ACCOUNTABLE CARE ORGANIZATIONS

Accountable Care Organization (ACO) focus on coordinated, high-quality, and cost-effective care through a shared savings model where healthcare providers are rewarded for delivering care that meets performance standards and lowers healthcare costs. HCRM can identify clinical risks and future costs of a population during contract negotiations to avoid or moderate financial penalties. The system can assist in the effort to provide cost and clinically effective and efficient care, assess provider outcomes, measure provider quality and integrate with patient EMRs. ACOs can now manage and predict future cost of care to generate shared savings and improved clinical outcomes.

Reporting Capabilities

  • Health Risk Monitor (HRM) provides accurate clinical predictions of each patient’s health and cost by integrating clinic EMR data with external medical and pharmacy claims.
  • The system provides your clinicians with a complete view of a patient’s care over the past year, including all office visits, ER and Inpatient encounters, drugs dispensed, compliance with 128 clinical standards of care, and more.
  • HRM patient information can be accessed through your EMR before patient visits, and the system can identify members needing assistance to encourage clinic utilization.
  • Quickly and accurately identify and stratify a group’s population into cohorts of interest. You have access to detailed information at the member level – from risk scores to gaps in care – and quickly locate all you need to know in a member’s profile.