While shared savings could be several years in the future for fledgling accountable care organizations, there are shortcuts for physician practices in ACOs to generate population health revenue immediately, explains Tim Gronniger, senior vice president of development and strategy for Caravan Health.
In this HealthSounds episode, Gronniger outlines the rationale for using three Medicare billing codes—the annual wellness visit (AWV), chronic care management and advanced care planning—to create revenue that offsets ACO infrastructure costs.
During Generating Population Health Revenue: ACO Best Practices for Medicare Shared Savings and MIPS Success, a January 2018 webcast now available for rebroadcast, Tim Gronniger shared the key focus areas for its ACOs to achieve substantial financial and quality results while building a sustainable healthcare delivery model for the year ahead and beyond.
The webinar provided key details on the key cornerstones of Caravan Health’s ACO success, including staffing and patient engagement secrets; payoffs from detailed MACRA and MIPS reporting; the benefits of effort-based quality metrics over outcomes-based data; two critical 2018 strategies Caravan Health’s ACOs use to build on their success, and much more.
Lauded for its care coordination service, Monarch had to overcome a few challenges when retrofitting the Naylor Transition of Care (TOC) model for the ACO among them insufficient patient access, patient skepticism and resource limitations. By focusing on readmissions reductions and four disease management conditions ESRD, COPD, CHF and diabetes and creating a care coordination team that included the newly created care navigator, case managers, and pharmacist, the organization has improved patient compliance, reduced negative drug interactions and hospital days and improved patients access to community services.
During Medicare Pioneer ACO Year One: Lessons from a Top-Performer, a September 18th webinar at 1:30 pm Eastern, Colin LeClair, executive director of ACO for Monarch HealthCare, shared first year lessons from its Medicare Pioneer ACO experience, how it evolved in year two and the impact on its organization’s participation in other accountable care organizations.