Detailed insights into 100 organized customer groups that are most engaged in accountable care organizations
A Comprehensive View of Accountable Care Organizations
ACOs are entities created by payers, providers or both, coordinating care for a defined patient population while meeting established quality metrics and constraining financial costs. The level of financial accountability for providers involved in an ACO can vary widely, from none to full-risk contracts. They are formed in order to manage care for a population with the goal of improving outcomes while also lowering costs.
The structure of an ACO can include Medicare, commercial or Medicaid patients, or any combination thereof, to help facilitate the transition within the US healthcare system to a lower cost, higher value service. At the heart of this is financial accountability and how providers are participating and being reimbursed. If a provider reaches target for both cost and value, they will receive a portion of savings back.
This increased trend of risk based contracting means that more organizations have skin in the game; If an ACO can’t deliver on the metrics they are bound to, they lose the incentives and risk owing for losses incurred.
Do ACOs Matter? Absolutely
The US healthcare system is moving towards a value based care model, and ACOs are a key component to the conversation. While we see changes with the introduction of Advanced Alternative Payment Model, like bundled payments, they also include two of the risk bearing Medicare Shared Savings Program tracks and the Next Generation ACO program, making them a building block for value based care.
ACO PowerProfiles build on DRG’s analysis of key markets and accounts by offering detailed insights into 100 organized customer groups that are most engaged in accountable care organizations.
Develop engagement strategies with IDNs and physician groups whose ACO contracts account for the most patients and highest level of financial risk for providers. Using PowerProfiles to help facilitate the development of these strategies, our customers can navigate the shift from volume to value and understand how leading organizations bear risk, measure outcomes, and drive population health.
- Evaluate ACOs in deep detail, including performance results, number of lives, and payment models utilized.
- Draw on DRG’s contract-level expertise to fully understand each ACO and its various arrangements.
- Move beyond ACO contracting into organizations’ overall appetite for value-based contracting.
- Leverage our expertise to support segmentation and targeting exercises.
- Count on our event-driven analysis to keep you informed and prepared through turbulent market conditions.