A comprehensive, end-to-end population health service
The transition to value-based payments is under way, with CMS planning to tie as much as 90% of reimbursement to quality by 2018.+ With a proven track record of helping some of the nation’s most successful ACOs, we’re guaranteeing you’ll nail your quality scores and lower your total medical expense.
The industry’s only ACO Guarantee
With our population health services, you can take on risk without the risk. We guarantee you’ll receive an ACO MSSP shared savings payment – if you don’t, you don’t pay for our service. It’s that simple. See details.
An integrated approach to success
Effective population health management – achieving quality goals while controlling the cost of care – requires a focused, end-to-end approach to succeed. Still, many health systems are patching together disparate solutions with no guarantee of success. athenahealth manages population health like no other offering by combining cloud-based software, network intelligence, and our expert service teams to address every aspect of the population health cycle.
Network data, aggregated from multiple sources
At the center of your population health success is our network data. We aggregate this data across disparate EHRs and systems through custom-built interfaces and our established relationships with various payers and clinical system vendors. The result? A comprehensive, 360-degree view of your patient population, regardless of location.
Stratify and communicate with patients
We stratify your patient population using continually refreshed clinical and claims data, identifying gaps in care and using Milliman scoring to rate risk severity. Our services then pinpoint optimal high-yield interventions for patients at risk of developing chronic conditions. To help keep patients engaged in their care, we reach out via unmatched communication services, including email and phone.
Coordinate care across settings
Central to managing your population is the seamless coordination of care. And that’s what our care management platform delivers. Care managers get a clear dashboard and workflow that make it easy to create, execute and track patient care plans. And, when integrated into our comprehensive care coordination service, the benefits to patient care are even greater:
- Providers can schedule appointments directly across your network, before the patient leaves the office
- Clean, closed-loop order management
- athenahealth experts manage pre-certification, prior authorization and referral management
Track and optimize your performance with intelligent, real-time data
Our population health services drive results in ways static analytics tools simply can’t. Based on your outcomes, we surface information directly into the workflow to guide order and referral decisions and help you optimize care and cost. We take on the administrative burden of reporting MSSP measures. And we keep your financial health front and center with our unique partnership model: no hefty start-up costs, zero installation fees, and our ACO MSSP Guarantee.
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