15 Savings Opportunities Every Provider Should Know About

Let's face it: transitioning from volume- to value-based care is hard. Successful ACOs often hire teams of dedicated care coordinators, analysts, and administrators. A 2017 ACO Survey found that the average ACO spent $1.1 million on care management and an additional $60,000 in operating health information technology, analytics, and reporting. Even with such investments, Medicare ACOs, [...]

By |2018-12-24T22:06:11-04:00December 21st, 2018|Article|0 Comments

Keeping your ACO data clean

Keeping your ACO data clean Building trust with reliable clinical data By Larry Allen, MD, MGMA member, and Chuck Kandzierski, COO, Clinigence One of the biggest hurdles to overcome for physician-led accountable care organizations (ACOs) is faulty clinical data. Most ACOs’ population health efforts gather data from disparate member practices. If clinical data [...]

By |2018-06-28T12:57:46-04:00May 1st, 2018|Article|0 Comments

Unleashing the Power of Clinical Integration

The Untapped Potential of Clinical Data The box office hit movie, “The Black Panther” takes place in a mythical country called Wakanda, whose secretive existence protects a highly valuable substance called “vibranium”. This fictional substance has power-absorbing qualities that make it impenetrable. In the movie, the Black Panther’s sister, Suri, engineers vibranium to [...]

By |2018-06-25T22:01:40-04:00March 1st, 2018|Article|0 Comments

The Population/Patient Paradox

Population Health Starts with One   Ironically, many leading health IT vendors present their population health capabilities as ‘healing the planet’ or designed for ‘finding new cures’. While population health certainly has the potential to contribute to such noble objectives, the irony is that we have yet to address the basic challenge of [...]

By |2018-06-25T22:00:22-04:00February 2nd, 2018|Article|0 Comments

Advantages of Reporting the Maximum Number of MIPS Quality Measures

Thinking about MIPS & Quality Measures? 34% of Clinicians are accountable for MIPS - You're not alone. Thinking about MIPS?  You’re not alone.  The Merit-based Incentive Payment System (MIPS) phenomenon is significant in terms of the number of providers who will be contemplating a strategy.  Putting MIPS into perspective, consider that approximately 34% [...]

By |2018-06-25T21:57:40-04:00October 18th, 2017|Article|0 Comments

Time vs. Quality – ACO’s Greatest Challenge

Collecting Data Is a Challenge Imagine having to collect more than 30,000 data points spread across many offices, multiple IT systems and, in some cases, stacks of paper. Imagine having to complete this process in 10 weeks with a limited staff of nurses and analysts. Sounds crazy or familiar? For accountable care organization (ACO) [...]

By |2018-06-25T22:31:34-04:00October 9th, 2017|Article|0 Comments

Featured White Paper – ACO Performance Model

Featured White Paper: ACO Performance Models Introduction Population health management requires a rigorous analysis of both cost and quality.  The Centers for Medicare and Medicaid Services (CMS) and commercial payers have taken the unprecedented step of providing claims data to their participating Accountable Care Organizations (ACOs), but they are unable to provide even [...]

By |2018-06-25T22:29:19-04:00September 15th, 2017|Article|0 Comments

CPC+ And MSSP – The Odd Couple?

In an update fact sheet released May 27, 2016, the Centers for Medicare and Medicaid Services (CMS) announced that as many as 1,500 primary care practices will be eligible to participate in both the Medicare Shared Savings Program (MSSP) and the new Comprehensive Primary Care Plus (CPC+) program. The announcement was a reversal of [...]

By |2018-06-25T22:27:24-04:00September 2nd, 2016|Article|0 Comments