Post-acute referral and provider management

Interprovider communication

Care pathway guidance

SDOH and clinical referral management

patient navigation

care coordination

population health

transitions of care management

provider network management

chronic care referral management

health information exchange (curated)

Watershed is applicable for all patient ages and types.

Front line staff (care coordination, referral/discharge coordinators, etc...)

Executive and Management staff

Health plan and health system network management teams

Community engagement teams

 Medicare Shared Savings Program - Identify High-impact Metrics and Quality Measures

In preparation for transition from MSSP to Pathways, we evaluate high-impact metrics and measures to support the Pathways approach and drive improved performance in value-based initiatives.

Selected measures are relevant for several value-based care programs and contracts and sensitive to CMS weighting and specific data requirements.