By joining Partners For Kids, you will receive a premium over Medicaid rates for each adjudicated claim.

Our incentive program makes quarterly payments based on quality measures, including:

• A bonus for each patient who achieves pre-established quality outcomes, including well-child visits.
• A share in the cost savings that result from a focus on prescribing patterns for select drug categories. Our staff pharmacists can assist with prescribing guidelines.

Partners For Kids Pharmacy provides pharmacy services to achieve the best medication-related outcomes for all of our patients. Our pharmacists help you make sure that patients have access to the medications they need by providing on-site education and online resources on clinically-effective medications covered by the Medicaid Managed Care Plans.

We offer free, quality improvement coaching. Our experts work directly with your office to provide on-site support and assist practices in achieving improved outcomes. Practices select from a list of issues to make their focus. That list includes:

• Asthma
• Behavioral health
• Health supervision visits
• Emergency department avoidance
• Fluoride varnish
• Patient experience
• Reproductive health

A Partners For Kids quality improvement specialist will come on-site to help guide the projects. The team and the quality improvement specialist will meet regularly to share ideas for change and test changes. The improvement process at the practice is then supported through participation in a learning network in where diverse practices share best practices.

Through this evidence-based approach, practices participating in similar programs have experienced success in increasing delivery rates of preventive services and improving relationships, communication, and efficiency among staff and providers.

By participating in a quality improvement project, you may be eligible to receive Maintenance of Certification (MOC) Part IV credit.

To help you improve well-check compliance and earn incentive dollars, we provide free staffing to contact your patients who have not been seen recently and schedule them for a well-child appointment.

Our staff can work in your office to:

• Schedule patients or work closely with your schedulers, depending on your preference
• Send an outreach letter to families with children due for their well-child services. Using your practice’s letterhead and stationery, we will print letters on your behalf; or, if you prefer to handle the mailing, we can reimburse your practice for postage expense.

Care coordinators assist children with medical complexity and their families to navigate uneventfully, efficiently and as effectively as possible through the health care system.

We provide credentialing for all five Medicaid managed-care plans and most of the large commercial plans.

Our staff is ready to assist you with resolving claims issues with the five Medicaid Managed Care Plans.

You will receive cutting-edge education and updates about the Partners For Kids community through our monthly
e-newsletter, webinars and website. Physicians can also achieve CME credit through Partners For Kids.

Working with information technology experts within Nationwide Children’s, we can assist in implementing a new eClinicalWorks EMR and a related Health Information Exchange. Thirty percent of the implementation fee is subsidized.