How ACO Integration in Health Care Influences Outcomes

ACOs as Paragons of Healthcare Management

ACOs make use of health information technology (HIT) and directly involve patients as decision-making partners. Through the use of HIT, ACOs have the opportunity to cut back on resources for checking and verifying administrative tasks. It’s important that institutions recognize areas in their workflows that can be streamlined. This enables them to reallocate their assets and focus on components that require more scrutiny. When an organization simplifies its processes, there is less room for oversight and an increase in productivity.

The patient-centered approach that ACOs adopt grants patients a voice in decisions affecting their medical treatment. It involves beneficiaries and their families in their own healthcare to help improve the quality and practice of the ACO. The patient input integration in health care is a core component in how organizations shape their policies and processes. Through feedback analysis and utilizing technological advancements, ACOs have transformed the care journeys of many different health populations.

ACO Components That Require Integration in Health Care

The network of providers in an ACO has all the necessary tools to handle the varying concerns of every beneficiary. The comprehensive, coordinated care that ACOs present improves the healthcare experience of many patients. They do this while aiming to decrease costs and increase the quality of care. Each organization cares for a defined population and strives to deliver only the best services.

Although many ACOs are currently providing services to beneficiaries, not all existing ACOs are ready because they lack crucial infrastructure. Several aspects of operational readiness involving data administration, coordination, and quality assurance need to be thought through, including:

• strong provider leadership with a demonstrated history of delivering direct care;
• effective communication tools that will assist in seamless care coordination;
• streamlined management procedures that cover the entire lifecycle of claims;
• comprehensive record keeping and report generation for data monitoring; and
• robust information analysis tools for profits and losses.

Adaptive Technological Means of Executing ACO Goals

ACO integration in health care is extremely important since the health of populations depends on coordinated care. As the number of ACOs increases, so does the number of patients who receive collective, value-based care. Forming an ACO with all the necessary resources to effectively manage a large demographic is no easy task. In order to establish that they are fully operational, ACOs must check off a number of boxes on their list. 

To address the executive demands of organizations, MedVision developed QuickCap 7 (QC7), its most extensive administrative platform for healthcare professionals. QC7 provides powerful features that encompass ACO operations and enable you to:

• Evaluate service provider scorecards annually and determine their ratings.
• Utilize integrated communication tools and customize inboxes according to each user.
• Configure parameters to automatically accept or reject claims and referrals.
• Manage the collected data and create extensive reports.
• Review productivity and revenue records to identify opportunities for improvement.

Compete in Today’s Evolving Healthcare Market with a Fortified Operational Administrative System

Reference:

American Medical Association. “Key Issues to Consider When Forming an ACO with Hospitals.” Accessed January 10, 2023. https://www.ama-assn.org/practice-management/payment-delivery-models/key-issues-consider-when-forming-aco-hospitals.