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Objective:

Enable Payers and Provider to exchange information that identifies members of a patient population associated with a particular risk based contract.


Workflow (click on the image to enlarge it)



Benefits

Allows the provider and payer to establish and maintain an accurate list of patients that are attributable to the provider

The attribution list supports exchange of other information including gaps in care and quality measures

Creates common format across payers and providers, reducing waste and maintenance

Sponsoring Workgroup: Financial Management

Co-Sponsoring Workgroup:  Attachments

Risk Based Contract Member Identification Implementation Guide:

STU1 Ballot Reconciliation:

Reference Implementation:

Test Scripts: Touchstone Da Vinci ATR Test Scripts

Zulip Channel: 

Conference Call Schedule & Dial-Ins

Wednesdays, 3pm Eastern/ 12pm Pacific

Please join my meeting from your computer, tablet or smartphone.
https://global.gotomeeting.com/join/433797781

You can also dial in using your phone.
United States: +1 (872) 240-3311

Access Code: 433-797-781

Project Milestones

HistoricalMilestones

Milestone

Timeframe

Sponsoring WG (FM) Publication Request ApprovalOct 2020

Publish IG STU1

Dec 2020
Begin IG advancement phase 2 (STU2)Q4 2020 / Q1 2021
Ballot Project Milestone Goals coming soon.Q2 2021 Target

Member Identification Team

RoleName OrganizationEmail 
Project Co-LeadCambia

david.degandi@cambiahealth.com

Project Co-LeadMulticare

ataylor@multicare.org

Project Co-LeadMulticare

kashton@multicare.org

Project ManagerPoint of Care Partnersvanessa.candelora@pocp.com 
IG and RI LeadDrajer

nagesh.bashyam@drajer.com

PMO/Technical DirectorViet NguyenStratametrics

vietnguyen@stratametrics.com

PMO/Program ManagerPoint of Care Partnersjocelyn.keegan@pocp.com 
PMO/Business Process SMEEnablecare

rcdieterle@enablecare.us

Historical Milestones Met:

Aug2019 Sep Oct Nov Dec Jan2020 Feb Mar Apr May Jun Jul Aug Sep
STU1 Milestones
Continuous Improvement

Requirements

IG Development

Reference Implementation

STU Ballot (Feb2020)

Ballot Reconciliation

Connectathon

Connectathon

Connectathon

Tentative Target: STU Ballot Round 2



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