For Physicians
Physician Performance
When you join Genuine Health Group, you gain access to your own dedicated support team, focused on streamlining your operations so you can concentrate on what you do best: patient care. On the ground or on the phone, our team is available to ensure your practice runs efficiently and effectively. Through our services, we:
-
Engage with physicians and supporting staff on an ongoing basis
-
Deliver actionable data around financial performance, quality, MRA, etc.
-
Support the practice with all issues and work directly with the Plan or CMS
-
Review incentive opportunities and evaluate performance against established goals
-
​Help ensure practices are leveraging resources (i.e., Reporting Portal)
Download our white paper,
“Quality Measures In A New Age”
Quality
We equip our providers with the resources and tools to improve quality scores and meet impactable measures. Specifically, we assist with:
-
Ongoing review of open gaps
-
Timely submission of data through encounter reporting or supplemental submission
-
Survey patients on their experience with the practice with the goal to gain feedback that may improve CAHPS
-
Work with third-party vendors to execute campaigns that will drive additional gap closure
Risk Adjustment
To improve risk adjustment accuracy and reduce administrative burden, we partner with your practice to strengthen documentation and coding processes. Our team works closely with providers and staff to help ensure complete, timely, and accurate encounter data. Our comprehensive support includes:
-
Implementing a pre- and post-visit process, which may be tailored to best accommodate each practice
-
Delegating encounter reporting to the assigned coder to ensure submissions are complete
-
Sharing suspects generated from multiple sources, including health plan, third-party vendors, and coder.
-
Monitoring of HCC prevalence and laser focus on opportunities
-
Automating weekly submission of chart review data to health plans
Genuine Health at Home
Our affiliated physicians deliver personalized, proactive care tailored to each patient's needs. This approach ensures better health outcomes, reduces overall healthcare costs, and provides peace of mind every step of the way. Our clinical programs for patients include:
Health Equity Program ​​
The Health Equity Program addresses barriers to quality care – such as social determinants of health, language, and transportation – by connecting beneficiaries to personalized support and community resources. The program improves care coordination, boosts patient engagement, and helps reduce avoidable hospitalizations, supporting PCPs in meeting quality and value-based care goals. Beneficiaries receive more equitable care and stay better connected to their care team.
​​
Chronic Care Management Program ​​
The Chronic Care Management (CCM) program supports patients with multiple chronic conditions through regular check-ins, care coordination, and personalized care plans. It helps beneficiaries manage their health and medications and avoid spending time in the hospital. Patients benefit from a consistent care team, home monitoring tools when needed, and easier access to resources. For PCPs, the program improves engagement and outcomes, supporting value-based care goals.
​
Transition Care Management Program ​​
The Transition Care Management (TCM) program supports patients after hospital discharge by coordinating follow-up care, managing medications, and addressing post-discharge needs. It ensures beneficiaries have a smooth recovery, reducing complications or readmissions. Patients receive personalized support and timely access to their providers, while PCPs benefit from stronger care continuity and better outcomes.
Technology & Analytics
Our technology platform helps you identify patients with known chronic conditions or those at risk for specific diseases or episodes. It also offers guidance for treatment protocols in line with evidence-based medicine and in compliance with payer and guidelines. You’ll have access to advanced technology solutions that include the following:
-
Integration with your existing EHR
-
Practice management tools
-
Alerts for hospitalizations and discharges
Genuine Health gives me peace of mind. They're a true partner who understands the complexities of primary care and helps my practice succeed financially and professionally.
Dr. Charles Yanes