Specialists Value Proposition to ACOs
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Specialists Value Proposition to ACOs

While specialists generally do not bring patient attribution to the table as the majority of patient attribution is to primary care physicians in value-based care programs, there is substantial value to specialists participating in value-based care organizations (VBCs) such as Accountable Care Organizations in a variety of ways.

A few specialist value propositions:

  • Supporting HCC coding initiatives to stabilize risk score and financial benchmark
  • Evidence-Based Medicine: Participation in quality metrics performance to the extent applicable such as admissions and re-admissions
  • Reduction in costs due to patient care focused on patient health outcomes
  • Participation in care coordination programs
  • Assistance in completing patient Annual Wellness Visits (AWVs)
  • Discount arrangement contracting with REACH ACOs to generate dollars for care coordination programs


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Specialists in VBCs


Kris Gates, [email protected]


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Health Endeavors


Christion (Sonny) Hall

Wound Care/ Amniotic Membrane Product Distribution/ 10 Manufactures (100 Allografts)/ Distributor. Rizze Health Pharmaceutical Distributor (Men’s healthcare ED/TRT Solutions) Medical Billing and Revenue Cycle Management

1 年

My organizational‘s AI driven CMS compliant IT platform is exactly about taking absolute care of all the patient’s needs. Our 22,000 nurse practitioners provide the kind of support and follow up to patients visits to their physicians. Time constraints and family matters tend to decrease the level of physician care. It’s quite satisfying to have all of your needs addressed and taken care of as a patient. I have had over 28 major surgeries from multiple athletic injuries. I’ve spent hours filling out paperwork and feeling like my healthcare providers were not addressing my needs. Value-based care is not only necessary but it’s vital.

回复
Dr. Steven Lampert, MBA

Healthcare Executive Consultant

1 年

This is the next frontier of value-based care and ACO. As ACOs mature, as their efficiencies improve, their ability to generate savings will fall if they only focus on the primary care aspects of healthcare. The most successful ACOs will be those that figure out how to engage the high-cost and high-volume specialists in programs that reduce cost, maintain quality, and best coordinate the patient's care with the primary care provider.

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