Assign and Align

To achieve success in value-based care, it is critical for a provider team to know the patients assigned under their umbrella of financial and quality responsibility and the expected strategies to keep patients aligned.

Assign

The first step in this process is for every patient to be assigned to an individual provider and to identify the costliest patients.

After patients are assigned, claims data can be used to calculate key metrics for the provider's assigned population such as Acute Hospital Utilization (AHU), Average Risk Score, Diagnosis Recapture Rate and Financial Benchmark Performance.

These metrics provide a basis for how sick their assigned population is and quickly identifies performance improvement targets at a population and individual patient level.

Align

The second step is to collaborate with the provider team on alignment strategies such as a patient campaign to connect with their assigned provider at least once per year for a comprehensive wellness exam or to engage in a chronic care medication management program that includes reconciliation and adherence processes via phone interventions each quarter.

Assign and Align?is a key component for achieving quality and financial results as it also promotes patient engagement.

Kris Gates, [email protected], 480.912.1209