Children's Mercy Pedicatric Care Network
How does PCN improve health care delivery? PCN offers:
Simplified administration and reduced fragmentation with health plans
- Standardized claim submission requirements
- Standardized payment policies
- Standardized utilization management policies (e.g. precertification requirements)
- Standardized credentialing process
Better population-based clinical tools and medical home support tools
- Uniform model that doesn't force you to conform to multiple MCO models
- Tools and resources for care coordination at the practice level
- Health Information Technology tools (EMR, HIE)
- Aggregated data for the pediatric population in the Kansas City area
Payment system reform
- Transition from "volume based" payment with constant pressure on unit cost and volume of services to "value based" payment through common structure
- Opportunities for at-risk contracting, sharing savings, and other creative payment models
- Aligned incentives with the hospital and other providers
Delegated health plan administration
- Managed Care Organizations (MCOs) delegate certain administrative functions to us including medical management, provider credentialing, and disease management programs. PCN uses a team-based approach to reduce barriers, export resources and expertise from Children's Mercy, and support patient- centered medical homes for the providers in our network.
Get In Touch
2420 Pershing Road, Suite G10
P.O. Box 411596, Kansas City, MO 64141
888-670-7261
816-701-4525
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Children's Mercy Integrated Care Solutions