MSSP
Care Opportunities
Pharmacy
Provider Relations & Credentialing
Payers
100

The one and only independent provider group from Nebraska in our 2025 MSSP.

What is Holy Family Medical Associates?

100

Even though the measure is called Combo-2, these 3 vaccinations are due for kids before their 13th birthday.

What are Meningococcal, Tdap, and HPV?

100

Adults with acute bronchitis and children with upper respiratory infections should not be prescribed this type of medication according to the HEDIS measures.

What are antibiotics?

100

The approximate number of credentialed providers in the CHP network (within 200).

What is 4907 providers?

100

This tailored network payer plan serves CHI Health employees among other employer groups.

What is BCBS Blueprint?

200

The percentage of shared savings we are eligible to receive in the enhanced shared savings program.

What is 75%?

200

According to many of our medicaid and commercial plans, women ages 16-24 who are sexually active should be screened yearly for this STI.

What is Chlamydia?

200

These types of medications should be prescribed to all patients with diabetes and cardiovascular disease according to HEDIS.

What are statins?

200

The 3 teams that reside under Provider Network Management.

What are Provider Relations, Credentialing & Provider Data Management?

200

The parent company of Nebraska Total Care, Iowa Total Care and Wellcare MA.

What is Centene?

300

The 4 quality metrics that are measured for MSSP performance year 2025.

What are A1c, Blood Pressure, Depression Screening & Follow-up, and Breast Cancer Screening?

300

Diabetics should be screened for kidney health every year with these two labs.

What are eGFR and Albumin to Creatinine ratio?

300

The computer program that the prescription assistance team uses to track their patients and applications. 

What is Med Data?

300

Our credentialing files are audited by the payers every year.  This is our average audit score for 2024 (within 0.5%)

What is 99.65%?

300

The three medicaid MCO's in Iowa.

What are Wellpoint, Molina, and Iowa Total Care?

400

Our MSSP lives are assigned to us at the end of the year for the performance year. This is the type of attribution methodology we have.

What is retrospective?

400

These two things can close the gap for Osteoporosis Management in Women with a Fracture.

What are a Bone Mineral Density Scan or a prescription for a biphosphonate (osteoporosis medication)?

400
Diabetic patients who take medications for their diabetes such as GLP-1's, SGLT2 inhibitors, sulfonylureas, etc. need to have this percentage of days in a year covered with medication fills.

What is 80%?

400

 Our provider relation team works with providers in all 4 chapters.  These are the members of the provider relations team can you refer a provider to if they need assistance.

Who are Jessica Singer – Omaha & Lincoln and Lisa Sauer - Grand Island & Kearney? 

400

This suburb of Minneapolis is the headquarters of both United Healthcare and Medica.

What is Minnetonka, MN?

500
The name of the MSSP ACO that CHI Health Partners is in for 2025.

What is Arkansas Health Network?

What is Commonspirit ACO I-NE? (DBA)

500

The number of well-child visits required to satisfy the Well Child Visit 0-15 months measure. AKA, the number of well visits a child needs by the time they are 15 months old.

What are 6 well visits?

500
Some blood pressure medications are called RASA's. This is what RASA stands for.

What is Renin Angiotensin System Antagonist?

500

This person on the credentialing team brings great homemade cheesecake on food days.

Who is Kris Willenborg?

500

These are 2 of CHP's direct to employer contracts?

What are Greater Omaha Packing, Timpte, One World, CHI Health, Millard Public Schools, Creighton University, & Council Bluffs Public Schools? (only need 2) 

M
e
n
u