Integrating Data and Analytics Into Provider Workflows Improves ACO Quality and Financial Performance (HAS18)

Joan E. Valentine, RN, MSA Executive Vice President, Visiting Physician Association, US Medical Management David C Vezina, MBA Chief Information Officer, US Medical Management Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) participants are subject to a number of Medicare quality reporting requirements and performance initiatives, including the Physician Quality Reporting System (PQRS). An ACO’s quality composite score is based on the performance of PQRS Group Practice Reporting Option (GPRO) best practice preventative care and primary care measures. ACO participants may receive as high as a four percent upward or downward payment adjustment based on their quality composite performance. US Medical Management’s (USMM) home-based primary care serves as the foundation for its success as an ACO. USSM will share how it integrated real-time data and analytics into provider workflow, ensuring its patients receive the appropriate primary and preventative care, improving its ACO measure performance, and saving Medicare millions of dollars.

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