Health Reform

Evolve to meet (always) changing regulations and payment models.

Healthcare in transition: we know the ropes

At the end of the day, it's about outcomes — clinical and financial. And for a quarter century, we've delivered. Our clients have managed the progression from paper to digital health records, are ahead of the regulatory compliance curve, and are better prepared to transition from volume- to value-based reimbursement. Stay up-to-date on MACRA

Be one of our success stories.

If your practice is pursuing PCMH accreditation, use the right interoperability, population health, and care coordination tools to harness data and meet new benchmarks. As health reform demands escalate, set up your practice for success. NextGen Healthcare can help. Hear more about NextGen Healthcare client success.

Strong clinical outcomes = high provider incomes

The financial risk of patient care (particularly for costly chronic conditions) is shifting from payers to providers, making strong population health management mission critical for you. Through early intervention and better care management, you can improve outcomes and cut costs.

high-risk patients

individual and cohort health

the number of avoidable emergency room visits

hospitalizations and readmissions

Kick-start your value-based transformation today

To ensure compensation in this changing landscape, you need to deliver better, timelier, quality care at a lower cost. That means improving key performance indicators (KPIs) across the practice or health system, including:

Improved financial performance
revenue cycle management, operational efficiencies

Enhanced patient experience
patient access, patient engagement, and communication

Clinical integration
alignment of physicians/hospitals, network design/management, performance measurements

Engage your patients:
Patient Centered Medical Home (PCMH)

At the heart of accountable, collaborative care is the PCMH. The PCMH model emphasizes patient engagement and care coordination based on patient needs and preferences.

The goal? To improve population health and the patient care experience, while reducing the cost of care.

Practices with PCMH certification have met National Care Quality Association (NCQA) quality care standards. These practices are better managing patients' health, particularly those with chronic diseases.

NCQA PCMH Recognition: Six Patient Centered Medical Home Standards

The NCQA PCMH recognition program centers around six standards that align with core components of primary care. PCMH software can help you track these metrics:

Patient-centered access

Team-based care

Population health management

Care management and support

Care coordination and care transitions

Performance measurement and quality improvement

Optimize resources: Accountable Care Organization (ACO)

Although many factors contribute to the big picture of ACO operations, at the core it's about how organizations bring together patients, providers, and technology to move the needle on patient outcomes.

NextGen Healthcare clients participate in 113 ACOs, and growing.

Watch a NextGen Healthcare ACO success story

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NextGen Healthcare clients participate in more than one-third of Accountable Care efforts nationwide.

One of our long-time clients was one of the first three practices to achieve ACO recognition in the country.


Quality reporting matters

Quality reporting is central to today's healthcare climate. To be paid, providers must meet specific clinical quality measures (CQMs). We understand how to help our clients succeed in the face of changing regulations. NextGen Healthcare clients have earned $870 million in government incentives and 100% have successfully transitioned to ICD-10.

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Know your incentive-driven quality programs

There are numerous quality reporting programs at the state, regional, and federal levels. They include Physician Quality Reporting System (PQRS), ACO Medicare Shared Savings Program, Bridges to Excellence (BTE), Meaningful Use, and others. We're ready to help you create the fast, accurate reports you need to collect the incentives you've earned.

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We are MU-ready!
Thousands of NextGen Healthcare clients have received approximately $1 billion in incentives.

NextGen Healthcare is one of the first MU-ready vendors. NextGen Ambulatory EHR, our Meaningful Use Certified EHR, and our strategic services have helped providers of all types and specialties to receive incentive payments for quality initiatives including PQRS, ACO, PCMH, Meaningful Use, and e-Prescribing.

Meaningful Use Success:

Nearly 30,000 providers have successfully attested for approximately $1 billion in MU incentive dollars using certified solutions from NextGen Healthcare. To support your MU efforts, we provide ongoing MU webinars, cheat sheets on creating the right MU path, and frequent MU updates and communications.

Learn more about our experts, who can help you get there, too.

Quick guide to reports

To address a growing list of requirements and demands, you need to generate various reports for different programs – such as PQRS, Value-Based Payment Modifier, and UDS – as well as reports that pertain to your specialty area. Read our value-based care guide to learn more about reporting requirements and how NextGen Healthcare can help.

Our HQM solution

Our reporting solution automatically reports clinical outcomes and quality measure data for clients to various federal, state, and local health data registries required by pay for performance (P4P) programs.

Learn more on our blog.

"The new HQM portal is fabulous; it's so user-friendly, the upgrade was seamless, and all my previous user configuration was still intact. I especially love the new trending data report."

— Jamie Wright, Quality Program Manager, Westchester Health

Smooth ICD-10 sailing

Fully 100% of our clients have transitioned to ICD-10 and are submitting ICD-10 claims with an initial acceptance rate of 99%, demonstrating the quality, power, and expertise of our client support.

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Ensure HIPAA compliance, avoid penalties

The HIPAA Omnibus Law increases penalties in the event of a breach by medical practices that fail to adhere to the HIPAA Security Rule. Organizations that face an ePHI-related security breach can be subject to significant regulatory fines, litigation, breach notification costs, unfavorable media attention, and a damaged reputation. We can help.

Mitigate risk with HIPAA One.

NextGen Healthcare, in partnership with HIPAA One®, offers a comprehensive Security Risk Analysis (SRA) solution that meets MU and HIPAA requirements, while helping clients to protect patient health information and mitigate the risk to their organizations.

Download our HIPAA Risk brochure


Contact Us

To help us best respond to your request, please fill out the form below to be contacted by a NextGen Healthcare associate. We look forward to having a conversation with you.