Qsource began operating as a Medicare Peer Review Organization in 1973 for the State of Tennessee. We have since continuously adapted to the changing healthcare industry to successfully serve the state’s more than 2.3 million citizens who have Medicare and/or Medicaid. Based in our Memphis headquarters, with an office in Nashville and associates in communities throughout the state, Qsource supports several ongoing initiatives and can readily respond to stakeholder needs.
As the hub for the five-state atom Alliance Quality Innovation Network-Quality Improvement Organization (QIN-QIO), Qsource administers the contract and serves Medicare patients in Tennessee. We promote and support strategic, data-driven quality initiatives that improve health outcomes and lower costs. Our staff convenes provider-patient communities in learning and action networks (LANs) and activities such as technical assistance, diabetes self-management education (DSME), a patient advisory council and quality measure reporting.
Through our External Quality Review Organization (EQRO) division, Qsource evaluates the quality, timeliness and accessibility of services provided to those receiving managed care through the Medicaid and Children’s Health Insurance Programs (CHIP), and Dual-Eligible Special Needs Plans (D-SNPs). We provide program evaluations and on-request surveying, data validation and quality measure reporting.
We served as the Tennessee Regional Extension Center to offer assistance with Practice Transformation, including health information technology (HIT) implementation, reporting and government adherence to standards. Our Practice Solutions team continues to help the healthcare delivery continuum with technology for secure data sharing, meeting incentive program requirements, and refining workflows. Qsource supports Tennessee practices participating in the regionally based Comprehensive Primary Care+ (CPC+) program, and provides assistance with delivery transformation and multi-payer reform for the CPC+ advanced primary care medical home (PCMH) model.
Qsource also oversees the Medicare Quality Payment Program-Small, Rural and Underserved Support (QPP-SURS) in Tennessee and Alabama. We offer hands-on training and educational resources, inspire improvements and drive changes to assist providers with the Merit-based Incentive Payment System (MIPS) performance categories, continuous quality improvement, optimized HIT and options for Advanced Alternative Payment Models (APMs).
Qsource continues to seek partnerships and opportunities in the state. Contact us for services available to healthcare providers, patients and other stakeholders.