This involves the comprehensive management and analysis of an Accountable Care Organization (ACO). The patient population attributed to the ACO is managed and analyzed on a quarterly basis. Our team ensures thorough examination of patient data, identifying patterns and trends. Insights derived from this analysis are then shared with ACO management, providing valuable information for informed decision-making. This process helps optimize the ACO's performance and enhance patient care strategies.
Patient attribution refers to the process of assigning patients to specific healthcare providers within an ACO. Our team manages and analyzes the patient population attributed to the ACO, ensuring accurate and up-to-date patient panels.
This involves regular reviews, adjustments, and updates to reflect changes in patient-provider relationships. The insights gained from patient attribution and panel management are crucial for ACO management to understand their patient population dynamics, enabling strategic planning and resource allocation.
Leakage analysis involves a detailed examination of how much of the ACO's healthcare spend is occurring outside of preferred or associated partners. This analysis provides insights into areas where patients are seeking services beyond the ACO's network. By identifying sources of leakage, the ACO can implement strategies to retain more of the healthcare spend within its network.
The analysis extends beyond mere identification, offering insights into reasons for leakage and potential solutions. The findings are then presented to ACO stakeholders for informed decision-making.
This entails a detailed and multi-dimensional analysis of the utilization and cost reporting within the ACO. Our team examines the utilization patterns by providers, facilities, and patients, offering a comprehensive view of how resources are being utilized.
This analysis includes a deep dive into various dimensions such as services, procedures, and patient demographics. By understanding utilization and costs at this granular level, ACOs can identify areas for improvement, optimize resource allocation, and enhance cost-effectiveness.
The insights derived from this analysis are presented to ACO management for strategic planning and continuous improvement initiatives.
