The Opportunity: $1.1 Billion in Savings
The risk and accountability for patient populations is increasingly becoming shared across payers and providers, and this is becoming ever-more apparent as we migrate from fee-for-service towards greater accountability for costs and outcomes. With some $1.1 Billion in anticipated savings from the 32 Pioneer ACOs over five years*, success in improving performance on the 33 quality measures will be critical to participating in the shared savings upside. Therefore, it is crucial that risk-bearing organizations understand the current and predicted profiles of their populations and are equipped with tools to manage performance and improve care. *Source: CMS
The Solution: ACO Reporting
Features
- Data aggregated into measure summaries for easy monitoring
- Drill to member and claim detail for compliance analysis
- Identify gaps in care by member, provider or provider location
- Ready-to-use tools to perform outreach to members and providers
- Domain expertise to help Pioneer ACO and MSSP submission needs
Benefits
- Proactively identify gaps in care at the member level
- Take actions to close gaps and improve performance
- Measure variation across providers & identify best practices
- Generate CMS compliant measures for submission
- Drive aggregate performace to participate in shared savings
Next Steps
ACO Reporting
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