Acurus combination of software (Capella-ACO) and Business Process Services helps ACO achieve the three part aim of Improving Care Delivery, Improving Health and Reducing Growth in Costs.
Acurus supports ACOs with Clinical/Claims data aggregation, Risk stratification, Financial Analytics, Population Management and Quality measures submission. Acurus is involved in Population Health, Patient Care Tracking / Management, Identifying Patient Care gaps, Discharge Instructions, Patient Education, Patient Outreach and Quality Measures calculation.
To provide a consolidated, longitudinal view of patient health:
- Patient Master Index - Patient Data Management
- Integration with Providers - Physicians MUEHR Certified EHR, Hospital Systems
- Integration with various ancillary service providers - Labs
- Claims Data from CMS with Diagnosis and Procedure codes
- LACE scores for hospital admits
- RAF scores for all beneficiaries
Reduce cost by minimizing "out of ACO network" referral:
- Master database of ACO providers
- Dashboard of referrals by Provider, Specialty
- Out of ACO Network referrals by Provider
To manage the population, it is important to maintain a master list of beneficiary and the associated data:
- Initial beneficiary list from CMS
- Identify patient coordinates - phone numbers, address
- Track "Opt Out" letters and first physician interaction with beneficiary
- Quarterly update to beneficiary list
- Predictive model of beneficiary - quarterly aging report from each ACO provider
Accountable for patient health and the associated costs, Acurus provides the tools and reports for ACOs to intervene and reach positive outcomes.
Capella-ACO dashboard for care coordinators:
- RAF Scores of patients
- Multiple combinations of Co-morbidity conditions
- LACE Scores
- Claims data expenses - both high and low expenditure patients
- Identification of patients that have not had a preventive health check
- Annual wellness check
Simple to read dashboard for ACO management:
- Dashboard based on expenditures - real time
- Per Beneficiary Per Month (PBPMTM) calculation to identify high risk patients
- Dashboard for Care Coordinators - list of High Risk patient based on RAF, LACE, Expenses, Lack of office visits
- Dashboard to monitor Year End Reporting Parameters
