- supported 83 practice’s QI initiatives, potentially reaching 230,000 + children
- trained 300+ providers and office staff in QI methodology
* Since the program’s inception in 2014
* Since the program’s inception in 2014
Our member benefits offer the support and assistance you need to focus on the people who matter most – your patients.
By joining our practice network, you will receive the following benefits:
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:
We offer an online, interactive Provider Portal to help share the most up-to-date data available with contracted providers to assist them in the provider incentive program. Learn more about the Provider Portal.
Partners For Kids Pharmacy team 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 appropriate and cost-effective medications covered by the Medicaid Managed Care Plans.
We offer free, quality improvement coaching for primary care organizations. Our experts will work directly with you to develop customized QI projects, with a focus on helping you meet important HEDIS and quality measures. Practices select from a list of issues to make their focus. That list includes, but is not limited to:
View the specific projects below.
A Partners For Kids quality improvement specialist will come on-site or provide virtual support to help guide the projects. The team and the quality improvement specialist will meet regularly to share ideas for change, test changes, and use data to track progress. The improvement process, which follows the Institute for Healthcare Innovation (IHI) model, is supported through participation in a learning network where diverse practices share best practices. Through this evidence-based approach, practices participating in similar programs have experienced success in increasing delivery rates of behavioral health 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.
Partners For Kids can provide personnel to contact your patients who are due for well-visits or follow-up appointments.
Our staff will work in your office to develop an outreach plan, design outreach materials and report out on progress.
Examples of patient outreach include:
Care coordinators assist your patients with medical complexity and their families to navigate uneventfully, efficiently and as effectively as possible through the health care system. Examples of how we help families include:
Our care coordinators serve children who live in one of 47 Partners For Kids’ delegated counties and are diagnosed with complex medical or behavioral health conditions. Children must be enrolled in Medicaid through Molina Healthcare, Buckeye Health Plan, CareSource or UnitedHealthcare Community Plan.
We provide credentialing for the current managed Medicaid plans and have been delegated responsibility for credentialing by the Ohio Department of Medicaid as part of its next generation programs.
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.