Member Benefits

PHO Initiatives to support population health with clinical integration and data to co-manage patients:

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Value-Based Contracting

We have alignment with all of the major payers in Michigan serving over 40,000 covered lives. We maintain comprehensive payer relationships, negotiate, evaluate, and administer the contracting process, and ensure reimbursement is structured on value-based principles.

Financial Technology Support & Management

Implementation of the technical infrastructure needed to support Health Information Exchange (HIE) initiatives through multiple payer opportunities. Continued management with third party interface maintenance. Primary goal: physician access to patient information at point of care.

Health Focus-Population Health Patient Registry

PHO funded and sponsored patient registry (Health Focus) which includes a Patient Risk Stratification Tool, Population Health Reporting to identify health gaps in care, and a financial analytical tool to support payer risk-based contracts and an integrated registry notification for appropriate care interventions.

Population Health Strategic Opportunities

The PHO engages in multiple opportunities across all payers to improve the quality of patient care, outcomes, and associated costs. Examples of opportunities include: deployment of a CAHPS Patient Satisfaction Survey, In-office Teleretinal Imaging, optimizing initiatives supporting TeleHealth engagement and performance, and Michigan Data Collaborative Type II Diabetes Initiative.

Population Health Onsite Assistance

Our team provides assistance with payer performance, quality data entry, work flows and infrastructure support, training, and on-going support for BCBSM PCMH designation.

Mission Statement

The mission of St. Mary’s Physician Hospital Organization is to deliver excellence in patient-centered care for our patients that reflects our faith-based values, is high-quality and cost effective. We will deliver innovative care delivery solutions across the continuum of care. We are stewards of sound fiscal responsibility and develop capabilities to take and manage financial and performance risk for covered populations.