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2017 Healthcare Benchmarks: Accountable Care Organizations

  • ID: 4376273
  • Report
  • 50 pages
  • Healthcare Intelligence Network
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In this fourth comprehensive analysis of Accountable Care Organization (ACO) trends, 104 healthcare organizations weigh in on ACO goals, staffing infrastructure, technology and tools, services, success metrics, challenges and ROI, among other benchmarks, via responses to survey conducted in May 2017. 

The accountable care organization, or ACO, has become a cornerstone of healthcare delivery system and payment reform by raising the bar on healthcare quality and reducing unnecessary costs. There are now more than 700 ACOs in existence today, by a 2017 SK&A estimate.

2017 Healthcare Benchmarks: Accountable Care Organizations, HIN's fourth compendium of metrics on ACOs, captures ACO operation in today's value- and quality-focused healthcare environment.

This 50-page report, now in its fourth edition, delivers actionable data from healthcare companies who completed HIN's fourth comprehensive ACO assessment in May 2017.

New Metrics in the 2017 Edition:

  •     Participation (current and anticipated) in emerging ACO models, including the CMS ACO Investment Model, Comprehensive ESRD Care Model, Accountable Health Communities, Medicare ACO Track 1+ Model, Medicaid-Medicare ACO, and more;
  •     Inclusion of behavioral health providers in ACOs;
  •     Prevalence of ACOs with 100,000 members or more;
  •     Utilization of data analytics by ACOs;
  •     Provision within ACOs for medication management, Medicare Chronic Care Management, and social determinants of health screenings;
  •     Predictions on CMS proactive assignment of Medicare beneficiaries to physicians' ACO panels;
  •     The complete August 2017 Accountable Care Organizations survey tool.

Standard ACO Metrics Set:

As HIN benchmarks readers and members have come to expect, 2017 Healthcare Benchmarks: Accountable Care Organizations continues to document the ways in which accountable care is transforming healthcare delivery.

In this all-new resource, 2017 Healthcare Benchmarks: Accountable Care Organizations provides sector-specific qualitative data in the following areas:

  •     Current and planned ACOs;
  •     Numbers of physicians participating in ACOs;
  •     Types of providers participating in ACOs;
  •     Principal ACO administrators;
  •     Participation by ACO model (Medicare Shared Savings Program or MSSP, Pioneer ACO, etc.)
  •     Populations covered by current ACOs;
  •     Numbers of lives covered by current ACOs;
  •     Time required for ACO development;
  •     ACO program components, including the use of electronic health records (EHRs), patient portals, evidence-based care, and other elements;
  •     Reimbursement models in use in ACOs;
  •     Metrics to evaluate ACO success;
  •     Preferred ACO quality, efficiency and satisfaction measure sets;
  •     ROI from ACOs;
  •     Impact of ACO model on patient and provider satisfaction, care coordination, ER and hospital utilization, population health, healthcare spend and other key indicators;
  •     Early successes from ACOs;
  •     Greatest challenges associated with ACO creation;

And much more.

These metrics are presented in more than 60 easy-to-follow graphs and tables.

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Executive Summary
Survey Highlights
Key Findings
Program Components
Results and ROI
Successes Achieved within ACOs
About the Survey
Respondent Demographics
Using This Report
Responses by Sector
The Hospital/Health System Perspective
The Multi-Specialty Physician Group Perspective
Respondents in Their Own Words
Most Effective ACO Tool, Workflow or Protocol
Greatest ACO Success Achieved to Date
Additional Comments on ACOs
Responses to Questions

List of Figures

Figure 1: All - ACO Participation
Figure 2: All - Current ACO Programs
Figure 3: All - 2018 ACO Models
Figure 4: All - ACO Administration
Figure 5: All - Physician Participation
Figure 6: All - Participation by Provider
Figure 7: All - Participation by Other Healthcare Professionals
Figure 8: All - Covered Populations
Figure 9: All - Covered Lives
Figure 10: All - Time Required for ACO Creation
Figure 11: All - Tools and Technologies
Figure 12: All - ACO Services
Figure 13: All - Reimbursement Models
Figure 14: All - Recognition
Figure 15: All - Success Metrics
Figure 16: All - Quality Measures
Figure 17: All - ACO ROI
Figure 18: All - ACO Impact
Figure 19: All - ACO Challenges
Figure 20: All - Proactive CMS Patient Assignment
Figure 21: All - Future ACOs
Figure 22: All - Future ACO Administrator
Figure 23: All - Programs for Future ACOs
Figure 24: All - Biggest Challenges for Future ACOs
Figure 25: All - No ACO Plans
Figure 26: All - Organization Type
Figure 27: All - ACO Location
Figure 28: Hospitals - ACO Participation
Figure 29: Hospitals - Current ACO Programs
Figure 30: Hospitals - 2018 ACO Models
Figure 31: Hospitals - ACO Administration
Figure 32: Hospitals - Physician Participation
Figure 33: Hospitals - Participation by Provider
Figure 34: Hospitals - Participation by Other Healthcare Professionals
Figure 35: Hospitals - Covered Populations 
Figure 36: Hospitals - Covered Lives
Figure 37: Hospitals - Time Required for ACO Creation
Figure 38: Hospitals - Tools and Technologies
Figure 39: Hospitals - ACO Services
Figure 40: Hospitals - Reimbursement Models
Figure 41: Hospitals - Recognition
Figure 42: Hospitals - Success Metrics
Figure 43: Hospitals - Quality Measures
Figure 44: Hospitals - ACO ROI 
Figure 45: Hospitals - ACO Impact
Figure 46: Hospitals - ACO Challenges
Figure 47: Hospitals - Proactive CMS Patient Assignment
Figure 48: Hospitals - Future ACOs
Figure 49: Multi-Specialty - ACO Participation
Figure 50: Multi-Specialty - Current ACO Programs
Figure 51: Multi-Specialty - 2018 ACO Models
Figure 52: Multi-Specialty - ACO Administration
Figure 53: Multi-Specialty - Physician Participation
Figure 54: Multi-Specialty - Participation by Provider
Figure 55: Multi-Specialty - Participation by Other Healthcare Professionals
Figure 56: Multi-Specialty - Covered Populations
Figure 57: Multi-Specialty - Covered Lives
Figure 58: Multi-Specialty - Time Required for ACO Creation
Figure 59: Multi-Specialty - Tools and Technologies
Figure 60: Multi-Specialty - ACO Services
Figure 61: Multi-Specialty - Reimbursement Models
Figure 62: Multi-Specialty - Recognition
Figure 63: Multi-Specialty - Success Metrics
Figure 64: Multi-Specialty - Quality Measures
Figure 65: Multi-Specialty - ACO ROI
Figure 66: Multi-Specialty - ACO Impact
Figure 67: Multi-Specialty - ACO Challenges
Figure 68: Multi-Specialty - Proactive CMS Patient Assignment
Figure 69: Multi-Specialty - Future ACOs
Appendix A: 2017 Accountable Care Organization Survey Tool

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“Identifying patients early in the ED and alerting providers (electronically and   automated) that they are in the ACO and have additional resources available   to transition them out of the hospital if appropriate [is our most effective ACO workflow.]”
 Hospital/Health System

“Extensivist in the busiest hospitals, HCC (RAF) coding tool at the point of care,   and a referral tool (tiers) are our most effective ACO tools. In the future (this   year), we will add clinical decision support.”
Multi-Specialty Physician Practice

“A health risk assessment is our most effective ACO tool.”
Health Plan

“Beating our total medical expense cost targets for three years running is our greatest ACO success.”
 Hospital/Health System

“In the Medicare space, reducing admissions; for patients admitted, recovering at home sooner.”
 Multi-Specialty Physician Practice

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