Accountable Care Organization Services

Much of the industry is still living in the fee-for-service world, which is perfectly understandable given that’s how we get paid today. But now is the time to imagine and prepare for how that is all changing and make the right decisions for the future. This transition has begun gaining traction in the form of Accountable Care Organizations.

We’ve entered a value-based era in healthcare where various models for Accountable Care Organizations are being developed to address rising healthcare costs and fragmented approach to care delivery. In this new model, physicians will be compensated based on how well they jointly take care of patients, how well they coordinate the care, and how healthy their patients are.

Although the form that Accountable Care Organizations will ultimately take is still being determined, it is clear that physicians will need to evolve both the organization and the delivery of care to succeed.

The MBA Advantage

MBA combines expertise, services, and systems to achieve a higher level of coordination and collaboration between all care providers within the Accountable Care Organization model.

MBA understands how to create and implement strategies in the ACO process – from developing the culture and capabilities of a clinically integrated organization, to building the IT infrastructure for care coordination, as well as measuring outcomes and managing risk.

Accountable Care Organizations require:

  • Clinical Integration
  • Information Technology
  • Financial Management

Clinical Integration

MBA is focused on developing the organizational attributes necessary to transform health care delivery to an ACO model, including leadership, governance structure, and physician-hospital alignment.

Information Technology

MBA has expertise with Health Information Exchanges, Electronic Health Records, Billing and Payment Systems, Identity Management and HL7 and can help you select, implement and optimize your HIT infrastructure to support an ACO.

Financial Management

MBA can help you support the new financial models that are emerging as Accountable Care Organizations continue to develop. We have the experience to help you develop the cost accounting and data collection systems to manage accountable care payment models including shared savings models, bundled payments, and partial and full risk capitation.

Our experience in hospital/physician alignment strategies, HIT implementation, revenue cycle management, and physician compensation plan design provides clients with a single source answer to a readiness assessment.

How we can help

  • Strategic Planning
  • Health Reform/ACO Planning Community Outreach
  • System Selection and Procurement
  • Hospital/Physician Affiliate Strategy
  • Health Information Exchange
  • Patient Consent Models

Whether you are an ACO or working with an ACO, MBA HealthGroup can provide logistical support and assist with planning a payment and care delivery model that will improve the quality and efficiency of care, while reducing costs. We have effectively guided a number of organizations in attaining incentives defined in the Affordable Care Act.