Accountable Care Models, ACO enablers and other factors are key to assess the effectiveness of improved outcomes for patients and collaboration between health plans and health care providers.  New Value Based Care models create opportunities and risks for payors, providers, and Health IT firms.

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ACO, Accountable Care Models
ACO, Accountable Care Models

Our firm has core competencies in:

  • Accountable Care business models – aligning financial incentives for providers and quality of care goals
  • Risk adjustment (HCC) severity adjusted patient conditions
  • ACO readiness assessment, design and implementation
  • Medicare Shared Savings Program (MSSP)
  • Commercial ACOs
  • Network management and network leakage risk avoidance
  • Member attrition and attribution
  • Population Health Management
  • ACO enabling technology – investor diligence, selection, implementation and realizing the benefits in a health care operations
  • ACO IT infrastructure
  • ACO compliance – privacy, security and service level agreements
  • Second order affects of related regulations – HITECH Act, ICD-10, Core Measures for Meaningful Use, CORE Operating rules
  • Patient Protection and Affordable Care act legislative risk and consulting
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