With payers embracing value-based care reimbursement, more and more physicians are participating in accountable care organizations (ACOs).
ACOs are formed when a group of healthcare providers (primary care physicians, specialists, hospitals, non-physician providers) come together and collectively agree to become responsible for the financial and quality outcomes for a defined population. With the Medicare Shared Savings Program (MSSP), ACOs are rewarded for spending below projected costs by sharing in a portion of the savings earned. They also take on financial penalties for spending above projections. Physicians in an ACO work collaboratively to keep patients healthy and limit unnecessary healthcare spending.
For ACOs to be successful, they need to have the ability to seamlessly share information. Most patients—especially those with chronic disease—get care from more than one physician, so technology must be in place for patient data to be easily managed between multiple providers and hospitals. This helps to eliminate duplicate services and treatments, and supports value-based care initiatives.
Electronic health records (EHRs) are an integral tool for generating and managing data across the continuum of patient care. With Medicare and commercial payers continuing to encourage healthcare providers to cut costs and improve quality as they strive to reach goals for value-based reimbursement, providers need the right technology in place to meet the pathways set forth by the Medicare Access and CHIP Reimbursement Act of 2015 (MACRA).
Look for an EHR solution with:
- A proven web-based platform that can be reached anytime, anywhere
- Easy to use, customizable templates
- Data shared across the ACO network, not just with a single practice but across different institutional settings
- Ability to track quality measures from the clinical data in the EHR
- The ability to write clinical notes and view lab and radiology results
- Tools or interfaces to turn data into actionable information at the point of care to identify high-risk patients and better manage their care
- Easy access to patient population data
- Access to a patient portal for patients to log in to their record and plan of care
- ePrescribing capability
- 2015 EHR certification completed in 2018
- Ability to interface with patient scheduling and claims/payment processing tools