Accountable Care Symposium Resources

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The Hidden Complexity of Moving from ACO Programs to Medicare Advantage

 
As the ACO REACH program approaches its sunset and many organizations reassess their long-term participation in the Medicare Shared Savings Program (MSSP), provider groups across the country are evaluating their next step in value-based care. For many, Medicare Advantage (MA) appears to be the natural next stage.
 

Read success stories from some of our clients:

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  • Atlas Oncology Partners – VBC provider selling into health plans sought a payor-agnostic clinical and financial opportunity assessment tool to evaluate and win VBC contracts.
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  • IntoValue – Employer-provider VBC contracting organization sought a robust analytics platform for business development, as well as a trusted partner with deep expertise to support both strategy and execution.
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  • Matter Health - Rapidly growing VBC organization sought an enterprise data platform unifying EHR, external clinical feeds, and claims data to drive scalable performance in Medicare Advantage.
HarmonyCares
  • HarmonyCares - National home-based healthcare organization sought a quality engine to power their industry-leading performance in ACO REACH, MSSP ACO, and Medicare Advantage.
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  • Altitude - Ursa Health’s data and analytics foundation unites with Altitude’s provider engagement engine to create a fully connected solution to drive continuous performance improvement.
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  • Cityblock – National VBC organization sought to integrate EHR, clinical data feeds, claims data, and payor gaps-in-care reports to build a smarter, more adaptive quality engine to support complex Medicare and Medicaid populations.
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  • USHV - National specialty VBC organization sought to scale their clinical operations by tying together claims-based VBC algorithms with their own clinical operating model.
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  • agilon health – VBC enablement organization sought to build an end-to-end financial data pipeline capable of handling massive scale and public company level of accuracy.

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