Accountable Care Organization Building Blocks        

The ability to deliver effective, efficient care across a disparate group of employed and affiliated providers is the critical foundation for creating a successful Accountable Care Organization (ACO) and assuming financial risk for the health of its patient population.

Once you determine how much risk your organization has already committed to assume, and how much risk you’re willing to assume, then you need to closely examine where you stand in terms of quality and cost performance and how to measure and manage that performance against your risk.

Risk management has increasingly become the name of the game in healthcare, and an Accountable Care Organization is one of the hottest concepts in delivery models. Payers and employers are expecting providers to assume greater levels of financial risk for managing the care they provide to their covered populations. This means providers must master a whole new set of competencies to remain competitive and successful.

An Accountable Care Organization’s risk management program must balance the interrelated aspects of quality and cost efficiency. Improving costs involves reducing variations in patterns of care, including spending on drugs and imaging, length of stay, readmissions, Emergency Department utilization and other cost-intensive services. Managing risk is also about proactively managing care and leveraging evidence-based practices and care guidelines for both preventive and chronic care to achieve the best possible clinical and financial outcomes. Through this integrated, insightful and proactive approach, population health improves, medical costs decrease and the provider organization maximizes its reimbursement for a job well done.

The MedVentive Solution

As you take on more risk, the tools and technology you need to support your success become more mission-critical and must be more robust. Having a solution that provides the core tools needed for where you are today and the capacity to expand as your risk management needs evolve is essential.

With the integrated capabilities of MedVentive Population Manager and MedVentive Risk Manager, we support achievement of legal clinical integration and provide support for ongoing population management and financial risk management activities that meet your clinical, financial and operational goals.

MedVentive’s origins as an Accountable Care Organization make us uniquely qualified to deliver proven solutions that meet today’s needs. Why start from scratch when you can leverage our experience?  We have overcome the bumps in the road so you can avoid them.

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