ACO Medicare
Take the risk out of accountable care
The Signify Health difference
By focusing on whole-person, preventative care and delivering appropriate services, ACOs provide a sustainable path to support primary care transformation. Joining an ACO with Signify Health will help your organization implement a proven model of care to achieve quality improvement goals, reduce costs, and mitigate risk. By placing greater emphasis on population health management, your patients will benefit from hands-on care – whether they’re in your hospital or at home.
Why an ACO? Why now?
Value-based care is expected to replace a majority of traditional fee-for-service payment models. The Centers for Medicare & Medicaid Services recently announced it expects all Medicare beneficiaries to be covered by an accountable care plan by 2030.
Historically, fee-for-service models of care rewarded providers for every service performed which often prompted unwarranted tests and procedures and resulted in higher-than-necessary costs and duplicative services.
ACO methodologies have demonstrated lower costs, higher quality care, and incentivized providers by offering bonuses when costs are effectively minimized, and preventative care and chronic disease management benchmarks are met.
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Receive the expertise you need to succeed in value-based programs
$630M total savings to Medicare
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700K attributed Medicare lives
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100% of collaborative participants earning shared savings (2020-2021) |
100% average MIPS score |
Improving healthcare delivery and enhancing the patient experience through collaboration
With Signify Health, your organization will have access to the scale, technology, and expertise vital to succeeding in value-based care.
Provide better patient care – without overloading your physicians
Our team-based care approach enables nurses to work at the top of their licenses and lead preventative care measures.
Apply population health best practices
Increase compliance, improve HCC capture and results, address ACO quality measures during each annual wellness visit, and improve patient care outcomes.
Avoid duplicative efforts
Strategically track benchmark progress with enhanced communication including monthly and quarterly meetings with the community, clinical staff, and senior leadership.
Create the scale you need to generate more revenue
We build ACOs that can mitigate the normal fluctuations in performance – paving the way for opportunities for generating new, sustainable revenue.
Create more scale
Data proves larger ACOs have less variation. With Signify Health, you band with other independent health systems for the benefits of scale.
Generate new revenue
Use Signify’s award-winning Provider Engagement Platform to engage patients, improve preventative care, and optimize bonus and incentive programs such as the 340B Drug Discount Program.
Stay competitive
Signify Health clients consistently lead the nation by outperforming benchmarks which result in achieving more in shared savings, reporting industry-leading MIPS scores, and capturing more 340B savings.
Frequently Asked Questions
An accountable care organization (ACO) consists of a group of physicians, hospitals, and other healthcare providers who collaborate to deliver value-based, high-quality care to their Medicare patients. The goal of coordinated efforts and team-based approaches is to ensure patients receive the most suitable care. This includes proactive preventive care which helps to avoid unnecessary duplication of services and medical errors.
When an ACO succeeds in delivering high-quality care and spending healthcare dollars with greater efficacy and efficiency, the ACO will share in the savings it achieves for the Medicare program. These shared savings result in providers, facilities, and healthcare systems receiving funds that can be used to further improve the quality of care with additional resources, additional staff, and improved stability in times of financial uncertainty.
The advantages of participating in an ACO start with the over-arching ability to deliver higher-quality care at lowered costs which not only decreases unnecessary spending but also eliminates and/or helps to reduce replicated tests and procedures. ACO participants utilize a team-based care approach with value-based methodologies which allows physicians the time to spend with more acute patient needs while staff are empowered with more capabilities and time to help patients better understand how to engage in their health and care journey. Medicare experiences less waste to its system and successful ACOs are rewarded with shared Medicare savings which help to continue improved care through additional resources.
Patients receive higher quality care at lower costs through value-based care, the core component of an ACO. Participants in an ACO place greater emphasis on preventive care, promoting wellness, and better managing chronic diseases all for the benefit of the patient.
Providers in an ACO are incentivized to be more efficient and less duplicative in their efforts. When their healthcare delivery is improved by population health methodologies that emphasize value-based care rather than fee-for-service care, ACO participants bring in new population health revenue and earn a share of the savings to Medicare. The larger the ACO, the better the opportunity for substantial financial incentives that are paid directly to the participant.
Signify Health's Patient Engagement Platform, formerly Wellpepper expands patient care beyond the clinic. The platform assists with managing chronic diseases and enables health care systems to deliver highly actionable and engaging mobile treatment plans based on their own best practices and protocols.
The Patient Engagement Platform does the following:
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Tracks and monitors patient health data in real-time
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Transmits information to health care providers for assessment, and when necessary, provides recommendations and instructions. This allows clinicians to create deeper connections with their patients and simplify workflows.
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Patients are empowered to self-report conditions, communicate social determinants of health, and stay on track with their health care goals.
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Patient data flows back into Signify Health's Provider Enablement Platform to ensure patients never fall through the cracks.