Frequently Asked Questions

The QCIPN will provide you with a strong network of physicians and health system resources to enhance the care for your patients and help you navigate through the necessary care delivery and culture changes necessary to manage the care of a population. In an era of health care transformation, our goal is for the QCIPN to be the best provider of care in our state.

Your participation in the QCIPN should not affect your individual practice. It will require your adherence to the protocols of care developed by the Network.

Joining the Network allows you to participate in the development and standards of care adopted by the QCIPN. Your participation also qualifies you to receive additional reimbursement that may be paid to the Network for process development and performance improvement initiatives.

Yes, the QCIPN is not exclusive. However, it is possible that payers may limit doctors from participating in multiple contracts.

We are working with the Physician Organizations to collaborate, enhance and support the work already accomplished by the organization and its members, and engage them in a collaborative role to develop and support some of the practices in the QCIPN.

The QCIPN is very similar to the ACO as both are defined as a group of health care providers including primary care physicians, specialists and hospitals working collaboratively together for the improvement of the quality and efficiency of the care for a defined population. The QCIPN could function as an ACO in the future. Accountable care differs from managed care of the 1990s in three fundamental ways:

  • The management of health care is assigned to care delivery groups, especially doctors, instead of insurers.
  • There is an increased focus on measurable health outcomes.
  • Utilization of technological advancements which provide greater risk adjustment, advanced analytics and improved health data management.

As a member of the QCIPN, there are participation and alignment criteria that are being developed by the Board and committees. Each physician would be expected to actively participate in the QCIPN initiatives and adhere to the clinical protocols designed to enhance the quality and efficiency of care to all patients.