Clinical Integration Tools

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.

However, U.S. antitrust laws generally prohibit otherwise competing physicians from jointly negotiating contracts with employers and health plans. Creation of a legally defined clinically integrated network enables providers to collectively negotiate without the risk of federal sanctions for price fixing.

Clinically integrated networks* must show that they improve quality and efficiency in certain defined ways and perform certain specified activities. Generally, they must:

• Promulgate consistent clinical protocols across the network with the goal of achieving measurable quality and efficiency targets
• Monitor the physicians’ and the network’s progress in achieving the targets
• Have a collective financial investment in the infrastructure to achieve the targets
  

The MedVentive Solution

MedVentive delivers advanced features that support clinical integration and ACO operations. MedVentive Population Manager supports population management and community connectivity with an automated, proactive intervention management system for quality of care improvement. This approach has been viewed as the most effective way to promote guideline compliance for clinical integration. 

Our system is unique in its robustness and sophistication, and is the industry's leading tool for actively promoting guideline compliance on a large scale — the perfect cornerstone for your clinical integration program.  Our system is not just about reporting – we deploy automated workflows and clinical tools that truly drive quality of care improvement.

MedVentive’s integrated features are supported by a common enterprise data platform, enabling operational efficiencies and data integrity to support coordinated, collaborative care delivery. We capture and aggregate multiple data sources, including data from numerous electronic health record (EHR) and practice management (PM) systems, to create a truly integrated solution. Best of all, we have a proven implementation methodology to bring your system live quickly.

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* Information is intended for general educational purposes only and is not intended as legal advice. Every situation is unique. An attorney should be consulted for legal opinions.