder, and mental disorders were not included in the generation of these measures. 
 

Learn more about the HSX CPC+ participant service offerings.

 

Learn about the other activities of HSX’s Population Health Program.

 

HSX Population Health program policies and procedures:

Participant Population Health

Public Health Authority Population Health

Contact us to learn more or sign up for service

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