ACO Strategy

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The Centers for Medicare and Medicaid Services (CMS) defines an accountable care organization (ACO) as “an organization of healthcare providers that agrees to be accountable for the quality, cost and overall care of Medicare beneficiaries who are enrolled in the traditional fee for service program who are assigned to the organization.”

Created in response to the Affordable Care Act and its new cost-saving requirements, ACOs are not confined to Medicare and Medicaid. In fact, some advocates believe that ACOs can control costs and improve quality for the entire U.S. healthcare system.

Implementation Strategy
So far, the focus for ACO development has consisted of the following:

  • Building integrated delivery systems through various hospital and physician alliance models
  • Heavy investment in clinical program integration
  • Significant technology and data management infrastructure development.

As more provider organizations and health systems consider forming ACOs, the tremendous cost and expertise required to build them will grow. Glenridge HealthCare works with health systems and industry partners to plan for and implement ACOs that will transform the care delivery system and generate lasting value for the population and payers it serves.

We work with our clients to establish:

  • A shared management vision and commitment to strategic and financial planning
  • Intensive provider engagement
  • Strategically positioned partnerships and alliances
  • Diligent implementation management to achieve program goals and objectives.

 

If you’ve seen one ACO, you’ve seen one ACO
We recognize this at Glenridge HealthCare. We know there is no cookie-cutter solution to implementing an ACO strategy.

Planning and implementation must be customized and methodical in order to compensate for the sheer number of variables each organization possesses. Local market dynamics differ from place to place, as do finances, infrastructure capabilities and the level of provider engagement and experience within an organization.

The seasoned professionals at Glenridge HealthCare have experience working with providers and payers in implementing complex and innovative programs that engage stakeholders and create long-term strategic value for the organization. Our particular expertise around clinical integration and payer-provider alliances uniquely positions Glenridge HealthCare to assist health systems as they embark on strategies to transform the delivery of care and create models for value-based contracting and population health.