About

Partners Health Alliance is New Jersey’s new clinically integrated network (CIN) that enables physician practices to collaborate on better and more coordinated patient care while managing costs — key requirements of any value-based contract. The network implements an active and ongoing program — a comprehensive set of resources that physicians can utilize while fostering a high degree of interdependence and cooperation among participating providers.

Partners Health Alliance brings together established networks of independent physicians and facilitates network growth, value-based care and service delivery, and alternative payment models.

By joining Partners Health Alliance, participating practices can draw on the network’s collective resources and value-based contracts with payers (Horizon BCBSNJ, Aetna, Cigna, Centers for Medicaid & Medicare Services and others). In return, they will be required to deliver better integrated care while lowering the overall cost of care. To help them succeed, Partners Health Alliance offers them a wealth of new capabilities through its management services organization (MSO), comprised of well-established market leaders: Continuum Health, Partners In Care (PIC), and PIER Partner Network.

Providers will be required to adopt population health management services and will have the option to engage the MSO for other services. See Services page for details.

To be recognized and successful, a CIN must possess specific capabilities:

Practice Transformation

Practice Transformation

Sharing, adapting and further developing comprehensive quality improvement strategies.
Network Development & Management

Network Development & Management

Expanding a healthcare organization’s footprint with value-based partners.
Centralized Care Coordination

Centralized Care Coordination

Organizing patient care activities among providers to facilitate appropriate delivery of care.
Payer & Regulatory Relations

Payer & Regulatory Relations

Developing mutually beneficial value-based payment models; ensuring regulatory compliance.
Evidence-Based Guidelines

Evidence-Based Guidelines

Promoting the use of empirical data in clinical decision-making to achieve optimal outcomes.
Reporting/Analytics Engine

Reporting/Analytics Engine

Delivering performance measurement and insights to drive proactive clinical actions.
Attribution Management

Attribution Management

Ensuring that providers understand which patients have been assigned to them for quality of care and cost management.
Secure<br>Messaging

Secure
Messaging

Providing an online communications platform designed to protect sensitive PHI data protected under HIPAA.
Interface Engine

Interface Engine

Creating an exchange to capture diverse data sets from multiple, disparate sources and applications.
Enterprise Master Patient Index

Enterprise Master Patient Index

Developing a database used across a healthcare organization to maintain accurate demographic patient data across various providers.
Disease Registry

Disease Registry

Managing a special database that contains information about patients diagnosed with specific types of conditions.
Point-of-Care Gap Closure

Point-of-Care Gap Closure

Implementing technology or best practices that identify opportunities for achieving quality measures.
Shared Savings Management

Shared Savings Management

Tracking and enabling provider performance associated with payment incentive contract goals.
Shared Savings Distribution

Shared Savings Distribution

Dividing and distributing payment incentives from governmental or commercial payers to participating providers.