NHC is building the care-management, patient intelligence, and administrative support physicians need to identify patient needs earlier, coordinate better care, and participate in the financial value that better outcomes can create.
NHC is designed to add intelligence, care coordination, and operational support around existing physician-patient relationships. Treating physicians continue making clinical decisions. Patients retain provider choice. NHC provides infrastructure designed to help the practice identify priorities, coordinate follow-up, and spend more time focused on patient care.
Physicians create enormous value by managing chronic conditions, closing care gaps, coordinating treatment, and helping patients avoid unnecessary hospital and emergency utilization. NHC is developing the infrastructure around that work. Our approach combines available patient information, care-management support, and intelligent workflows to help practices identify priorities earlier and coordinate follow-up — while creating an opportunity for participating practices to share financially when better care produces measurable savings. Clinical decisions remain with the treating physician.
Available claims and structured clinical information can provide a broader view of patient needs, utilization, and care gaps, subject to data availability and applicable requirements.
Planned intelligence tools include risk stratification and physician-facing alerts designed to help care teams prioritize patients for review and outreach.
Care-management workflows support outreach, transitions of care, documentation, and follow-up while physicians remain responsible for clinical decisions.
The traditional fee-for-service model does not always return the value of better coordinated care to the practices creating it. NHC is developing a model designed to help address that. When participating practices improve care while reducing unnecessary utilization and applicable program requirements are met, there may be an opportunity for the practice to participate financially in the resulting savings.
NHC is developing tools to help practices understand utilization, outcomes, and estimated financial performance. Final financial results are determined through applicable CMS settlement processes.
The potential opportunity varies based on the size and characteristics of a practice's patient population. NHC can provide an initial estimate to help practices understand whether the opportunity warrants a deeper conversation. Estimates are illustrative and are not guarantees of shared savings, distributions, or financial performance.
Combine available claims, clinical, and care-management information under applicable privacy, access, and data-use requirements.
Help the care team identify changing patient needs, care gaps, and patients who may benefit from earlier attention.
Care-management workflows help coordinate outreach and follow-up without replacing physician judgment.
NHC has elected a Substance Access Beneficiary Engagement Initiative for PY2027, subject to CMS approval of its Implementation Plan. If approved, participation would remain optional for physicians and would depend on the approved plan, applicable requirements, beneficiary eligibility, provider participation, and physician determination of clinical appropriateness. The platform roadmap includes workflows intended to support eligibility review, documentation, follow-up, and outcomes tracking.
Data integration, beneficiary alignment, care-management workflows, reporting, and practice support.
Planned risk stratification, physician dashboards, alerts, and expanded clinical intelligence.
Planned patient-facing tools, remote monitoring, wearable integrations, and patient-reported outcomes.
Features, availability, and timing depend on development, data access, participation, and applicable requirements.
No. Treating physicians remain responsible for clinical decisions. NHC is designed to provide information, care-management support, and infrastructure around the physician — not replace physician judgment.
The model is designed to provide better visibility into patient needs, help identify priorities for follow-up, and add care-management support around the practice. Capabilities depend on implementation and available data.
Participating practices may have an opportunity to share financially when better coordinated care produces measurable savings and applicable program requirements are met. Financial results are not guaranteed.
The goal is the opposite. NHC is developing centralized workflows, care-management support, reporting tools, and automation intended to reduce routine administrative burden while practices continue completing required clinical, documentation, validation, and compliance activities.
Yes. Patient choice remains protected, and the physician practice remains central to the clinical relationship.
No. NHC is developing the platform in phases. Some capabilities described on this website are planned and depend on implementation, data availability, participation, and applicable requirements.
NHC has elected a Substance Access Beneficiary Engagement Initiative for PY2027, subject to CMS approval of its Implementation Plan. Availability would depend on the approved plan and applicable participation, eligibility, documentation, and clinical requirements.
No. Shared savings, distributions, and other financial results depend on actual performance, applicable program requirements, quality performance, and CMS settlement.
Better visibility into patient needs. More support around your physicians. Less administrative burden. And an opportunity to participate financially when better care creates measurable value. See whether the opportunity could make sense for your practice.
