Clinical integration and accountable care organizations (ACOs) are really two sides of the same coin. These new words define how to think and act to become more effective and efficient in delivering value-based care. Clinical integration is the process – or the “way” – and an ACO is the structure. We help you define the “why, how, and what” needed to become clinically integrated and the ACO structure to support integration. Our approach considers the unique internal characteristics and culture of your medical community and hospital as well as your competitive and payer environment.
We have assisted many clients with successful applications to the Medicare Shared Savings Program, strategies for and implementation of commercial ACO participation, and Medicaid risk arrangements. Our services include gap assessment and implementation, shared savings program development, payer/health plan strategy, clinical metrics design and performance standards, and provider contracting and incentive program design.
What makes us different? We have implementation experience. Our team includes individuals who led the implementation of one of the first clinically integrated organizations recognized by the Federal Trade Commission. We have the practical expertise in aligning and leading physicians, coordinating and managing clinical care across a continuum, designing and integrating the IT supporting care management, negotiating with payers, and managing risk pools and the financial operations specific to a clinically integrated organization. Many members of our senior management team have served in clinical leadership roles in managed care environments. With nearly 100 ACO/clinically integrated clients, and as a subsidiary of DaVita HealthCarePartners, a leader in care model development that takes full risk for Medicare Advantage lives in several markets, our multidisciplinary team has firsthand experience and success with ACOs.
GE Healthcare Camden Group’s ACO Checkup is a focused, comprehensive assessment of the performance of your clinically integrated network or ACO. Our ACO experts will evaluate your current operations for effectiveness, efficiency, and value to improve the performance of your ACO. Our proven process identifies best practices, organizational bright spots, and areas of improvement in eight component areas. Learn more about our ACO Checkup.