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Like every health care organization, your struggles with data may appear never-ending. Like money, there never seems to be enough of it. In this article we’ll take the mystery out of how to realistically gauge your data needs, identify the links between what you want to accomplish as an ACO or medical group in value-based payment models and those data requirements, and help you target your data efforts. When providers were focused on meeting patient volume targets, operations systems like billing and scheduling provided an adequate basis for tracking volume and revenues. But the shift to Value-Based Care (VBC) demands accountability for both outcomes and costs, which means that you need more evidence for all patient interactions.
AJMC | July 14, 2021

In less than a decade, accountable care organizations (ACOs) have grown from nothing to caring for nearly 20% of all Medicare beneficiaries. Throughout this period of remarkable growth, quality improvement has been a critical component of Medicare ACO programs. A set of predefined quality measures incentivizes doctors, hospitals, and other providers in an ACO to provide optimal care coordination, preventive services, and chronic disease management. Shared savings rates—and whether an ACO receives any shared savings at all—are determined by quality performance. Those incentives are working. 
Public Health 4.0, or Population Health 4.0, is the recognition of health as a global entity and the focus on identifying and eliminating health disparities, unnecessary costs, and comorbidity. Unlike the previous three phases of public health, the focus in 4.0 is on population health management. As the healthcare industry moves toward a more holistic approach to medicine and value-based care (VBC), the impact of population health management on individuals and communities at large is invaluable. Social determinants of health (SDoH) and the corresponding data can guide providers in their response to chronic care management, treatment costs and long-term health benefits in the communities they serve.
The transition from a fee-for-service healthcare model to value-based care (VBC) in the U.S. has continued to gain momentum in the wake of the Covid-19 pandemic. That’s because providers operating on a fee-for-service basis saw revenue fall sharply through much of last year as elective procedures were cancelled and many patients delayed primary care, even for chronic conditions. Quite simply, under the traditional healthcare payment model, no service equals no pay.
In contrast, those providers with risk-based contracts were paid a specific amount....
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Profiling ACO Success: What Drives High Performance in the Medicare Shared Savings Program?
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July 20, 2021 | 1 PM EST

Laboratory Diagnostics: An Overlooked Solution to Reduce ACO Member Cost and close the gap between data and diagnosis 
July 27, 2021 | 1 PM EST

Working Capital Options for ACOs
August 5, 2021 | 1 PM EST


The Key to Closing Care Gaps: Effective Digital Communications 
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3 Steps for Network Success: Prioritize Patient Satisfaction, Optimize Referral Management & Drive Network Growth  
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Upcoming Conferences
11th National ACO Summit
September 20-23, 2021 (Virtual)

FLAACOS Fall Conference
November 4-5, 2021 | Orlando, FL

American Physician Groups Annual Conference
December 9-11, 2021 | San Diego, CA

This week's focus: Using Data and Technology for VBC Success
Each week we showcase one of our solution providers in a 4-5 minute interview and ask them what they bring to the ACO Community and what sets them apart. Today's guest:
Platinum Level Exhibitors
Thank you to our Platinum Level exhibitors. These organizations offer the absolute highest quality products & services to the ACO & IPA community. To learn more & visit their interactive booths, click on the logos below:
Gold Level Exhibitors
Thank you to our Gold Level exhibitors. To learn more & visit their interactive booths, click on the logos below:
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