insurer. Nothing herein shall be construed as to impede the discretion of the payers in the market from designating the New Health System (or components thereof), as an exclusive network provider in all or part of the New Health System’s service area. Timing: Immediately upon closing of the merger and then upon expiration of existing contracts or with contracts with any new payers coming into area, and ongoing. Amount: No cost. Metric: Easily verifiable. In order to improve quality for patients, ensure seamless access to needed Commitment: patient information, and to support the efforts of the local physician community to access needed information in order to provide high quality patient care, the New Health System will participate meaningfully in a health information exchange or a cooperative arrangement whereby privacy protected health information may be shared with community-based providers for the purpose of providing seamless patient care. Timing: No later than 36 months after closing. Amount: Up to $6 million over 10 years. Metric: The New Health System shall report annually to the Commissioner on mileposts toward meeting this commitment. Commitment: In order to enhance quality and decrease the total cost of care, the New Health System will collaborate in good faith with independent physician groups to develop a local, region-wide, clinical services network to share data, best practices and efforts to improve outcomes for patients and to deliver such outcomes at the highest possible value. Timing: No than 36 months after closing. The New Health System shall report to the Commissioner on the mileposts toward Metric: meeting this commitment. Commitment: In order to enhance quality, improve cost-efficiency and reduce unnecessary utilization of hospital services, for all Principal Payers, the New Health System will endeavor to include provisions for improved quality and other value-based incentives based on priorities agreed upon by each payer and the New Health System. Timing: Immediately upon closing of the merger and ongoing. Amount: No incremental cost. Metric: Annual report and complaints, if any, from payers.
insurer. Nothing herein shall be construed as to impede the discretion of the payers in the market from designating the New Health System (or components thereof), as an exclusive network provider in all or part of the New Health System’s service area. Timing: Immediately upon closing of the merger and then upon expiration of existing contracts or with contracts with any new payers coming into area, and ongoing. Amount: No cost. Metric: Easily verifiable. Commitment: In order to improve quality for patients, ensure seamless access to needed patient information, and to support the efforts of the local physician community to access needed information in order to provide high quality patient care, the New Health System will participate meaningfully in a health information exchange or a cooperative arrangement whereby privacy protected health information may be shared with community-based providers for the purpose of providing seamless patient care. Timing: No later than 36 months after closing. Amount: Up to $6 million over 10 years. Metric: The New Health System shall report annually to the Commissioner on mileposts toward meeting this commitment. Commitment: In order to enhance quality and decrease the total cost of care, the New Health System will collaborate in good faith with independent physician groups to develop a local, region-wide, clinical services network to share data, best practices and efforts to improve outcomes for patients and to deliver such outcomes at the highest possible value. Timing: No than 36 months after closing. Metric: The New Health System shall report to the Commissioner on the mileposts toward meeting this commitment. Commitment: In order to enhance quality, improve cost-efficiency and reduce unnecessary utilization of hospital services, for all Principal Payers, the New Health System will endeavor to include provisions for improved quality and other value-based incentives based on priorities agreed upon by each payer and the New Health System. Timing: Immediately upon closing of the merger and ongoing. Amount: No incremental cost. Metric: Annual report and complaints, if any, from payers.
committments-validated-by-msha-and-whs.docx