Accountable Care Coordination

Accountable Care Organizations and RelayHealth’s Role

Our current healthcare system is undergoing reform, and, with its inclusion in the Patient Protection and Affordable Care Act (PPACA), the Accountable Care Organization (ACO) has come to be viewed as the ultimate means to attain reform.  The key objective of ACOs is to tie reimbursements to reduced costs and better care.  

What is less clear, however, is how accountable care will transform care management, care delivery and payment reform.  The industry is in a state of experimentation, with many different approaches under way through programs of the CMS and its Innovation Center.  In addition to those pilots, the principles of accountable care are being incorporated into healthcare practices across the country in a variety of ways.

The path to truly “accountable” care must encompass changes in four key areas. To cooperate effectively, an organization must become proficient in:

  • Connectivity and Engagement. Created through an information infrastructure that connects providers and engages patients in the care process. Gives them tools to access their care record and support the critical relationship with their primary care physician.
  • Analytics. Identifies opportunities to manage cost and quality, provides information on particular patient populations, optimizes provider performance and supports organizational reporting demands for internal and external customers.
  • Care Management. Supports integrated approaches to care for patients and integrated workflows for the organization while helping clinicians make evidence-based care decisions.
  • Payment Mechanics. Features support for multiple payment and risk models.

Regardless of where your organization sits on the adoption curve, RelayHealth offers products that support critical processes to achieve Connectivity and Engagement, the first building block of an accountable care model.  Through RelayHealth’s clinical solutions, you can create the foundational technology to enable care coordination, clinical integration, and patient-centered care.  Our clinical services enable patient access and education, care team communication, and health information exchange, all fundamental elements of both accountable care and Patient-Centered Medical Home (PCMH).

The concepts of accountable care are here to stay. The question is how your organization will adapt to this new landscape.  The first step is the information infrastructure that RelayHealth can provide.

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