The Benefits of Joining Mosaic CIN: Our Value Proposition

Full participating members have access to our negotiated professional and facility payor contracts with a focus on value-based reimbursement. MCIN participates with Commercial, Medicaid, Medicare Advantage plans, and local employers. If the Network collaboratively drives better quality and lower cost savings, then that is transferred into incentive payments to eligible members.

Collective negotiations align reimbursement rates, pay for performance incentives, and value-based terms to ensure Mosaic CIN delivers on the Quintuple Aim. Members can benefit from various performance incentives, shared savings, advanced payments (PMPMs) and fee schedule uplifts through MCIN payor contracts.

To drive improvement and reward performance, Mosaic CIN employs a comprehensive scorecard system. This system includes:

• Community Scorecards: Reflecting overall network performance and the collaborative efforts of all providers.
• Individual Scorecards: Highlighting each physician’s impact and contributions to network goals.

Mosaic CIN has negotiated with payors to adopt our scorecard, so our CIN scorecard is the source of truth. This creates a significant performance advantage for us and allows practices to focus on one program that captures their entire patient population. The Clinical Integration program fundamentals focus on six bundles of metrics developed by the Clinical Performance Committee and approved by the Mosaic CIN Board of Managers.

• Bundle 1: Prevention & Early-Disease Detection
• Bundle 2: Chronic Disease Care
• Bundle 3: Coordination of Care
• Bundle 4: Quality, Efficiency, and Cost
• Bundle 5: Patient Experience
• Bundle 6: Citizenship and Training

Mosaic CIN’s centralized credentialing and enrollment processes synchronize provider credentialing and enrollment for our contracted health plans, requiring only one appointment process every two years for all the health plans combined. Providers will experience coordinated credentialing activities and enrollment assistance with contracted health plans. We have delegated credentialing agreements with 80% of health plans in the Network. This results in a streamlined approach for its members by expediting the credentialing and enrollment process. Credentialing efficiency improves revenue cycle management and ultimately lowers operational costs.

Each office is assigned its own practice liaison who meets monthly with the office manager to deliver quality and utilization program support, deliver important payor updates and review performance reports for various contracts. This person will work closely with the practice to optimize success through regular action planning and accountability, focusing on the highest value activities. Members have access to best practice processes which elevate individual performance.

Through Mosaic CIN’s health equity and population health efforts, patients identified with multiple comorbidities, complex treatment regimens, frailty and functional impairment, behavioral and social risks, and serious mental illness are provided a support system and resources. A team of nurse care managers and community health workers aim to reduce hospitalizations and crisis-driven care, while improving quality of life and health outcomes for the patients we serve.

The Community Health Technology Network supports our network providers who are subscribed to the community health electronic health record (EHR) Epic. Mosaic CIN’s Epic is integrated with Henry Ford Health, connecting a vast community of providers to EHR data for shared populations. Primary care providers, specialists, hospitals, urgent cares and surgery centers are all connected, ensuring streamlined coordination across systems of care.