ACO Solution

AccountableCare360

Maximize Your ACO’s Efficiency and Profitability with our Management and Reporting Solution

SpectraMedix will become your ACO partner to maximize efficiency and profits through the use of data. By providing easy to use solutions to a range of data management challenges, and clarifying utilization and cost metrics for both providers and patients, SpectraMedix enables ACO managers to focus their attention on high-cost and high-utilization members to successfully manage their ACO objectives.

 

End-to-End ACO Performance Management

  • Easy to use solutions to key data management challenges enable ACO management to have a clear snapshot of ACO status
  • Track ACO performance in near real-time with an industry best business intelligence platform which provides key operational, clinical and utilization analytics

 

Patient Risk Stratification to Optimize Service Utilization

  • Predict cost of care by risk-stratifying ACO member populations for high service utilization using claim filesfrom CMS and commercial payers
  • Access detailed patient and provider dashboards and per member per month (PMPM) cost analytics with episode-level drilldown

Calculation, Tracking and Reporting of Payer and CMS Measures

  • Calculate commercial and MSSP measures on an on-going basis and track patients and providers performing above or below specified levels
  • Improve ACO profitabililty by developing and tracking custom operational measures

 

Reduction of Operational Burden

Management services reduce:

  • Tackle time-consuming and difficult tasks of interfacing with CMS, keeping abreast of the shifting Pay-for-Performance landscape, and understanding claims data to maximize its utility
  • Provide resources needed for daily ACO operations by handling some key administrative responsibilites

 


The SpectraMedix 360 ACO Platform

 

The SpectraMedix ACO Platform is a state-of-the-art  IT and performance reporting solution that facilitates the transition to fee for value and risk-based models with:

  • Advanced data integration, warehousing and visualization
  • Measures calculation and regulatory reporting for hospital, ambulatory and custom programs
  • Predictive modeling and at-risk patient surveillance for population level performance initiatives
  • Population health intelligence

 

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